Abstract：
OBJECTIVES:Public health interventions are increasingly represented as complex systems. Research tools for capturing the dynamic of interventions processes, however, are practically non-existent. This paper describes the development and proof of concept process of an analytical tool, the critical event card (CEC), which supports the representation and analysis of complex interventions' evolution, based on critical events. METHODS:Drawing on the actor-network theory (ANT), we developed and field-tested the tool using three innovative health interventions in northeastern Brazil. Interventions were aimed to promote health equity through intersectoral approaches; were engaged in participatory evaluation and linked to professional training programs. The CEC developing involve practitioners and researchers from projects. Proof of concept was based on document analysis, face-to-face interviews and focus groups. RESULTS:Analytical categories from CEC allow identifying and describing critical events as milestones in the evolution of complex interventions. Categories are (1) event description; (2) actants (human and non-human) involved; (3) interactions between actants; (4) mediations performed; (5) actions performed; (6) inscriptions produced; and (7) consequences for interventions. CONCLUSIONS:The CEC provides a tool to analyze and represent intersectoral internvetions' complex and dynamic evolution.
journal_name
Int J Public Healthjournal_title
International journal of public healthauthors
Figueiro AC,de Araújo Oliveira SR,Hartz Z,Couturier Y,Bernier J,do Socorro Machado Freire M,Samico I,Medina MG,de Sa RF,Potvin Ldoi
10.1007/s00038-016-0861-5subject
Has Abstractpub_date
2017-03-01 00:00:00pages
177-186issue
2eissn
1661-8556issn
1661-8564pii
10.1007/s00038-016-0861-5journal_volume
62pub_type
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