Cargando…
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
BACKGROUND: 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 r...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10617067/ https://www.ncbi.nlm.nih.gov/pubmed/37904218 http://dx.doi.org/10.1186/s13012-023-01310-2 |
_version_ | 1785129524182122496 |
---|---|
author | Lovero, Kathryn L. Kemp, Christopher G. Wagenaar, Bradley H. Giusto, Ali Greene, M. Claire Powell, Byron J. Proctor, Enola K. |
author_facet | Lovero, Kathryn L. Kemp, Christopher G. Wagenaar, Bradley H. Giusto, Ali Greene, M. Claire Powell, Byron J. Proctor, Enola K. |
author_sort | Lovero, Kathryn L. |
collection | PubMed |
description | BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. TRIAL REGISTRATION: PROSPERO, CRD42021268374. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13012-023-01310-2. |
format | Online Article Text |
id | pubmed-10617067 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-106170672023-11-01 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 Lovero, Kathryn L. Kemp, Christopher G. Wagenaar, Bradley H. Giusto, Ali Greene, M. Claire Powell, Byron J. Proctor, Enola K. Implement Sci Systematic Review BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. TRIAL REGISTRATION: PROSPERO, CRD42021268374. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13012-023-01310-2. BioMed Central 2023-10-30 /pmc/articles/PMC10617067/ /pubmed/37904218 http://dx.doi.org/10.1186/s13012-023-01310-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Systematic Review Lovero, Kathryn L. Kemp, Christopher G. Wagenaar, Bradley H. Giusto, Ali Greene, M. Claire Powell, Byron J. Proctor, Enola K. 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 |
title | 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 |
title_full | 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 |
title_fullStr | 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 |
title_full_unstemmed | 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 |
title_short | 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 |
title_sort | 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 |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10617067/ https://www.ncbi.nlm.nih.gov/pubmed/37904218 http://dx.doi.org/10.1186/s13012-023-01310-2 |
work_keys_str_mv | AT loverokathrynl applicationoftheexpertrecommendationsforimplementingchangeericcompilationofstrategiestohealthinterventionimplementationinlowandmiddleincomecountriesasystematicreview AT kempchristopherg applicationoftheexpertrecommendationsforimplementingchangeericcompilationofstrategiestohealthinterventionimplementationinlowandmiddleincomecountriesasystematicreview AT wagenaarbradleyh applicationoftheexpertrecommendationsforimplementingchangeericcompilationofstrategiestohealthinterventionimplementationinlowandmiddleincomecountriesasystematicreview AT giustoali applicationoftheexpertrecommendationsforimplementingchangeericcompilationofstrategiestohealthinterventionimplementationinlowandmiddleincomecountriesasystematicreview AT greenemclaire applicationoftheexpertrecommendationsforimplementingchangeericcompilationofstrategiestohealthinterventionimplementationinlowandmiddleincomecountriesasystematicreview AT powellbyronj applicationoftheexpertrecommendationsforimplementingchangeericcompilationofstrategiestohealthinterventionimplementationinlowandmiddleincomecountriesasystematicreview AT proctorenolak applicationoftheexpertrecommendationsforimplementingchangeericcompilationofstrategiestohealthinterventionimplementationinlowandmiddleincomecountriesasystematicreview |