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While organizations leading community initiatives play a crucial role in tackling public health challenges, their difficulties in designing rigorous evaluations often undermine the strength of their proposals and diminish their chances of securing funding. We developed a matching service funded by the Robert Wood Johnson Foundation’s Evidence for Action program to bridge these gaps. This service identified matched applicants involved in community-engaged research with evaluation experts to provide complementary expertise, strengthen evaluation capacity, and enhance participants’ ability to secure funding.
Methods:
We conducted a mixed-methods evaluation of the pilot phase of the Accelerating Collaborations for Evaluation Matching Service from August 2018 to February 2021. Data sources included program records, participant surveys administered at 3-, 6-, and 12-months post-match, and semi-structured interviews conducted at 12–18 months post-match. We assessed outcomes such as match success, resubmissions, funding rates, and participant satisfaction.
Results:
Over the 2.5-year pilot period, the matching service successfully matched 20 of 24 referred applicants. Among these, 50% submitted revised proposals, and a third of secured funding. Survey results indicated widespread satisfaction with the partnerships. One-year interviews highlighted complementary expertise, bidirectional learning, and capacity-building as key benefits of these partnerships.
Conclusion:
This pilot demonstrated the feasibility, acceptability, and impact of the matching service in creating rewarding collaborations for community-engaged researchers. Beyond funding outcomes, participants uniformly valued the partnerships and described them as mutually satisfying. This model offers a scalable approach to creating research partnerships to build capacity for the evaluation of community initiatives.
Many countries have a national antimicrobial resistance strategy. In Australia, primary care is especially important because this setting encompasses a high proportion of antibiotic use. While antibiotic use decreased during the 1990s, it began to increase again in the mid-2000s. In response to this, in 2009 NPS MedicineWise implemented a series of nationwide educational interventions for consumers, family physicians (general practitioners), and community pharmacies that aimed to reduce excessive antibiotic use.
Methods:
For consumers a social marketing approach was used, including strategies that leveraged collectivism, nudge theory, celebrity endorsement, and co-creation. Channels included social, print, radio, and other media as well as practice waiting rooms and pharmacies. For health professionals, interventions included face-to-face education, audits, comparative prescribing feedback, case studies, and point-of-care materials. Surveys of consumers and family physicians were conducted periodically to evaluate changes in knowledge and behavior. National Pharmaceutical Benefits Scheme claims data were analyzed using a Bayesian structural time-series model to estimate the cumulative effect of interventions by comparing the observed and expected monthly dispensing volumes if the interventions had not occurred.
Results:
The consumer survey results indicated that more people were aware of antibiotic resistance (seventy-four percent in 2017 versus seventy percent in 2014), with the minority requesting or expecting antibiotics for upper respiratory tract infections (URTIs) (twenty-two percent in 2017). People underestimated the usual duration of symptoms for URTIs and were more inclined to expect antibiotics beyond that timeframe. Compared with non-participants, family physicians who participated in the program reported more frequent discussions about hand hygiene (ninety percent versus eighty-two percent) and proper use of antibiotics with patients (ninety-five percent versus eighty-eight percent). Between 2009 and 2015 there was an estimated fourteen percent reduction in prescriptions dispensed to concessional patients for antibiotics commonly prescribed for URTIs.
Conclusions:
Family physicians and consumers have responded positively to national programs. Sustaining and building on these improvements will require continued education and further innovation.
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