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.
Global health
Implementation strategy
Strategy specification
Systematic review
Journal
Implementation science : IS
ISSN: 1748-5908
Titre abrégé: Implement Sci
Pays: England
ID NLM: 101258411
Informations de publication
Date de publication:
30 10 2023
30 10 2023
Historique:
received:
14
03
2023
accepted:
02
10
2023
medline:
1
11
2023
pubmed:
31
10
2023
entrez:
31
10
2023
Statut:
epublish
Résumé
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. 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. 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. 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. PROSPERO, CRD42021268374.
Sections du résumé
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.
Identifiants
pubmed: 37904218
doi: 10.1186/s13012-023-01310-2
pii: 10.1186/s13012-023-01310-2
pmc: PMC10617067
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
56Subventions
Organisme : NIMH NIH HHS
ID : K23 MH128742
Pays : United States
Organisme : NIMH NIH HHS
ID : P50MH126219
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL157255
Pays : United States
Organisme : NIMH NIH HHS
ID : K01MH129572
Pays : United States
Organisme : NIDA NIH HHS
ID : P50DA054072
Pays : United States
Organisme : NHLBI NIH HHS
ID : U24HL154426
Pays : United States
Organisme : NIDA NIH HHS
ID : P50 DA054072
Pays : United States
Organisme : NIDA NIH HHS
ID : R01DA047876
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH124914
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH096724
Pays : United States
Organisme : NIMH NIH HHS
ID : R25MH080916
Pays : United States
Organisme : AHRQ HHS
ID : R13 HS025632
Pays : United States
Organisme : NCI NIH HHS
ID : P50CA19006
Pays : United States
Organisme : NIMH NIH HHS
ID : P50 MH126219
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD103902
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01HL157255
Pays : United States
Organisme : NCI NIH HHS
ID : R01CA262325
Pays : United States
Organisme : NIMH NIH HHS
ID : K01MH120258
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA262325
Pays : United States
Informations de copyright
© 2023. The Author(s).
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