Role and challenges to digital technologies in community health promotion programs in Italy during the COVID-19 pandemic: a multiple embedded case study protocol
Main Article Content
digital health;, health promotion;, cancer prevention;, multiple case study;, protocol;
Background and aim: Due to the COVID-19 pandemics, The Italian League Against Cancer (LILT), a national federation of local associations promoting cancer prevention, had to face the challenge to find new ways and technologies to promote health in their territories. This study aims to explore how LILT associations led their health promotion interventions during the COVID-19 pandemic and to understand which interventions had a greater impact, for which population group, and why.
Methods: In this descriptive multiple embedded case study, each case will focus on the activities of a local LILT association and their collaborators on the perception and experience of the use of digital technology for health promotion and prevention, through interviews, observations, and a study of products and artifacts. A general overview of each case study will be provided, along with an introduction of the unit(s) of more in-depth analysis. The logical models that emerge from the analysis of each case will be described by using realist analysis, producing a list of possible CMO configurations (Context; Mechanisms; Outcomes). The final report will consist of a cross-case analysis (a comparison between the different case studies).
Discussion: This multiple case study will help generate a first "theory of the use of digital technology in health promotion in local LILT communities. The observation of what local LILT associations in Italy have done during COVID-19 will help identify new and useful health promotion strategies based on these technologies.
2. Stang A, Jöckel KH. The Impact of Cancer Screening on All-Cause Mortality. Dtsch Arztebl Int. 2018;115(29-30):481-486. doi:10.3238/arztebl.2018.0481
3. National Cancer Institute’s PROSPR Consortium, Corley DA, Sedki M, et al. Cancer Screening During the Coronavirus Disease-2019 Pandemic: A Perspective From the National Cancer Institute's PROSPR Consortium. Gastroenterology. 2021;160(4):999-1002. doi:10.1053/j.gastro.2020.10.030 Gastroenterology. 2021 Mar;160(4):999-1002. doi: 10.1053/j.gastro.2020.10.030.
4. Chen RC, Haynes K, Du S, Barron J, Katz AJ. Association of Cancer Screening Deficit in the United States With the COVID-19 Pandemic. JAMA Oncol. 2021;7(6):878-884. doi:10.1001/jamaoncol.2021.0884
5. Sartor G, Del Riccio M, Dal Poz I, Bonanni P, Bonaccorsi G. COVID-19 in Italy: Considerations on official data. Int J Infect Dis. 2020;98:188-190. doi:10.1016/j.ijid.2020.06.060
6. Ministero della Salute. Chiarimenti Rif. Linee di indirizzo per la rimodulazione dell'attività programmata differibile in corso di emergenza da COVID-19. Nota 8076 del 30 marzo 2020.
7. Vedel I, Ramaprasad J, Lapointe L. Social Media Strategies for Health Promotion by Nonprofit Organizations: Multiple Case Study Design. J Med Internet Res 2020;22(4):e15586. doi:10.2196/15586
8. Yin RK. Case study research: Design and methods. 5th ed. Thousand Oaks, CA: SAGE Publications; 2014.
9. Baxter P, Jack S. Qualitative Case Study Methodology: Study Design and Implementation for Novice Researchers. The Qualitative Report. 2008;13:544–59.
10. Crowe S, Cresswell K, Robertson A, Huby G, Avery A, Sheikh A. The case study approach. BMC Med Res Methodol. 2011;11:100. Published 2011 Jun 27. doi:10.1186/1471-2288-11-100
11. Miles MB, Huberman AM. Qualitative Data Analysis: An Expanded Sourcebook. 2nd ed. Thousand Oaks, CA: SAGE Publications; 1994.
12. Creswell JW. Qualitative inquiry and research design: Choosing among five approaches. 3rd ed. Thousand Oaks, CA: SAGE Publications; 2013.
13. Pawson R. Evidence-based policy: A realist perspective. Thousand Oaks, CA: SAGE Publications; 2006.
14. Lincoln YS, Guba EG. Naturalistic Inquiry. Thousand Oaks, CA: SAGE Publications; 1985.
15. Krefting L. Rigor in qualitative research: the assessment of trustworthiness. Am J Occup Ther. 1991;45(3):214-222. doi:10.5014/ajot.45.3.214