PROGRESS Framework: Applying an equity lens to interventions

Un résumé de

O'Neill (Petkovic), J., Tabish, H., Welch, V., Petticrew, M., Pottie, K. et Clarke, M. (2014). Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health. Journal of Clinical Epidemiology, 67, 56-64.

Pour citer ce sommaire du CCNMO:

Centre de collaboration nationale des méthodes et outils (2015). PROGRESS Framework: Applying an equity lens to interventions. Hamilton, ON : Université McMaster. (mise à jour 20 July, 2015) Récupéré sur le site http://www.nccmt.ca/fr/ressources/interrogez-le-registre/234.

Catégories: Méthode, Définir, Adapter

Ces sommaires sont préparés par le CCNMO afin de condenser la matière et offrir un aperçu des ressources figurant dans le Registre des méthodes et outils, et pour fournir des suggestions quant à leur utilisation dans un contexte de santé publique. Pour plus d’information sur une méthode/un outil mentionné dans le sommaire, consultez les auteurs/développeurs de la ressource d’origine

Pertinence pour la santé publique

PROGRESS can be used in two ways. First, public health program planners or managers could use PROGRESS to guide the adaptation of an intervention plan. PROGRESS can help you adapt research evidence to your community by identifying factors that may affect how the disadvantaged groups in your population engage with the intervention being planned or the method of implementation. For example, suppose you are asked to design a program to increase rates of active transportation by cycling in your inner-city community. The research evidence indicates that placing self-serve bike rental stations encourages people to travel by bike. Before determining an implementation plan, you consider whether the PROGRESS factors may impact groups' or individuals’ access to and use of the intervention that renders the intervention less effective for disadvantaged priority populations. Inversely, you may want to consider whether your intervention may produce any negative or positive impacts on the PROGRESS factors.

Second, public health researchers could use the PROGRESS framework to ensure that their research question, analysis and reporting encompasses an equity lens. You can use the Equity Checklist for Systematic Review Authors to consider equity in the design and reporting of your research.

Description

The PROGRESS acronym is intended to ensure that there is explicit consideration for health equity, the unfair difference in disease burden, when conducting research and adapting research evidence to inform the design of new interventions. The PROGRESS acronym was created by Evans and Brown (2003) to describe factors that contribute to health inequity. PROGRESS stands for:

  • Place of residence
  • Race/ethnicity/culture/language
  • Occupation
  • Gender/sex
  • Religion
  • Education
  • Socioeconomic status
  • Social capital

PROGRESS serves as a reminder to consider the intersecting determinants of health when designing research or an implementation plan. The acronym is not meant to encompass all the factors involved with the distribution of health. Rather, it emphasizes that multiple factors affect health inequity. This acronym encourages public health researchers, program planners and managers to think about these intersecting determinants of health, and their consequences on equity. Explicit identification of these factors can create opportunities to redistribute resources to address health inequities.

In some contexts, additional factors may affect the impact an intervention can have on equity. PROGRESS has been expanded into PROGRESS-Plus (Oliver et al., 2008) to include other context-specific factors that facilitate disadvantage. These factors include: personal characteristics that are associated with discrimination (e.g., age, disability), features of a relationship (e.g., smoking parents, excluded from school), time-dependant relationships (e.g., leaving the hospital, respite care) and other circumstances that may indicate disadvantage.

Mise en œuvre de la méthode/de l’outil
Étapes de l’utilisation de la méthode/de l’outil

The PROGRESS acronym helps you to remember to consider the social determinants of health when adapting an evidence-informed recommendation to a community. PROGRESS stands for:

  • Place of residence
  • Race/ethnicity/culture/language
  • Occupation
  • Gender/sex
  • Religion
  • Education
  • Socioeconomic status
  • Social capital

You can use the PROGRESS factors after you have searched, appraised and synthesized the research evidence. To use PROGRESS:

  1. Compile the recommendation(s) for the interventions(s) you have formed with the research evidence.
  2. Independently or with stakeholders, consider the impact each potential recommendation can have on the PROGRESS factors.
  3. Consider the effect PROGRESS factors have on access and acceptability of each recommendation.
  4. Choose the most appropriate intervention for your community.
  5. Create an implementation plan for the intervention that addresses the relevant PROGRESS factors.
Qui est engagé dans la mise en œuvre

Program planners or managers will lead the administration of this method. If equity is not a priority, they may need to champion the use of the PROGRESS factors during planning and implementation. Representatives from your community can engage with this method, so they can share their experience with each PROGRESS factor.

Condition d’utilisation
Non précisé
Caractéristiques de l’évaluation et de la mesure
Évaluation
N’a pas été évaluée
Validité
Validité non vérifiée
Fiabilité
Fiabilité non vérifiée
Cote méthodologique
Inconnue/aucun signe
Développement de la méthode/de l’outil
Développeur(s)

Jennifer O'Neill

Coordinator, Campbell and Cochrane Equity Methods Group

Bruyere Research Institute, University of Ottawa

85 Primrose Avenue Office 302

Ottawa, ON K1R 6M1

613-562-5800 ext. 1963

jennifer.oneill@ottawa.ca

Méthode de développement

The acronym PROGRESS was developed by Evans and Browns (2003). This acronym was adopted by the Campbell and Cochrane Equity Methods Group to guide the analysis and reporting of equity focused research. The use of PROGRESS to apply an equity lens to interventions was developed through consultation with experts on the PROGRESS factors.

Date de sortie
2014
Personne contact / source

Jennifer Petkovic (Formerly Jennifer O'Neill)

Coordinator, Campbell and Cochrane Equity Methods Group

Bruyere Research Institute, University of Ottawa

85 Primrose Avenue Office 302

Ottawa, ON K1R 6M1

613-562-5800 ext. 1963

jennifer.petkovic@ottawa.ca

Ressources

Titre de la ressource primaire
Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health
Fichier joint
Aucun
Lien Web
Référence
O'Neill (Petkovic), J., Tabish, H., Welch, V., Petticrew, M., Pottie, K. et Clarke, M. (2014). Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health. Journal of Clinical Epidemiology, 67, 56-64.
Type de ressource
Article de revue
Format
Périodique
Coût de l’accès
Non précisé
Langue
Anglais
Condition d’utilisation
2014 Elsevier Inc.

Titre de la ressource supplémentaire
Road traffic crashes: operationalizing equity in the context of health sector reform
Fichier joint
Aucun
Lien Web
Référence
Evans, T. et Brown, H. (2003). Road traffic crashes: operationalizing equity in the context of health sector reform. Injury Control Safety Promotion, 10(1-2), 11-12.
Type de ressource
Article de revue
Format
Périodique
Coût de l’accès
Non précisé
Langue
Anglais
Condition d’utilisation
© Swets & Zeitlinger

Titre de la ressource supplémentaire
Health promotion, inequalities, and young people's health. A systematic review of research.
Fichier joint
Aucun
Lien Web
Référence
Oliver, S., Kavanagh, J., Caird, J., Lorene, T., Oliver, K. et Harden, A. (2008). Health promotion, inequalities, and young people's health. A systematic review of research. Repéré à l'adresse http://eppi.ioe.ac.uk/cms/Default.aspx?tabid=2410.
Type de ressource
Article
Format
Accès en ligne
Coût de l’accès
Aucun.
Langue
Anglais
Condition d’utilisation
Copyright 2006-2009 Social Science Research Unit, Institute of Education

Titre de la ressource supplémentaire
Equity Checklist for Systematic Review Authors
Fichier joint
Aucun
Lien Web
Référence
Ueffing, E., Tugwell, P., Welch, V., Petticrew, M. et Kristjansson, E. au nom du Campbell and Cochrane Equity Methods Group. Equity Checklist for Systematic Review Authors. Version du 8 novembre 2011. Consulté à l'adresse http://equity.cochrane.org/sites/equity.cochrane.org/files/uploads/equitychecklist2011.pdf le 18 août 2014.
Type de ressource
Liste de contrôle
Format
Accès en ligne
Coût de l’accès
Aucun.
Langue
Anglais
Condition d’utilisation
Non précisé

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