The University of Southampton
University of Southampton Institutional Repository

Implementing a social network intervention, can the context for its workability be created? A quasi-ethnographic study

Implementing a social network intervention, can the context for its workability be created? A quasi-ethnographic study
Implementing a social network intervention, can the context for its workability be created? A quasi-ethnographic study
Background

Policy makers and researchers recognise the challenges of implementing evidence-based interventions into routine practice. The process of implementation is particularly complex in local community environments. In such settings, the dynamic nature of the wider contextual factors needs to be considered in addition to capturing interactions between the type of intervention and the site of implementation throughout the process. This study sought to examine how networks and network formation influence the implementation of a self-management support intervention in a community setting.

Methods

An ethnographically informed approach was taken. Data collection involved obtaining and analysing documents relevant to implementation (i.e. business plan and health reports), observations of meetings and engagement events over a 28-month period and 1:1 interviews with implementation-network members. Data analysis utilised the adaptive theory approach and drew upon the Consolidated Framework for Implementation Research. The paper presents the implementation events in chronological order to illustrate the evolution of the implementation process.

Results

The implementation-network was configured from the provider-network and commissioning-network. The configuration of the implementation-network was influenced by both the alignment between the political landscape and the intervention, and also the intervention having a robust evidence base. At the outset of implementation, the network achieved stability as members were agreed on roles and responsibilities. The stability of the implementation-network was threatened as progress slowed. However, with a period of reflection and evaluation, and with a flexible and resilient network, implementation was able to progress.

Conclusions

Resilience and creativity of all involved in the implementation in community settings is required to engage with a process which is complex, dynamic, and fraught with obstacles. An implementation-network is required to be resilient and flexible in order to adapt to the dynamic nature of community contexts. Of particular importance is understanding the demands of the various network elements, and there is a requirement to pause for “reflection and evaluation” in order to modify the implementation process as a result of learning.
Ellis, Jaimie
eb60a3a4-281b-4895-9583-4d5cf1e65b4d
Vassilev, Ivaylo
d76a5531-4ddc-4eb2-909b-a2a1068f05f3
James, Elizabeth
b7e90b5a-da45-4459-ae84-150adc07e988
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Ellis, Jaimie
eb60a3a4-281b-4895-9583-4d5cf1e65b4d
Vassilev, Ivaylo
d76a5531-4ddc-4eb2-909b-a2a1068f05f3
James, Elizabeth
b7e90b5a-da45-4459-ae84-150adc07e988
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7

Ellis, Jaimie, Vassilev, Ivaylo, James, Elizabeth and Rogers, Anne (2020) Implementing a social network intervention, can the context for its workability be created? A quasi-ethnographic study. Implementation Science Communications, 1, [93]. (doi:10.1186/s43058-020-00087-5).

Record type: Article

Abstract

Background

Policy makers and researchers recognise the challenges of implementing evidence-based interventions into routine practice. The process of implementation is particularly complex in local community environments. In such settings, the dynamic nature of the wider contextual factors needs to be considered in addition to capturing interactions between the type of intervention and the site of implementation throughout the process. This study sought to examine how networks and network formation influence the implementation of a self-management support intervention in a community setting.

Methods

An ethnographically informed approach was taken. Data collection involved obtaining and analysing documents relevant to implementation (i.e. business plan and health reports), observations of meetings and engagement events over a 28-month period and 1:1 interviews with implementation-network members. Data analysis utilised the adaptive theory approach and drew upon the Consolidated Framework for Implementation Research. The paper presents the implementation events in chronological order to illustrate the evolution of the implementation process.

Results

The implementation-network was configured from the provider-network and commissioning-network. The configuration of the implementation-network was influenced by both the alignment between the political landscape and the intervention, and also the intervention having a robust evidence base. At the outset of implementation, the network achieved stability as members were agreed on roles and responsibilities. The stability of the implementation-network was threatened as progress slowed. However, with a period of reflection and evaluation, and with a flexible and resilient network, implementation was able to progress.

Conclusions

Resilience and creativity of all involved in the implementation in community settings is required to engage with a process which is complex, dynamic, and fraught with obstacles. An implementation-network is required to be resilient and flexible in order to adapt to the dynamic nature of community contexts. Of particular importance is understanding the demands of the various network elements, and there is a requirement to pause for “reflection and evaluation” in order to modify the implementation process as a result of learning.

Text
Implementing a social network intervention, can the context for its workability be created A quasi-ethnographic study. - Accepted Manuscript
Available under License Creative Commons Attribution.
Download (94kB)

More information

Accepted/In Press date: 15 October 2020
e-pub ahead of print date: 27 October 2020

Identifiers

Local EPrints ID: 445166
URI: http://eprints.soton.ac.uk/id/eprint/445166
PURE UUID: 44031865-6e77-47ea-b7cd-4aa858999276
ORCID for Jaimie Ellis: ORCID iD orcid.org/0000-0003-0068-3318
ORCID for Ivaylo Vassilev: ORCID iD orcid.org/0000-0002-2206-8247
ORCID for Elizabeth James: ORCID iD orcid.org/0000-0001-9355-0295

Catalogue record

Date deposited: 24 Nov 2020 17:32
Last modified: 24 Jun 2022 01:41

Export record

Altmetrics

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×