ArticleHealth research policy and systems2019
Optimisation: defining and exploring a concept to enhance the impact of public health initiatives.
Article in Health research policy and systems, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2024Pooled it
- Strategies for enhancing the implementation of school-based policies or practices targeting diet, physical activity, obesity, tobacco or alcohol use.The Cochrane database of systematic reviews · 2022Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2020Pooled it
- Does optimizing Choose to Move - a health-promoting program for older adults - enhance scalability, program implementation and effectiveness?The international journal of behavioral nutrition and physical activity · 2024Trial
- Optimising a multi-strategy implementation intervention to improve the delivery of a school physical activity policy at scale: findings from a randomised noninferiority trial.The international journal of behavioral nutrition and physical activity · 2022Trial
- Practice change intervention to improve antenatal care addressing alcohol consumption during pregnancy: a randomised stepped-wedge controlled trial.BMC pregnancy and childbirth · 2022Trial
- Exploring a parent-focused physical literacy intervention for early childhood: a pragmatic controlled trial of the PLAYshop.BMC public health · 2022Trial
- Enhancing the potential effects of text messages delivered via an m-health intervention to improve packing of healthy school lunchboxes.Public health nutrition · 2021Trial
- Bayesian adaptive designs for the optimisation of implementation strategies: a virtual re-execution of the Physically Active Children in Education (PACE) trials.Implementation science communications · 2026Article
- Towards Establishing Shared Terminology for Person-Centred Care: A Modified Delphi Study With Consumers and Health Professionals.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Adaptive designs for trials aiming to optimise implementation strategies and the effect of an additional interim analysis: a simulation study.BMC medical research methodology · 2025Article
- Are costs optimized as scale-up of Choose to Move-an effective health-promoting intervention for older adults-proceeds?The international journal of behavioral nutrition and physical activity · 2025Article
- Experimental designs used for optimising the effects of health interventions and implementation strategies: a scoping review.BMC health services research · 2025Article
- Properties of adaptive, cluster-randomised controlled trials with few clusters: a simulation study.Implementation science : IS · 2025Article
- Evaluating the Feasibility and Acceptability of a Prototype Hospital Digital Antibiotic Review Tracking Toolkit: A Qualitative Study Using the RE-AIM Framework.Antibiotics (Basel, Switzerland) · 2025Article
- Health-care staff perspectives in optimising delirium prevention using data-driven interventions.Australasian journal on ageing · 2025Article
- Process evaluation findings from Strong Hearts, Healthy Communities 2.0: a cardiovascular disease prevention intervention for rural women.The international journal of behavioral nutrition and physical activity · 2024Article
- Learning health systems to implement chronic disease prevention programs: A novel framework and perspectives from an Australian health service.Learning health systems · 2024Article
- Research outcomes informing the selection of public health interventions and strategies to implement them: A cross-sectional survey of Australian policy-maker and practitioner preferences.Health research policy and systems · 2024Article
- Disseminating health research to public health policy-makers and practitioners: a survey of source, message content and delivery modality preferences.Health research policy and systems · 2023Article
Corrections and comments
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Authors and funding
29 authors.
Funding
Abstract
backgroundRepeated, data-driven optimisation processes have been applied in many fields to rapidly transform the performance of products, processes and interventions. While such processes may similarly be employed to enhance the impact of public health initiatives, optimisation has not been defined in the context of public health and there has been little exploration of its key concepts.
methodsWe used a modified, three-round Delphi study with an international group of researchers, public health policy-makers and practitioners to (1) generate a consensus-based definition of optimisation in the context of public health and (2i) describe key considerations for optimisation in that context. A pre-workshop literature review and elicitation of participant views regarding optimisation in public health (round 1) were followed by a daylong workshop and facilitated face-to-face group discussions to refine the definition and generate key considerations (round 2); finally, post-workshop discussions were undertaken to refine and finalise the findings (round 3). A thematic analysis was performed at each round. Study findings reflect an iterative consultation process with study participants.
resultsThirty of 33 invited individuals (91%) participated in the study. Participants reached consensus on the following definition of optimisation in public health: "A deliberate, iterative and data-driven process to improve a health intervention and/or its implementation to meet stakeholder-defined public health impacts within resource constraints". A range of optimisation considerations were explored. Optimisation was considered most suitable when existing public health initiatives are not sufficiently effective, meaningful improvements from an optimisation process are anticipated, quality data to assess impacts are routinely available, and there are stable and ongoing resources to support it. Participants believed optimisation could be applied to improve the impacts of an intervention, an implementation strategy or both, on outcomes valued by stakeholders or end users. While optimisation processes were thought to be facilitated by an understanding of the mechanisms of an intervention or implementation strategy, no agreement was reached regarding the best approach to inform decisions about modifications to improve impact.
conclusionsThe study findings provide a strong basis for future research to explore the potential impact of optimisation in the field of public health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.