Andrew Milat|Lesley King|Adrian Bauman|Selina Redman
The concept of scalability: increasing the scale and potential adoption of health promotion interventions into policy and practice
Sax Institute|University of Sydney|University of Sydney|Sax Institute
increased focus prevention presents health promoters new opportunities challenges context study factors influencing policymaker decisions scale health promotion interventions small projects controlled trials wider state national international rollout increasingly important study aimed examine perspectives senior researchers policymakers regarding concepts scaling scalability ii generate agreed definition scalability iii identify intervention research design factors perceived increase potential interventions implemented widespread basis scaled twostage delphi process expert panel senior australian public health intervention researchers n 7 policymakers n 7 review relevant literature conducted process scalability defined ability health intervention shown efficacious small scale controlled conditions expanded real world conditions reach greater proportion eligible population retaining effectiveness results showed health promotion research insufficient attention given issues effectiveness reach adoption human technical organizational resources costs intervention delivery contextual factors appropriate evaluation approaches issues addressed funding design reporting intervention research would advance quality usability research policymakers improve uptake expansion promising programs practice