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A guide to systems-level, participatory, theory-informed implementation research in global health

Implementation research is a multidisciplinary field that addresses the complex phenomenon of how context influences our ability to deliver evidence-informed healthcare. There is increasing realisation of the importance of applying robust implementation research to scale-up life-saving interventions...

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Autores principales: Seward, Nadine, Hanlon, Charlotte, Hinrichs-Kraples, Saba, Lund, Crick, Murdoch, Jamie, Taylor Salisbury, Tatiana, Verhey, Ruth, Shidhaye, Rahul, Thornicroft, Graham, Araya, Ricardo, Sevdalis, Nick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8718460/
https://www.ncbi.nlm.nih.gov/pubmed/34969685
http://dx.doi.org/10.1136/bmjgh-2021-005365
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author Seward, Nadine
Hanlon, Charlotte
Hinrichs-Kraples, Saba
Lund, Crick
Murdoch, Jamie
Taylor Salisbury, Tatiana
Verhey, Ruth
Shidhaye, Rahul
Thornicroft, Graham
Araya, Ricardo
Sevdalis, Nick
author_facet Seward, Nadine
Hanlon, Charlotte
Hinrichs-Kraples, Saba
Lund, Crick
Murdoch, Jamie
Taylor Salisbury, Tatiana
Verhey, Ruth
Shidhaye, Rahul
Thornicroft, Graham
Araya, Ricardo
Sevdalis, Nick
author_sort Seward, Nadine
collection PubMed
description Implementation research is a multidisciplinary field that addresses the complex phenomenon of how context influences our ability to deliver evidence-informed healthcare. There is increasing realisation of the importance of applying robust implementation research to scale-up life-saving interventions that meet health-related sustainable development goals. However, the lack of high-quality implementation research is impeding our ability to meet these targets, globally. Within implementation research, theory refers to the proposed hypothesis and/or explanation of how an intervention is expected to interact with the local context and actors to bring about change. Although there is increasing interest in applying theory to understand how and why implementation programmes work in real-world settings, global health actors still tend to favour impact evaluations conducted in controlled environments. This may, in part, be due to the relative novelty as well as methodological complexity of implementation research and the need to draw on divergent disciplines, including epidemiology, implementation science and social sciences. Because of this, implementation research is faced with a particular set of challenges about how to reconcile different ways of thinking and constructing knowledge about healthcare interventions. To help translate some of the ambiguity surrounding how divergent theoretical approaches and methods contribute to implementation research, we draw on our multidisciplinary expertise in the field, particularly in global health. We offer an overview of the different theoretical approaches and describe how they are applied to continuously select, monitor and evaluate implementation strategies throughout the different phases of implementation research. In doing so, we offer a relatively brief, user-focused guide to help global health actors implement and report on evaluation of evidence-based and scalable interventions, programmes and practices.
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spelling pubmed-87184602022-01-12 A guide to systems-level, participatory, theory-informed implementation research in global health Seward, Nadine Hanlon, Charlotte Hinrichs-Kraples, Saba Lund, Crick Murdoch, Jamie Taylor Salisbury, Tatiana Verhey, Ruth Shidhaye, Rahul Thornicroft, Graham Araya, Ricardo Sevdalis, Nick BMJ Glob Health Practice Implementation research is a multidisciplinary field that addresses the complex phenomenon of how context influences our ability to deliver evidence-informed healthcare. There is increasing realisation of the importance of applying robust implementation research to scale-up life-saving interventions that meet health-related sustainable development goals. However, the lack of high-quality implementation research is impeding our ability to meet these targets, globally. Within implementation research, theory refers to the proposed hypothesis and/or explanation of how an intervention is expected to interact with the local context and actors to bring about change. Although there is increasing interest in applying theory to understand how and why implementation programmes work in real-world settings, global health actors still tend to favour impact evaluations conducted in controlled environments. This may, in part, be due to the relative novelty as well as methodological complexity of implementation research and the need to draw on divergent disciplines, including epidemiology, implementation science and social sciences. Because of this, implementation research is faced with a particular set of challenges about how to reconcile different ways of thinking and constructing knowledge about healthcare interventions. To help translate some of the ambiguity surrounding how divergent theoretical approaches and methods contribute to implementation research, we draw on our multidisciplinary expertise in the field, particularly in global health. We offer an overview of the different theoretical approaches and describe how they are applied to continuously select, monitor and evaluate implementation strategies throughout the different phases of implementation research. In doing so, we offer a relatively brief, user-focused guide to help global health actors implement and report on evaluation of evidence-based and scalable interventions, programmes and practices. BMJ Publishing Group 2021-12-27 /pmc/articles/PMC8718460/ /pubmed/34969685 http://dx.doi.org/10.1136/bmjgh-2021-005365 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Practice
Seward, Nadine
Hanlon, Charlotte
Hinrichs-Kraples, Saba
Lund, Crick
Murdoch, Jamie
Taylor Salisbury, Tatiana
Verhey, Ruth
Shidhaye, Rahul
Thornicroft, Graham
Araya, Ricardo
Sevdalis, Nick
A guide to systems-level, participatory, theory-informed implementation research in global health
title A guide to systems-level, participatory, theory-informed implementation research in global health
title_full A guide to systems-level, participatory, theory-informed implementation research in global health
title_fullStr A guide to systems-level, participatory, theory-informed implementation research in global health
title_full_unstemmed A guide to systems-level, participatory, theory-informed implementation research in global health
title_short A guide to systems-level, participatory, theory-informed implementation research in global health
title_sort guide to systems-level, participatory, theory-informed implementation research in global health
topic Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8718460/
https://www.ncbi.nlm.nih.gov/pubmed/34969685
http://dx.doi.org/10.1136/bmjgh-2021-005365
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