Harnessing Complexity: Taking Advantage of Context and Relationships in Dissemination of School-Based Interventions

Author:

Butler Helen1,Bowes Glenn2,Drew Sarah3,Glover Sara4,Godfrey Celia5,Patton George6,Trafford Lea1,Bond Lyndal7

Affiliation:

1. Adolescent Health & Social Environments Program at the Centre for Adolescent Health, Royal Children's Hospital and Murdoch Children's Research Institute in Melbourne, Australia

2. Faculty of Medicine, Dentistry and Health Sciences at the University of Melbourne, Australia

3. Adolescent Health & Social Environments Program at the Centre for Adolescent Health, Royal Children's Hospital and Department of Paediatrics, University of Melbourne, in Melbourne, Australia

4. Department of Education and Early Childhood Development in Victoria, Australia

5. Australian Centre for Child Neuropsychology Studies, Murdoch Children's Research Institute, in Melbourne, Australia

6. Adolescent Health Research Centre for Adolescent Health, Royal Children's Hospital, Department of Paediatrics, University of Melbourne and Murdoch Children's Research Institute in Melbourne, Australia

7. Adolescent Health & Social Environments Program, Centre for Adolescent Health, Royal Children's Hospital, Department of Paediatrics, University of Melbourne and Murdoch Children's Research Institute in Melbourne, Australia

Abstract

Schools and school systems are increasingly asked to use evidence-based strategies to promote the health and well-being of students. The dissemination of school-based health promotion research, however, offers particular challenges to conventional approaches to dissemination. Schools and education systems are multifaceted organizations that sit within constantly shifting broader contexts. This article argues that health promotion dissemination needs to be rethought for school communities as complex systems and that this requires understanding and harnessing the dynamic ecology of the sociopolitical context. In developing this argument, the authors draw on their experience of the dissemination process of a multilevel school-based intervention in a complex educational context. Building on this experience, they argue for the need to move beyond conventional dissemination strategies to a focus on active partnerships between developers and users of school-based intervention research and offer a conceptual tool for planning dissemination.

Publisher

SAGE Publications

Subject

Nursing (miscellaneous),Public Health, Environmental and Occupational Health

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