I have been lecturing a course on #Social #Epidemiology in the Erasmus MC summer programme of the Netherlands Institute for Health Sciences (NIHES) Erasmus Summer Programme for many years. We described patterns of #health #inequalities and discussed the explanations of these inequalities, important topics! The week however, always ended with the message that our knowledge about how to tackle inequalities was scarce. It felt a bit frustrating to equip new generations of students with the tools and methods to do research on themes about which we know much already, and less with the methods to obtain knowledge about what we don’t know. And that while such methods improved over time, and can be of great help for many public health challenges, such as curbing the increase in #overweight and #obesity and the rising costs in care. With great help from Fleur ter Ellen, we developed a new course on ‘the evaluation of public health interventions’ (https://lnkd.in/eQ7rFM4p), with a focus on universal and selective #prevention, which was given last week. We introduced our students with the need to truly understand the complex #systems in which #public #health interventions are implemented, the construction of causal loop diagrams, the ways of identifying leverage points in these systems. Moreover, we introduced quantitative and qualitative methods to answer questions about the impact of interventions and policies and the processes related to that in those systems. Students were challenged to identify what we don’t know, and to avoid thinking that we always need a randomized control trial for answers. We used, for example, the situation where a young couple rents a house very close to a highway. Building rental apartments so close to the highway almost guarantees heath inequalities in the next decades; offering a physical activity program for example won’t solve that problem. Truly understanding the housing system is needed to come up with better solutions and requires different insights from pulic health experts. Giving this course could not be done without the contribution of experts. I was extremely happy to have professor Frank de Vocht from University of Bristol, who presented numerous great examples of evaluations of public health interventions. We had an inspiring Q&A session with dr. James Nobles from Leeds Beckett University on Ripple Effects Mapping, and Fleur ter Ellen developed a causal loop diagrams with the students. For me, it gave more energy than wrapping up on Friday with the conclusion that we don’t know much about how to solve our challenges. I hope that at least some young researchers got inspired to contribute to this. It is not easy, given the inherent combination of mixed methods that is required, but we were lucky to have a great group of students. Given the improvements, we will surely have to update the course again next year. I am looking forward doing so.
Real pleasure to be a part of it Frank and Fleur! Thanks so much for the invite to join, it was a great group of students to speak with. Look forward to doing it again in the future!
Beste Frank, Ik ben erg geïnteresseerd in de inhoud van jullie nieuwe cursus, vooral in de soorten evaluaties die worden besproken. Is er ergens meer informatie over de cursus te vinden? Of heb je misschien tips voor relevante literatuur?
Thanks Frank. It was a pleasure to teach on the course again.
Rinske Keuken Hans Jansen Esther Vlasveld
Insightful 👍
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5moInteressant, Frank! Kunnen wij als gemeentetypes je cursus ook een keer volgen? Toen ik een paar maanden geleden die CLD van Marielle Beenackers postte is die meer van 10000 keer bekeken - voor mij een record en een teken dat het denken in systemen echt door veel mensen interessant gevonden wordt! Maar het gevaar van (over)complicatie ligt dan op de loer dus heel fijn als er ook wat mooi houvast is hier en daar.