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Front Line Innovation and Trials

Front Line Innovation and Trials. Dr Jemma Hawkins, Research Fellow DECIPHer Cardiff. Overview. Developing and evaluating school-based interventions Trials research Examples of front-line innovation Identifying cases of best practice

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Front Line Innovation and Trials

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  1. Front Line Innovation and Trials Dr Jemma Hawkins, Research Fellow DECIPHer Cardiff

  2. Overview • Developing and evaluating school-based interventions • Trials research • Examples of front-line innovation • Identifying cases of best practice • Understanding and evaluating to inform wider implementation • Examples of co-production • Developing interventions with key stakeholders • Enhancing capacity

  3. Medical Research Council Framework Feasibility/Piloting 1. Testing procedures 2. Estimating recruitment/retention 3. Determining sample size Development 1. Identifying the evidence base 2. Identifying/developing theory 3. Modelling process and outcomes Evaluation 1. Assessing effectiveness 2. Understanding change process 3. Assessing cost-effectiveness Implementation 1. Dissemination 2. Surveillance and monitoring 3. Long term follow-up

  4. Example #1 – The WISE study Feasibility/Piloting 1. Testing procedures 2. Estimating recruitment/retention 3. Determining sample size Development 1. Identifying the evidence base 2. Identifying/developing theory 3. Modelling process and outcomes Evaluation 1. Assessing effectiveness 2. Understanding change process 3. Assessing cost-effectiveness • Wellbeing in Secondary Education Project [WISE] • Existing intervention (Mental Health First Aid) • Pilot trial in 6 schools = feasible • Randomised controlled trial in 25 schools Implementation 1. Dissemination 2. Surveillance and monitoring 3. Long term follow-up

  5. Example #2 – The WHISP study Feasibility/Piloting 1. Testing procedures 2. Estimating recruitment/retention 3. Determining sample size • Wellbeing and Health in Schools Project [WHISP] • Existing delivery = best practice • Theory informed • No evidence of effectiveness • Externally funded research • Understand processes and outcomes • Produce a replicable model for evaluation Development 1. Identifying the evidence base 2. Identifying/developing theory 3. Modelling process and outcomes Evaluation 1. Assessing effectiveness 2. Understanding change process 3. Assessing cost-effectiveness Implementation 1. Dissemination 2. Surveillance and monitoring 3. Long term follow-up

  6. Example #3 - The GMI_ALC study Feasibility/Piloting 1. Testing procedures 2. Estimating recruitment/retention 3. Determining sample size Development 1. Identifying the evidence base 2. Identifying/developing theory 3. Modelling process and outcomes Evaluation 1. Assessing effectiveness 2. Understanding change process 3. Assessing cost-effectiveness Implementation 1. Dissemination 2. Surveillance and monitoring 3. Long term follow-up

  7. The GMI_ALC study Feasibility/Piloting 1. Testing procedures 2. Estimating recruitment/retention 3. Determining sample size • Developing a GMI intervention • Identifying the evidence base: • Lack of evidence for impact of curriculum approach to health promotion • Competency-focused pedagogy emphasises processes internal to the learner • Group Motivational Interviewing [GMI] facilitates active participation and exploration of personal goals • Emerging evidence for use of GMI with young people Development 1. Identifying the evidence base 2. Identifying/developing theory 3. Modelling process and outcomes Evaluation 1. Assessing effectiveness 2. Understanding change process 3. Assessing cost-effectiveness Implementation 1. Dissemination 2. Surveillance and monitoring 3. Long term follow-up

  8. The GMI_ALC study Feasibility/Piloting 1. Testing procedures 2. Estimating recruitment/retention 3. Determining sample size • Developing a GMI intervention • Identifying/developing theory: • Identify key components of a GMI approach to PSE lessons • Identify key components of a teacher training package • Modelling process and outcomes: • Small scale testing of GMI intervention delivery • Small scale testing of teacher training delivery Development 1. Identifying the evidence base 2. Identifying/developing theory 3. Modelling process and outcomes Evaluation 1. Assessing effectiveness 2. Understanding change process 3. Assessing cost-effectiveness Implementation 1. Dissemination 2. Surveillance and monitoring 3. Long term follow-up

  9. Moving forward to a pilot trial Feasibility/Piloting 1. Testing procedures 2. Estimating recruitment/retention 3. Determining sample size Development 1. Identifying the evidence base 2. Identifying/developing theory 3. Modelling process and outcomes Evaluation 1. Assessing effectiveness 2. Understanding change process 3. Assessing cost-effectiveness • Consultation with stakeholders • Consider results of testing and discuss key queries • Refine training and lesson plan • Identify resources needed to scale-up • Finalise measurement tools Implementation 1. Dissemination 2. Surveillance and monitoring 3. Long term follow-up

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