Evidence-making interventions in health: A conceptual framing

2019
We outline a framework for conceptualising interventions in health as 'evidence-making interventions'. An evidence-making intervention (EMI) approach is distinct from a mainstream evidence-based intervention (EBI) approach in that it attends to health, evidence and intervention as matters of local knowledge-making practice. An EMI approach emphasises relational materiality and performativity, engaging with interventions, and their knowing, as matters-of-practice. Rather than concentrating on how 'evidenced interventions' are implemented 'into' given 'contexts' - as if evidence, intervention and context were stable and separate - an EMI approach focuses on the processes and practices through which 'evidence', 'intervention' and 'context' come to be. There are two strands to our analysis. First, we identify concepts to think-with in an EMI approach; and second, we illustrate their implications through case examples. We first reflect on developments in 'implementation science' to distinguish how an EMI approach thinks differently. We note a `within-limits contingency' of implementation science in contrast to the 'open contingency' of an EMI approach. This helps notice the performativity of science and intervention as evidencing-making practices. We next conceptualise an EMI approach in relation to: 'objects and practices; 'effects and events; and 'concerns and care'. We position an EMI approach in relation to theories of 'relational materialism', arguing that this affords a more critical, as well as more careful, way of knowing and doing health intervention.
SOCIAL SCIENCE & MEDICINE
卷号:238
ISSN:0277-9536
收录类型
SSCI
发表日期
2019
学科领域
循证公共卫生
国家
澳大利亚
语种
英语
DOI
10.1016/j.socscimed.2019.112488
其他关键词
EVIDENCE-BASED MEDICINE; PUBLIC-HEALTH; INJECT DRUGS; IMPLEMENTATION; METHADONE; COMPLEX; KNOWLEDGE; MATTERS; CARE; HIV
EISSN
1873-5347
资助机构
Australian Government Department of HealthAustralian GovernmentDepartment of Health & Ageing
资助信息
The Centre for Social Research in Health is supported by a grant from the Australian Government Department of Health. We are grateful for support from the UNSW SHARP (Tim Rhodes) and UNSW Scientia (Kari Lancaster) fellowship schemes.
被引频次(WOS)
45
被引更新日期
2022-01
来源机构
University of New South Wales Sydney University of London London School of Hygiene & Tropical Medicine
关键词
Evidencing Ontology Relational materialism Translation Intervention Implementation science