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Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review

BACKGROUND: There are challenges to delivering high quality primary care within prison settings and well-recognised gaps between evidence and practice. There is a growing body of literature evaluating interventions to implement evidence-based practice in the general population, yet the extent and ri...

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Autores principales: Blackaby, Jenna, Byrne, Jordan, Bellass, Sue, Canvin, Krysia, Foy, Robbie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809036/
https://www.ncbi.nlm.nih.gov/pubmed/36595141
http://dx.doi.org/10.1186/s40352-022-00200-x
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author Blackaby, Jenna
Byrne, Jordan
Bellass, Sue
Canvin, Krysia
Foy, Robbie
author_facet Blackaby, Jenna
Byrne, Jordan
Bellass, Sue
Canvin, Krysia
Foy, Robbie
author_sort Blackaby, Jenna
collection PubMed
description BACKGROUND: There are challenges to delivering high quality primary care within prison settings and well-recognised gaps between evidence and practice. There is a growing body of literature evaluating interventions to implement evidence-based practice in the general population, yet the extent and rigour of such evaluations in incarcerated populations are unknown. We therefore conducted a scoping literature review to identify and describe evaluations of implementation interventions in the prison setting. METHODS: We searched EMBASE, MEDLINE, CINAHL Plus, Scopus, and grey literature up to August 2021, supplemented by hand searching. Search terms included prisons, evidence-based practice, and implementation science with relevant synonyms. Two reviewers independently selected studies for inclusion. Data extraction included study populations, study design, outcomes, and author conclusions. We took a narrative approach to data synthesis. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance for scoping reviews. RESULTS: Fifteen studies reported in 17 papers comprised one randomised controlled trial, one controlled interrupted time series analysis and 13 uncontrolled before and after studies. Eight studies took place in the US and four in the UK. Ten studies evaluated combined (multifaceted) interventions, typically including education for staff or patients. Interventions most commonly targeted communicable diseases, mental health and screening uptake. Thirteen studies reported adherence to processes of care, mainly testing, prescribing and referrals. Fourteen studies concluded that interventions had positive impacts. CONCLUSIONS: There is a paucity of high-quality evidence to inform strategies to implement evidence-based health care in prisons, and an over-reliance on weak evaluation designs which may over-estimate effectiveness. Whilst most evaluations have focused on recognised priorities for the incarcerated population, relatively little attention has been paid to long-term conditions core to primary care delivery. Initiatives to close the gaps between evidence and practice in prison primary care need a stronger evidence base. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40352-022-00200-x.
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spelling pubmed-98090362023-01-04 Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review Blackaby, Jenna Byrne, Jordan Bellass, Sue Canvin, Krysia Foy, Robbie Health Justice Research Article BACKGROUND: There are challenges to delivering high quality primary care within prison settings and well-recognised gaps between evidence and practice. There is a growing body of literature evaluating interventions to implement evidence-based practice in the general population, yet the extent and rigour of such evaluations in incarcerated populations are unknown. We therefore conducted a scoping literature review to identify and describe evaluations of implementation interventions in the prison setting. METHODS: We searched EMBASE, MEDLINE, CINAHL Plus, Scopus, and grey literature up to August 2021, supplemented by hand searching. Search terms included prisons, evidence-based practice, and implementation science with relevant synonyms. Two reviewers independently selected studies for inclusion. Data extraction included study populations, study design, outcomes, and author conclusions. We took a narrative approach to data synthesis. We followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance for scoping reviews. RESULTS: Fifteen studies reported in 17 papers comprised one randomised controlled trial, one controlled interrupted time series analysis and 13 uncontrolled before and after studies. Eight studies took place in the US and four in the UK. Ten studies evaluated combined (multifaceted) interventions, typically including education for staff or patients. Interventions most commonly targeted communicable diseases, mental health and screening uptake. Thirteen studies reported adherence to processes of care, mainly testing, prescribing and referrals. Fourteen studies concluded that interventions had positive impacts. CONCLUSIONS: There is a paucity of high-quality evidence to inform strategies to implement evidence-based health care in prisons, and an over-reliance on weak evaluation designs which may over-estimate effectiveness. Whilst most evaluations have focused on recognised priorities for the incarcerated population, relatively little attention has been paid to long-term conditions core to primary care delivery. Initiatives to close the gaps between evidence and practice in prison primary care need a stronger evidence base. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40352-022-00200-x. Springer Berlin Heidelberg 2023-01-03 /pmc/articles/PMC9809036/ /pubmed/36595141 http://dx.doi.org/10.1186/s40352-022-00200-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis 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 Research Article
Blackaby, Jenna
Byrne, Jordan
Bellass, Sue
Canvin, Krysia
Foy, Robbie
Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review
title Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review
title_full Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review
title_fullStr Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review
title_full_unstemmed Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review
title_short Interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review
title_sort interventions to improve the implementation of evidence-based healthcare in prisons: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809036/
https://www.ncbi.nlm.nih.gov/pubmed/36595141
http://dx.doi.org/10.1186/s40352-022-00200-x
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