Challenge | Possible Causes | Strategies |
---|---|---|
1. Researchers, Communities and Stakeholders often have different priorities and timeframes of research outputs. | Differing areas of expertise. A lack of shared understanding of each groups’ main concerns. | • Identify and involve relevant communities and stakeholders at all stages. • Establish community and/or stakeholder groups and host consultation events. • Have a presence in the community and in practice by hosting regular outreach and education events. |
2. It can be difficult to accommodate the requirements of the evaluation, implementation and delivery of the intervention within service design. | The demands of scientific rigour in data collection and intervention development may be at odds with the practical needs of delivery. | • Use and adapt the toolkits presented in this paper to aid service design and ensure the needs of commissioners, providers and evaluators are all considered in a structured and efficient way. |
3a. There may be gaps in the collection or entry of routine data that are required for evaluation. | The use of clinical data for evaluation is not usually considered by practitioners. | • Develop training sessions and manuals for practitioners to empower them to collect data that is useful for research. • Work with data teams to modify databases to make it easier to collect required data. • Work with commissioners to modify service level specifications regarding data collection. |
3b. Services may use non-validated measures to assess outcomes. | Validated measures can be complex and burdensome to participants. Measures may not appear relevant to practitioners | • Co-production / selection of validated measures involving practitioners, service providers, community members and researchers. |
3c. Organisations may be concerned about sharing data. | Organisations may have different interpretations of the same laws and acts. | • Building of good relationships with key stakeholders. • Prompt sharing of findings with organisations to support their practice and planning. • Develop consent and privacy notices with stakeholders and the community. |
4. It may be difficult to easily identify early successes and challenges in intervention implementation. | Service providers/ commissioners capture too much information and/or information that is not appropriate for monitoring/evaluation. | • Use the toolkits presented in this paper to ensure the right data is collected. • Co-produce key progression criteria to allow early identification of success and/or areas of potential concern that can then result in adaptations to enhance performance. |
5. Service providers and commissioners are pressured to find quick answers, but rigorous evaluation can take much longer. | Differing areas of expertise and priorities. Many interventions require in-depth implementation evaluations before they are ready for effectiveness evaluations. Long-term evaluations can seem daunting to service providers. | • Use the evaluation framework presented in this paper to set expectations, ensure that the necessary groundwork is completed and answer important implementation questions before embarking on effectiveness evaluations. |