Application of the Expert Recommendations for Implementing Change (ERIC) compilation of strategies to health intervention implementation in low- and middle-income countries: a systematic review.

Application of the Expert Recommendations for Implementing Change (ERIC) compilation of strategies to health intervention implementation in low- and middle-income countries: a systematic review.
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DOI:
10.1186/s13012-023-01310-2
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发表时间:
2023-10-30
影响因子:
7.2
通讯作者:
Proctor, Enola K.
Proctor, Enola K.
中科院分区:
医学1区
文献类型:
--
作者:
Lovero, Kathryn L.;Kemp, Christopher G.;Wagenaar, Bradley H.;Giusto, Ali;Greene, M. Claire;Powell, Byron J.;Proctor, Enola K.

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实施变革的专家建议项目编制了旨在使报告和评价标准化的实施战略汇编。关于ERIC在低收入和中等收入国家(LMIC)的应用知之甚少。我们系统地回顾了文献的使用和规范的ERIC战略的健康干预实施中的LMIC,以确定差距,并为未来的研究提供信息。我们检索了截至2023年3月以任何语言发表的同行评审文章,这些文章(1)在LMIC中进行,(2)引用了开创性的ERIC文章或(3)在标题或摘要中提到了ERIC。两位共同作者独立筛选了所有标题、摘要和全文文章,然后对纳入研究的研究、干预和实施策略特征进行了摘要。最终样本包括60项描述世界各地研究的研究,其中超过30%在我们审查期的最后一年发表。大多数研究发生在医疗机构(n = 52,86.7%),而11(18.2%)发生在社区环境中,4(6.7%)发生在政策层面。在所有研究中,确定了548种不同的实施策略,每项研究中包括6种策略(范围1-46种策略)。大多数研究(n = 32,53.3%)明确匹配ERIC汇编中使用的实施策略。在那些这样做的人中,73个ERIC策略中有64个(87.3%)被代表。许多没有提到的战略包括那些针对系统或政策层面障碍的战略。近85%的战略包括战略规范的一些组成部分,但大多数只包括其行动(75.2%),演员(57.3%)和行动目标(60.8%)的规范。少数研究采用了随机试验或高质量的准实验设计;只有一项研究评估了实施策略的有效性。虽然ERIC在中低收入国家的使用正在迅速增长,但其应用并不一致,也不常用于测试战略的有效性。在中低收入国家进行的研究必须更好地确定战略并评估其对成果的影响。此外,测试的策略需要更好地说明,以便在不同的环境中进行比较。最后,应进一步探讨针对政策、制度和社区一级决定因素的战略。PROSPERO,CRD 42021268374。在线版本包含补充材料,可通过10.1186/s13012-023-01310-2获得。
The Expert Recommendations for Implementing Change (ERIC) project developed a compilation of implementation strategies that are intended to standardize reporting and evaluation. Little is known about the application of ERIC in low- and middle-income countries (LMICs). We systematically reviewed the literature on the use and specification of ERIC strategies for health intervention implementation in LMICs to identify gaps and inform future research. We searched peer-reviewed articles published through March 2023 in any language that (1) were conducted in an LMIC and (2) cited seminal ERIC articles or (3) mentioned ERIC in the title or abstract. Two co-authors independently screened all titles, abstracts, and full-text articles, then abstracted study, intervention, and implementation strategy characteristics of included studies. The final sample included 60 studies describing research from all world regions, with over 30% published in the final year of our review period. Most studies took place in healthcare settings (n = 52, 86.7%), while 11 (18.2%) took place in community settings and four (6.7%) at the policy level. Across studies, 548 distinct implementation strategies were identified with a median of six strategies (range 1–46 strategies) included in each study. Most studies (n = 32, 53.3%) explicitly matched implementation strategies used for the ERIC compilation. Among those that did, 64 (87.3%) of the 73 ERIC strategies were represented. Many of the strategies not cited included those that target systems- or policy-level barriers. Nearly 85% of strategies included some component of strategy specification, though most only included specification of their action (75.2%), actor (57.3%), and action target (60.8%). A minority of studies employed randomized trials or high-quality quasi-experimental designs; only one study evaluated implementation strategy effectiveness. While ERIC use in LMICs is rapidly growing, its application has not been consistent nor commonly used to test strategy effectiveness. Research in LMICs must better specify strategies and evaluate their impact on outcomes. Moreover, strategies that are tested need to be better specified, so they may be compared across contexts. Finally, strategies targeting policy-, systems-, and community-level determinants should be further explored. PROSPERO, CRD42021268374. The online version contains supplementary material available at 10.1186/s13012-023-01310-2.
DOI: 10.1186/s12874-017-0441-2
发表时间: 2017-12-06
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影响因子: 4
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发表时间: 2018-07-01
期刊: BEHAVIOR THERAPY
影响因子: 3.7
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