Academic Journal

Illuminating the “black box” of complex suicide prevention interventions: towards a theory of implementation using the normalisation process theory

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Illuminating the “black box” of complex suicide prevention interventions: towards a theory of implementation using the normalisation process theory
Συγγραφείς: Krishnamoorthy, S, Armstrong, G, Mathieu, S, Ross, V, Kõlves, K
Στοιχεία εκδότη: Frontiers Media S.A.
Έτος έκδοσης: 2025
Συλλογή: The University of Melbourne: Digital Repository
Περιγραφή: Introduction: Although there has been some investigation into what works in suicide prevention, exploration into the mechanisms by which implementation strategies impact outcomes or how and why strategies work remains largely under-studied. Consequently, implementation efforts often lack a clear strategy, and may contribute little toward the desired outcomes. This study aims to explore and examine the role of context and mechanisms involved in the implementation of complex suicide prevention interventions. Methods and materials: In-depth qualitative interviews were used to explore relevant stakeholder experiences of implementing complex suicide prevention interventions. Stakeholders (nine intervention leaders, five implementors and two lived experience advocates) from six interventions were purposively recruited for their experiences involved in implementing complex interventions in real-world settings. The Normalisation Process Theory translational coding manual was used to map data related to the primary and secondary constructs defined in the theory and its extensions. Results: Three domains pertaining to implementation context, mechanisms, and outcomes (CMO) were explored. Participants expressed their agency by: using contextual influences to modify the design and plan for delivery; making adaptations to the form and function of interventions and characteristics of the implementation environment to suit intervention needs; and, leveraging the intervention environment to integrate the intervention into existing systems and practices. Activities and strategies served multiple mechanisms involved in: understanding what the work entails; who does the work; developing the capacity to implement the work; and, understanding the work. An interdependent and interacting relationship between mechanisms emerged. Outcomes related to: change in existing practices; the ways in which people are organised; changes in existing norms; and, incorporation of the intervention into daily practice were observed. Conclusion: This ...
Τύπος εγγράφου: article in journal/newspaper
Γλώσσα: English
ISSN: 2813-0146
Relation: Krishnamoorthy, S., Armstrong, G., Mathieu, S., Ross, V. & Kõlves, K. (2025). Illuminating the “black box” of complex suicide prevention interventions: towards a theory of implementation using the normalisation process theory. Frontiers in Health Services, 5, https://doi.org/10.3389/frhs.2025.1473682.; https://hdl.handle.net/11343/363065
Διαθεσιμότητα: https://hdl.handle.net/11343/363065
Rights: https://creativecommons.org/licenses/by/4.0 ; CC BY
Αριθμός Καταχώρησης: edsbas.1EF9DDAB
Βάση Δεδομένων: BASE