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Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review

BACKGROUND: The third sector is becoming a growing provider of public, social, and health services. However, there is little evidence on the effectiveness of third sector organisations (TSOs), and their capacity to implement evidence-based interventions (EBIs). Understanding implementation aspects o...

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Autores principales: Bach-Mortensen, Anders Malthe, Lange, Brittany C. L., Montgomery, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6065156/
https://www.ncbi.nlm.nih.gov/pubmed/30060744
http://dx.doi.org/10.1186/s13012-018-0789-7
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author Bach-Mortensen, Anders Malthe
Lange, Brittany C. L.
Montgomery, Paul
author_facet Bach-Mortensen, Anders Malthe
Lange, Brittany C. L.
Montgomery, Paul
author_sort Bach-Mortensen, Anders Malthe
collection PubMed
description BACKGROUND: The third sector is becoming a growing provider of public, social, and health services. However, there is little evidence on the effectiveness of third sector organisations (TSOs), and their capacity to implement evidence-based interventions (EBIs). Understanding implementation aspects of service delivery remains an important issue in clinical practice, but is poorly understood in the context of TSOs. This is problematic, since implementation issues are known to be critical for effective intervention outcomes. OBJECTIVES: To identify and synthesise existing research on what barriers and facilitators influence the implementation process of TSOs delivering EBIs. METHODS: This review is reported according to PRISMA guidelines and was pre-registered in PROSPERO. Key databases were searched using relevant terms, experts in the field were contacted, and websites were reviewed. All identified studies were double-screened, and data were extracted independently by two authors. Included studies were synthesised using thematic analysis and were quality appraised. RESULTS: Thirty-one studies were included, most of which were conducted in North America. The thematic synthesis identified resource limitations, in particular staff and finance, to be the most reported barrier to TSOs implementing EBIs. Organisational culture, including factors such as alignment between the mission of the TSO and EBI, and support/prioritisation of the implementation process were the most reported facilitators. These findings generalise across the included studies and are robust to study quality assessment. CONCLUSIONS: While it is often assumed that good outcomes follow when implementing interventions that have been developed and tested according to best practice, little attention has been paid to how EBIs are best transported, contextualised, and implemented by third sector providers. This systematic review found that TSOs faced considerable challenges in implementing EBIs, which were primarily a lack of support and expertise, and unclear/insufficient guidelines on how to adapt EBIs to different populations. To address these challenges, it is important to engage with central stakeholders, such as funders, researchers, policymakers, and practitioners, to discuss how these needs can be met. TRIAL REGISTRATION: PROSPERO: CRD42017073090. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13012-018-0789-7) contains supplementary material, which is available to authorized users.
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spelling pubmed-60651562018-08-01 Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review Bach-Mortensen, Anders Malthe Lange, Brittany C. L. Montgomery, Paul Implement Sci Systematic Review BACKGROUND: The third sector is becoming a growing provider of public, social, and health services. However, there is little evidence on the effectiveness of third sector organisations (TSOs), and their capacity to implement evidence-based interventions (EBIs). Understanding implementation aspects of service delivery remains an important issue in clinical practice, but is poorly understood in the context of TSOs. This is problematic, since implementation issues are known to be critical for effective intervention outcomes. OBJECTIVES: To identify and synthesise existing research on what barriers and facilitators influence the implementation process of TSOs delivering EBIs. METHODS: This review is reported according to PRISMA guidelines and was pre-registered in PROSPERO. Key databases were searched using relevant terms, experts in the field were contacted, and websites were reviewed. All identified studies were double-screened, and data were extracted independently by two authors. Included studies were synthesised using thematic analysis and were quality appraised. RESULTS: Thirty-one studies were included, most of which were conducted in North America. The thematic synthesis identified resource limitations, in particular staff and finance, to be the most reported barrier to TSOs implementing EBIs. Organisational culture, including factors such as alignment between the mission of the TSO and EBI, and support/prioritisation of the implementation process were the most reported facilitators. These findings generalise across the included studies and are robust to study quality assessment. CONCLUSIONS: While it is often assumed that good outcomes follow when implementing interventions that have been developed and tested according to best practice, little attention has been paid to how EBIs are best transported, contextualised, and implemented by third sector providers. This systematic review found that TSOs faced considerable challenges in implementing EBIs, which were primarily a lack of support and expertise, and unclear/insufficient guidelines on how to adapt EBIs to different populations. To address these challenges, it is important to engage with central stakeholders, such as funders, researchers, policymakers, and practitioners, to discuss how these needs can be met. TRIAL REGISTRATION: PROSPERO: CRD42017073090. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13012-018-0789-7) contains supplementary material, which is available to authorized users. BioMed Central 2018-07-30 /pmc/articles/PMC6065156/ /pubmed/30060744 http://dx.doi.org/10.1186/s13012-018-0789-7 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Systematic Review
Bach-Mortensen, Anders Malthe
Lange, Brittany C. L.
Montgomery, Paul
Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review
title Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review
title_full Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review
title_fullStr Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review
title_full_unstemmed Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review
title_short Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review
title_sort barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6065156/
https://www.ncbi.nlm.nih.gov/pubmed/30060744
http://dx.doi.org/10.1186/s13012-018-0789-7
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