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Table 4 Feasibility Themes

From: Priorities for research in child maltreatment, intimate partner violence and resilience to violence exposures: results of an international Delphi consensus development process

Feasibility theme Exemplar Comments
Feasibility re: Conduct of Research
Defining and operationalizing concepts, methods and measures “I'm not sure we'll ever reach consensus on definitions but measurement is a very important issue that requires quite a bit of additional work. Perhaps we would have better success developing common measures that would lead us to widely accepted indicators rather than definitions.” “Few of these services have been formally evaluated. This would provide information useful in developing and testing new interventions.” “These kinds of methods have been developed in other contexts … and those methods could be reviewed for applicability to [violence, gender and mental health] studies.” “Data-driven definition is important, what is goal about definition, if definition is not accompanied by operationalization it won’t move the field forward.” “I think spending a lot of time on definitions and measures would be redundant with other work that has already been done.”
Conducting research (including costs) “More attention should be paid to observational and qualitative studies - and to small-scale or local interventions which might deserve a high rating for quality. Also, these studies could provide insights into cultural appropriateness, and variations in culture-specific approaches.” “Data linkage is relatively inexpensive, fosters collaboration, and can address policy questions.” “To conduct interaction studies a very large N size is needed and no one study will be able to handle all levels of contexts … Prudent designs that consider one population vs. another population (e.g. communities with high maltreatment vs. low maltreatment) can assist in capturing these complex models to test.”
Building the evidence base, not re-creating the wheel “CDC has used a consensus building process to develop uniform definitions and data elements for child maltreatment, intimate partner violence and sexual violence. So, it seems like re-creating the wheel to start from scratch on definitions.” “I know that other groups are working on this…we should use their work and adapt it to our fields, rather than working on this from the ground up” “I think there is already some evidence and more is always useful but perhaps this is not so vital as other priorities.” “Child maltreatment in First Nations communities is definitely a priority – however the work in this area has to support and build on the work that First Nations communities are already doing.” “Given how few tested interventions exist, there may be something to learn from a review of ‘best practices’ in community programs, including any evaluative studies which have been done”
Feasibility re: Implementation of Research
Implementing interventions (including costs) “Many of the effective and promising programmes developed in high-income countries are prohibitively expensive for low- and middle-income countries, which make up the vast majority of the world's population.” “Developing effective interventions is only half the battle, they then have to be successfully and sustainably implemented on a large enough scale and this too is an important area of research.” “Tailor programs to fit culturally diverse communities.”
Partnering and advocacy “Changes such as these are hard to achieve unless there is a will to do so at the senior levels of government. We should begin lobbying for this now, understanding that taking on this agenda may be a long-term project.” “I know that WHO is very interested in this and we should try to help.” “I do think that a coordinated effort with child welfare agencies to prevent recurrence and improve parenting should be undertaken.” “This is an important global priority that could be encouraged by PreVAiL, esp. partners, but since it’s not primary research, may be slightly outside the scope of PreVAiL’s main mandate”
Other Feasibility Considerations
Being realistic (re: timeframes, expertise and the broader research context) “Extremely interesting but feasibility with our current investigators is very limited.” “Any information on promising prevention programs would be most welcomed but I don’t see this necessarily as PreVAiL’s strength…more like UNIFEM or other [international] NGOs.” “Might be possible to do research and evaluation within the time frame, in very specific settings.” “Given the long-range time span for this item, it might be difficult to do appropriate research in 3 – 5 years.” “Seems like we have methods to do this already, but we lack the commitment of funders for the long haul – funding longitudinal follow-up.”