Scaling-up auch in der Bewegungsförderung?

 

 Buy Article Permissions and Reprints

Zusammenfassung

Die flächendeckende Verbreitung erfolgreicher Interventionen der Gesundheitsförderung ist eine wichtige Voraussetzung, um messbare und nachhaltige Gesundheitswirkungen auf Bevölkerungsebene zu erzielen. Das Konzept des Scaling-Up bietet Ansätze, um Pilotinterventionen auf andere Standorte oder ganze Systeme zu übertragen und sie so einer Vielzahl von Menschen zugänglich zu machen. Dieser Beitrag möchte für den deutschsprachigen Raum auf Basis einer Literatur-Review einen ersten Überblick über einige theoretische Scaling-Up-Modelle sowie praktische Leitlinien für ein erfolgreiches Scaling-Up geben. Der Blick in die aktuelle Forschung liefert wichtige Erkenntnisse zur Definition von Scaling-Up und von damit verbundenen Konzepten, den verschiedenen Typen von Scaling-Up, zu zentralen Akteuren und ihren spezifischen Rollen, zum Ablauf von Scaling-Up-Prozessen sowie zu begünstigenden und hinderlichen Kontextfaktoren für erfolgreiches Scaling-Up. Damit kann dieser Artikel einerseits die Planung und praktische Umsetzung konkreter Scaling-Up-Vorhaben unterstützen und andererseits Anregungen für die weitere Forschung auf diesem Gebiet bieten.

Summary

Comprehensive dissemination of successful health promotion interventions is an important prerequisite for achieving measurable and sustainable health effects at the population level. The concept of scaling-up offers approaches to transfer pilot interventions to other locations or entire systems and thus make them accessible to a large number of people. On the basis of a literature review, this article gives a first overview of some theoretical scaling-up models as well as practical guidelines for a successful scaling-up. Current research provides important insights into the definition of scaling-up and related concepts, the different types of scaling-up, key players and their specific roles, the flow of scaling-up processes, and the favourable as well as obstructive contextual factors for successful scaling-up. This article thus contributes to the planning and practical implementation of concrete scaling-up projects on the one hand; and provides suggestions for further research on the other.

Publication History

Received: 21 October 2019

Accepted: 19 January 2020

Article published online:
12 June 2020

© Georg Thieme Verlag KG
Stuttgart · New York

• Literatur

• 1 World Health Organization. Germany. Physical Activity Factsheet 2018. Geneva: World Health Organization; 2018
  Google Scholar
• 2 Reis RS, Salvo D, Ogilvie D. et al. Scaling up physical activity interventions worldwide: stepping up to larger and smarter approaches to get people moving. Lancet 2016; 388 (10051): 1337-1348. DOI: 10.1016/S0140-6736(16)30728-0.
  CrossrefPubMedGoogle Scholar
• 3 Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions. The RE-AIM framework. Am J Public Health 1999; 89 (09) : 1322-1327
  CrossrefPubMedGoogle Scholar
• 4 Green LW, Kreuter MW. Health program planning: an educational and ecological approach. 4th ed. New York: McGraw-Hill; 2005
  Google Scholar
• 5 World Health Organization. Handbook for Guideline development. Geneva: World Health Organization; 2012
  Google Scholar
• 6 World Health Organization. Scaling Up Projects and Initiatives for better health: from concepts to practice. Geneva: World Health Organization; 2016
  Google Scholar
• 7 Milat AJ, Newson R. and King L. Increasing the scale of population health interventions: A guide. Sydney: NSW Ministry of Health; 2014
  Google Scholar
• 8 Harris JR, Cheadle A, Hannon PA. et al. A framework for disseminating evidence-based health promotion practices. Prev Chronic Dis 2012; 9: 110081 . doi:10.5888/pcd9.110081
  PubMedGoogle Scholar
• 9 Wandersman A, Duffy J, Flaspohler P. et al. Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation. Am J Community Psychol 2008; 41: 171-181 . doi:10.1007/s10464-008-9174-z
  CrossrefPubMedGoogle Scholar
• 10 Damschroder LJ, Aron DC, Keith RE. et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science 2009; 4: 50 . doi:10.1186/1748-5908-4-50
  CrossrefPubMedGoogle Scholar
• 11 Rimmer JH, Vanderbom KA, Graham ID. A New Framework and Practice Center for Adopting, Translating, and Scaling Evidence-Based Health / Wellness Programs for People with Disabilities. J Neurol Phys Ther 2016; 40 (02) : 107-14. DOI: 10.1097/NPT.0000000000000124.
  CrossrefPubMedGoogle Scholar
• 12 World Health Organization. ExpandNet. Nine steps for developing a scaling- up strategy. Geneva: World Health Organization; 2010
  Google Scholar
• 13 Greenhalgh T, Robert G, MacFarlane F. et al. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q 2004; 82: 581-629 . doi: 10.1111/j.0887-378X.2004.00325.x
  CrossrefPubMedGoogle Scholar
• 14 Kohl R, Cooley L. Scaling Up - A Conceptual and Operational Framework. Washington D.C: Management System International; 2003
  Google Scholar
• 15 Cooley L. Scaling Up – From Vision to Large-Scale Change. A Management Framework for Practitioners. Management Systems International. 3 rd ed; 2016
  PubMed
• 16 USAID Health Care Improvement Project. The Improvement Collaborative: An Approach to Rapidly Improve Health Care and Scale Up Quality Services. Health Care Improvement Project. Bethesda, MD: University Research Co., LLC (URC); 2008
  Google Scholar
• 17 Institute for Reproductive Health (IRH). Theory and Practice. Monitoring and Evaluating Scale-Up of Health Innovations. Washington, D.C: Georgetown University; 2013
  Google Scholar
• 18 Hartmann A, Linn J. Scaling up: A framework and lessons for development effectiveness from literature and practice (Wolfensohn Working Paper 5). Washington D.C: The Brookings Institution; 2008
  Google Scholar
• 19 Bergmann M, Jahn T, Knobloch T, Krohn W, Pohl C, Schramm E. Methods for Transdisciplinary Research. A Primer for Practice. Frankfurt / New York: Campus; 2012
  Google Scholar
• 20 Choi BCK, Pak AWP. Multidisciplinarity, interdisciplinarity, and transdisciplinarity in health research, services, education and policy: 2. Promotors, barriers, and strategies for enhancement. Clin Invest Med 2007; 30 (06) : E224-E232
  PubMedGoogle Scholar