Sergio Moreno-López, Lucía C Pérez-Herrera, Daniel Peñaranda, Diana C Hernández, Elizabeth García, Augusto Peñaranda
Prevalence and associated factors of allergic diseases in school children and adolescents aged 6-7 and 13-14 years from two rural areas in Colombia
Allergologia et immunopathologia
understanding interventions implementation essential improving community initiatives kidscope community paediatric development clinic providing free health developmental assessment onward referral children aged zero six years urban area southern ireland many children experience complex needs established 2010 kidscope developed interdisciplinary multiagency community team drawing strengths local services practitioners deliver holistic approaches child health development recent studies examining stakeholder engagement kidscope outcomes highlighted need examine implementation better understand processes mechanisms clinic events affected outcomes guided uk medical research council framework developing evaluating complex interventions study used posthoc qualitative process evaluation study design multiple data sources stakeholder perspectives interviews focus group questionnaires document analysis annual reports meeting minutes work plans diverse set research questions developed conjunction patient public involvement group guiding frameworks supported thematic analysis primary data document analysis secondary data triangulation findings across datasets data analysis yielded 17 themes 18 subthemes successful implementation hinged developing coalition linked practitioners services whose skills utilised enhanced within kidscope deliver highquality healthcare model vulnerable children families relational multidisciplinary working innovative approaches implementation sustainability training education provision accessible community location among mechanisms change resulting improved child family practitioner systemlevel outcomes external factors covid19 deficits irelands disability services posed significant barriers fidelity study provides evidence processes mechanisms model care employed communitybased paediatric clinic successfully engage societys vulnerable families promote health equity study makes important contribution field implementation research offering example robust approach conceptualising measuring implementation outcomes community healthcare initiative changing realworld context