Barriers and enablers to the implementation of healthy lifestyle interventions for people with disability living in supported accommodation: A systematic review using the consolidated framework for implementation research.

Humans Disabled Persons Healthy Lifestyle Assisted Living Facilities Health Status Disparities
Consolidated framework for implementation research Disability Healthy eating Implementation science Physical activity Supported accommodation

Journal

Disability and health journal
ISSN: 1876-7583
Titre abrégé: Disabil Health J
Pays: United States
ID NLM: 101306633

Informations de publication

Date de publication:
04 2023
Historique:
received: 08 09 2022
revised: 10 01 2023
accepted: 11 01 2023
medline: 5 4 2023
pubmed: 6 2 2023
entrez: 5 2 2023
Statut: ppublish

Résumé

People with disability living in supported accommodation often experience significant health disparities, despite the availability of additional support. Healthy lifestyle interventions have been identified as one key health promotion strategy. Implementation science offers an opportunity to explore the factors that influence the efficacy and sustainability of these interventions, yet its application in this context has been underutilized. This systematic review synthesized the barriers and enablers to the implementation of healthy lifestyle interventions delivered to people with disability living in supported accommodation settings. A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A search for relevant literature published between January 2011 and November 2021 was conducted across six databases. The findings of included studies were coded and analyzed according to the domains and constructs of the Consolidated Framework for Implementation Research (CFIR) via deductive content analysis. Five studies were included, and their findings were mapped to 21 out of 38 constructs under the CFIR. Interventions from each study delivered health promotion education and training to staff and/or people with disability. The most prominent determinants that influenced implementation success included an intervention's relevance and its flexibility to adapt to the needs of people with disability, alongside organizational resourcing, and stakeholder endorsement in supporting implementation. The CFIR provided a systematic approach to explore the implementation of healthy lifestyle interventions. However, further research that is grounded in and guided by implementation science theories is warranted. Despite the scarcity of literature, several compelling, yet preliminary recommendations were drawn from the findings.

Sections du résumé

BACKGROUND
People with disability living in supported accommodation often experience significant health disparities, despite the availability of additional support. Healthy lifestyle interventions have been identified as one key health promotion strategy. Implementation science offers an opportunity to explore the factors that influence the efficacy and sustainability of these interventions, yet its application in this context has been underutilized.
OBJECTIVE
This systematic review synthesized the barriers and enablers to the implementation of healthy lifestyle interventions delivered to people with disability living in supported accommodation settings.
METHODS
A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A search for relevant literature published between January 2011 and November 2021 was conducted across six databases. The findings of included studies were coded and analyzed according to the domains and constructs of the Consolidated Framework for Implementation Research (CFIR) via deductive content analysis.
RESULTS
Five studies were included, and their findings were mapped to 21 out of 38 constructs under the CFIR. Interventions from each study delivered health promotion education and training to staff and/or people with disability. The most prominent determinants that influenced implementation success included an intervention's relevance and its flexibility to adapt to the needs of people with disability, alongside organizational resourcing, and stakeholder endorsement in supporting implementation.
CONCLUSIONS
The CFIR provided a systematic approach to explore the implementation of healthy lifestyle interventions. However, further research that is grounded in and guided by implementation science theories is warranted. Despite the scarcity of literature, several compelling, yet preliminary recommendations were drawn from the findings.

Identifiants

DOI: 10.1016/j.dhjo.2023.101442 PMID: 36740546
pubmed: 36740546
pii: S1936-6574(23)00004-3
doi: 10.1016/j.dhjo.2023.101442
pii:
doi:

Types de publication

Journal Article Systematic Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

101442

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Auteurs

Kostas Hatzikiriakidis (K)

Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia. Electronic address: kosta.hatzikiriakidis@monash.edu.

Darshini Ayton (D)

Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia.

Amanda O'Connor (A)

Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia.

Libby Callaway (L)

Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Australia; Occupational Therapy Department, School of Primary and Allied Health Care, Monash University, Australia.

Sarah Carmody (S)

Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia.

Helen Skouteris (H)

Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia; Warwick Business School, Warwick University, United Kingdom.

Rachael Green (R)

Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Barriers and enablers to the implementation of...
questionsmedicales.fr › Personnes › Personnes handicapées › Barriers and enablers to the implementation of...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Mode de vie › Mode de vie sain › Barriers and enablers to the implementation of...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Établissements de soins de long séjour › Établissements d'aide à la vie autonome › Barriers and enablers to the implementation of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Disparités de l'état de santé › Barriers and enablers to the implementation of...