Research group for Intervention Processes and Outcomes - PROCOME

The research group for Intervention processes and outcomes (PROCOME) focuses on research on effects and implementation of innovative improvement programs in different type of organizations, with specific focus on health and social care.

The research aims to increase knowledge regarding the effects and implementation of different types of improvement programs.

Although the projects are seemingly diverse they share certain common outlines. A main outline of the research is to combine knowledge concerning the process to change with the content of change in order to understand effects. Consequently, there is a significant emphasis on implementation aspects, i.e., how to introduce and conduct interventions in practice. In addition, we aim to contribute to the understanding of how we know if an change is improvement and not only a change, or no change at all. We also develop methods that help to uncover what works for whom when. In other words, we want to contribute to evaluation methodology.

Furthermore, an additional main outline of our research is to examine how different organizational improvement projects affect employees' work situation and work-related health as well as the organization's competitiveness. We relate changes in the staff's perception of a work situation to the social impact, that is, what effects these changes will have on the clients, patients, users etc.

Research Group Members

Group leaders

Hanna Augustsson

Research coordinator

Marta Roczniewska

Postdoctoral researcher

Group members PROCOME


Evidence-informed policy formulation and implementation: a comparative case study of two national policies for improving health and social care in Sweden.
Strehlenert H, Richter-Sundberg L, Nyström ME, Hasson H
Implement Sci 2015 Dec;10():169

Implementation of an organizational-level intervention on the psychosocial environment of work: comparison of managers' and employees' views.
Hasson H, Gilbert-Ouimet M, Baril-Gingras G, Brisson C, Vézina M, Bourbonnais R, et al
J. Occup. Environ. Med. 2012 Jan;54(1):85-91

Fidelity and moderating factors in complex interventions: a case study of a continuum of care program for frail elderly people in health and social care.
Hasson H, Blomberg S, Dunér A
Implement Sci 2012 Mar;7():23

Implementing a continuum of care model for older people-results from a Swedish case study.
Dunér A, Blomberg S, Hasson H
Int J Integr Care 2011 Oct;11():e136

Barriers in implementation of evidence-based practice: Supported employment in Swedish context.
Hasson H, Andersson M, Bejerholm U
J Health Organ Manag 2011 ;25(3):332-45

Team behaviors in emergency care: a qualitative study using behavior analysis of what makes team work.
Mazzocato P, Forsberg HH, Schwarz Uv
Scand J Trauma Resusc Emerg Med 2011 Nov;19():70

Factors associated with high use of a workplace web-based stress management program in a randomized controlled intervention study.
Hasson H, Brown C, Hasson D
Health Educ Res 2010 Aug;25(4):596-607

Systematic evaluation of implementation fidelity of complex interventions in health and social care.
Hasson H
Implement Sci 2010 Sep;5():67

Illustration and map over PROCOME collaborations worldwide


Procome has considerable national and international collaboration. An overview of our collaboration partners can be found in the figure below.

Procome also has an ongoing collaboration with the Unit for Implementation and Evaluation, Center for Epidemiology and Community Medicine, Stockholm County Council. The unit has a goal of offering scientifically based information, support and tools in implementation to the regional health and social care managers and staff members. Several of the members in the Procome group also work part time in the unit for implementation Folkhälsoguiden.


Current main funders of Procome research includes:

  • Joint Committee for Nordic research councils in the Humanities and Social Sciences (NOS-HS)
  • The National Board of Health and Welfare, AFA- insurance
  • Swedish research council for health, working life and welfare (FORTE)
  • Karolinska Institutet’s Board of Doctoral Education (KID funding)
  • The Swedish Association of Local Authorities and Regions