The power of positive deviance.
Open accessAbstract
Identifying individuals with better outcome than their peers (positive deviance) and enabling communities to adopt the behaviours that explain the improved outcome are powerful methods of producing change
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The mechanisms and components that make Internet interventions most effective remain largely unknown.
“However, little is actually known about the mechanisms or components of the interventions that have the greatest impact,11 and few formal evaluations consider user engagement or adherence to the Internet interventions when assessing the overall impact on health outcomes.”
From Chronic Health Conditions and Internet Behavioral Interventions: A Review of Factors to Enhance User Engagement (2011) · cites this paper as [11]
When judging health outcomes, few formal evaluations account for user engagement or adherence.
“However, little is actually known about the mechanisms or components of the interventions that have the greatest impact,11 and few formal evaluations consider user engagement or adherence to the Internet interventions when assessing the overall impact on health outcomes.”
From Chronic Health Conditions and Internet Behavioral Interventions: A Review of Factors to Enhance User Engagement (2011) · cites this paper as [11]
Cites
Palm Oil: A Healthful and Cost-Effective Dietary Component
Ong, A. S. H., & Goh, S. H. (2002) · Food and Nutrition Bulletin · doi:10.1177/156482650202300102 · Cited by 172 · see citing works
Sustained Positive Deviant Child Care Practices and Their Effects on Child Growth in Viet Nam
Mackintosh, U. A. T., Marsh, D. R., & Schroeder, D. G. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s204 · Cited by 104 · see citing works
Self-citationZeitlin, M. F., Ghassemi, H., Mansour, M. S., Ra, L., Dillanueva, M., Carballo, M. L., & Sockalingam, S. (1990) · Medical Entomology and Zoology · Cited by 99 · see citing works
Wishik, S. M., & der Vynckt, S. V. (1976) · American Journal of Public Health · doi:10.2105/ajph.66.1.38 · Cited by 86 · see citing works
Schroeder, D. G., Pachón, H., Dearden, K. A., Ha, T. T., Lang, T. T., & Marsh, D. R. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s208 · Cited by 68 · see citing works
Self-citationHaenel, H. (1991) · Food / Nahrung · doi:10.1002/food.19910351022 · Cited by 57 · see citing works
Sternin, M., Sternin, J., & Dl, M. (1997) · Cited by 56 · see citing works
Self-citationDesign of a Prospective, Randomized Evaluation of an Integrated Nutrition Program in Rural Viet Nam
Marsh, D. R., Pachón, H., Schroeder, D. G., et al. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s206 · Cited by 51 · see citing works
Self-citationMarsh, D. R., & Schroeder, D. G. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s201 · Cited by 49 · see citing works
Self-citationBolles, K., Speraw, C., Berggren, G., et al. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s203 · Cited by 43 · see citing works
Positive Deviant Behavior and Nutrition Education
Berggren, W. L., & Wray, J. D. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s202 · Cited by 42 · see citing works
Shekar, M., Habicht, J., & LATHAM, M. C. (1992) · International Journal of Epidemiology · doi:10.1093/ije/21.4.707 · Cited by 41 · see citing works
Factors Associated with Successful Pregnancy Outcomes in Upper Egypt: A Positive Deviance Inquiry
Ahrari, M., Kuttab, A., Khamis, S., et al. (2002) · Food and Nutrition Bulletin · doi:10.1177/156482650202300111 · Cited by 41 · see citing works
Sripaipan, T., Schroeder, D. G., Marsh, D. R., et al. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s210 · Cited by 39 · see citing works
Self-citationMarsh, D. R., Sternin, M., Khadduri, R., et al. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s215 · Cited by 38 · see citing works
Self-citationHendrickson, J. L., Dearden, K. A., Pachón, H., et al. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s212 · Cited by 34 · see citing works
Self-citationWhat Influences Health Behavior? Learning from Caregivers of Young Children in Viet Nam
Dearden, K. A., Quan, L. N., Do, M., et al. (2002) · Food and Nutrition Bulletin · doi:10.1177/15648265020234s216 · Cited by 31 · see citing works
Self-citationCan We Learn from Successful Mothers?
WRAY, J. D. (1972) · Journal of Tropical Pediatrics · doi:10.1093/tropej/18.4.279 · Cited by 28 · see citing works
Scaling up a poverty alleviation and nutrition program in Vietnam.
Sternin, M., Sternin, J., & Marsh, D. (1999) · doi:10.4324/9781315078526-15 · Cited by 21 · see citing works
Self-citationEncouraging Appropriate Infant Feeding Practices in Slums: A Positive Deviance Approach
Sethi, V., Kashyap, S., Seth, V., et al. (2003) · Pakistan Journal of Nutrition · doi:10.3923/pjn.2003.164.166 · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Carolan, S., Harris, P. R., & Cavanagh, K. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7583 · Cited by 385 · see citing works
“This review uses a positive deviance approach (eg, [32,33]) to identify the intervention features that are associated with the highest levels of intervention engagement and adherence in the workplace context.”
Alderwick, H., Hutchings, A., Briggs, A., & Mays, N. (2021) · BMC Public Health · doi:10.1186/s12889-021-10630-1 · Cited by 386 · see citing works
SCHUBART, J. R., STUCKEY, H. L., GANESHAMOORTHY, A., & SCIAMANNA, C. N. (2011) · CIN: Computers, Informatics, Nursing · doi:10.1097/ncn.0b013e3182065eed · Cited by 135 · see citing works
Rotheram-Borus, M. J., Arfer, K. B., Christodoulou, J., Comulada, W. S., Stewart, J., Tubert, J. E., & Tomlinson, M. (2019) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000408 · Cited by 22 · see citing works
Grace, D., Dipeolu, M., Olawoye, J., Ojo, E., Odebode, S., Agbaje, M., Akindana, G., & Randolph, T. (2012) · Tropical Animal Health and Production · doi:10.1007/s11250-012-0208-z · Cited by 17 · see citing works
- Authors
- Marsh, D. R., Schroeder, D. G., Dearden, K. A., Sternin, J., & Sternin, M.
- Affiliations
- Save the Children (US)
- Emory University (US)
- Brigham Young University (US)
- Tufts University (US)
- Corresponding author
- Marsh, David R
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2004-11-11
- Volume
- 329
- Issue
- 7475
- Pages
- 1177-1179
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC527707
- OpenAlex
- W2100573616
- Cited by
- 794
- References
- 20
- Citations by year
- 2026: 26 · 2025: 33 · 2024: 47 · 2023: 30 · 2022: 36 · 2021: 75 · 2020: 80 · 2019: 77 · 2018: 48 · 2017: 60 · 2016: 55 · 2015: 33 · 2014: 35 · 2013: 43 · 2012: 28
- FWCI
- 12.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Appreciative Inquiry and Organizational Change
- Social Sciences › Education › Community and Sustainable Development
- Keywords
- positive deviance, community-based intervention, behavior change, community health workers, health outcomes
- MeSH terms
- Delivery of Health Care, Health Status, Humans, Prognosis, Quality of Health Care, Health Behavior, Nutrition Policy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
