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3. Conceptual framework - I

What is a conceptual framework?

There are many ways to explain a conceptual framework. It can be any or all of the following:

  • A set of coherent ideas or concepts organized in a manner that makes them
    easy to communicate to others.
  • An organized way of thinking about how and why a project takes place,
    and about how we understand its activities.
  • The basis for thinking about what we do and about what it means, influenced
    by the ideas and research of others.
  • An overview of ideas and practices that shape the way work is done
    in a project.
  • A set of assumptions, values, and definitions under which we all work together.

Why do we need a framework when doing research?

A framework can help us to explain why we are doing a project in a particular way. It can also help us to understand and use the ideas of others who have done similar things.

We can use a framework like a travel map. We can read a map, because others before us have come up with common symbols to mark streets, lakes, highways, cities, mountains, rivers, etc...The scale on a map tells us how far apart different places are, so we will get an idea how long it might take us to get from one point to the next. A map also shows us that there may be many different paths that can be taken to get to the same place.

A framework can help us decide and explain the route we are taking: why would we use certain methods and not others to get to a certain point. People might have tried a similar path before and have had different experiences using one road versus another. Or, there may be paths that have never been explored. With a conceptual framework, we can explain why we would try this or that path, based on the experiences of others, and on what we ourselves would like to explore or discover.

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Health promotion intervention

Interventions are the things that people do to make a difference, to change something. In many health research projects, there is only one intervention, such as giving patients a new pill. The health researchers have an idea that the pill will make people better (that is their theory, or part of their conceptual framework). They compare how people were before they took the pill to how they are after they took the pill, to find out whether the pill had an effect; and whether the effect was to make people better.

In the Mujer Sana - Comunidad Sana project, which is a health promotion project, there were many interventions. For example, everything that the Lay Health Promoters did to reach out to other women, to encourage them to participate in cancer screening, can be considered an intervention. Everything that the Advisory Committee did to help the Hispanic community advocate in the health system, also can be considered an intervention. Everything the co-ordinator did to help the LAZO members feel more powerful in the Community Health Centre was also an intervention. As participatory researchers, we wanted to know if the activities (the interventions, the project) made the differences that we had in mind, in ourselves, in the women we reached out to, and in the community as a whole. In summary, the intervention components for this project were:

  • Developing and implementing a Lay Health Promoter
    training program for Hispanic women.
  • Developing culturally appropriate health education and
    promotion materials related to breast and cervical cancer in Spanish.
  • Reaching out to, informing, and involving the Hispanic community
    in health promotion activities.
  • Identifying and removing barriers to preventive health services
    (including, specifically, breast and cervical cancer screening)
    for Hispanic women at Centretown Community Health Centre.
  • Promoting health through activities related to breast and cervical cancer
    to Hispanic women, individually and in groups, through the work
    of Lay Health Promoters.
  • Promoting health through activities that improve cancer screening
    behaviour of Hispanic women.
  • Involving other members of the health-service providing community
    (including mammography clinics and other community health centres)
    to identify and remove barriers to preventive health services
    for ethnocultural minorities.
  • Reaching out to and involving other ethnocultural minority communities
    in planning future health promotion activities.

The ideas we had about what interventions would lead to what kinds of changes, and why, are part of our conceptual framework.

The way we set up the project to find out whether the interventions actually resulted in the changes we expected, is fully described in our research design.


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