Supporting implementation of interventions to address ethnicity-related health inequities: frameworks, facilitators and barriers – a scoping review protocol
Introduction Health inequities are differences in health between groups of people that are avoidable, unfair and unjust. Achieving equitable health outcomes requires approaches that recognise and account for the differences in levels of advantage between groups. Implementation science, which studies...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e065721.full |
| _version_ | 1811168082119360512 |
|---|---|
| author | Sue Crengle Peter Carswell Rachel Brown Karen Bartholomew Michelle Lambert Patricia Priest Adam Fusheini Papillon Gustafson Yasmin Abdul Aziz Mihi Ratima |
| author_facet | Sue Crengle Peter Carswell Rachel Brown Karen Bartholomew Michelle Lambert Patricia Priest Adam Fusheini Papillon Gustafson Yasmin Abdul Aziz Mihi Ratima |
| author_sort | Sue Crengle |
| collection | DOAJ |
| description | Introduction Health inequities are differences in health between groups of people that are avoidable, unfair and unjust. Achieving equitable health outcomes requires approaches that recognise and account for the differences in levels of advantage between groups. Implementation science, which studies how to translate evidence-based interventions into routine practice, is increasingly recognised as an approach to address health inequities by identifying factors and processes that enable equitable implementation of interventions. This article describes the protocol for a scoping review of the literature relating to the equitable implementation of interventions, focusing on ethnicity-related health inequities. The scoping review aims to identify equity-focused implementation science theories, models and frameworks (TMFs) and to synthesise and analyse the evidence relating to the factors that aid or inhibit equitable implementation of health interventions.Methods and analysis The scoping review is guided by the methodology developed by Arksey and O’Malley and enhanced by Levac and colleagues. Relevant literature will be identified by searching electronic databases, grey literature, hand-searching key journals and searching the reference lists and citations of studies that meet the inclusion criteria. We will focus on literature published from 2011 to the present. Titles, abstracts and full-text articles will be screened independently by two researchers; any disagreements will be resolved through discussion with another researcher. Extracted data will be summarised and analysed to address the scoping review aims.Ethics and dissemination The scoping review will map the available literature on equity-focused implementation science TMFs and the facilitators and barriers to equitable implementation of interventions. Ethical approval is not required. Dissemination of the results of the review will include publications in peer-review journals and conference and stakeholder presentations. Findings from the review will support those implementing interventions to ensure that the implementation pathway and processes are equitable, thereby improving health outcomes and reducing existing inequities. |
| first_indexed | 2024-04-10T16:20:04Z |
| format | Article |
| id | doaj.art-3d62548e472d4c65adeaafe17d69b96a |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-10T16:20:04Z |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-3d62548e472d4c65adeaafe17d69b96a2023-02-09T15:00:16ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-065721Supporting implementation of interventions to address ethnicity-related health inequities: frameworks, facilitators and barriers – a scoping review protocolSue Crengle0Peter Carswell1Rachel Brown2Karen Bartholomew3Michelle Lambert4Patricia Priest5Adam Fusheini6Papillon Gustafson7Yasmin Abdul Aziz8Mihi Ratima9Ngāi Tahu Māori Health Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand5 Department of Health Systems, University of Auckland, Auckland, New ZealandGPSI gynaecology, NICE fellowWaitemata District Health Board, Takapuna, New ZealandNgāi Tahu Māori Health Research Unit, Preventive and Social Medicine, University of Otago, Dunedin Campus, Dunedin, New ZealandNuffield fellowDepartment of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New ZealandNgāi Tahu Māori Health Research Unit, University of Otago Division of Health Sciences, Dunedin, New ZealandNgāi Tahu Māori Health Research Unit, University of Otago Division of Health Sciences, Dunedin, New ZealandTaumata Associates, Hāwera, New ZealandIntroduction Health inequities are differences in health between groups of people that are avoidable, unfair and unjust. Achieving equitable health outcomes requires approaches that recognise and account for the differences in levels of advantage between groups. Implementation science, which studies how to translate evidence-based interventions into routine practice, is increasingly recognised as an approach to address health inequities by identifying factors and processes that enable equitable implementation of interventions. This article describes the protocol for a scoping review of the literature relating to the equitable implementation of interventions, focusing on ethnicity-related health inequities. The scoping review aims to identify equity-focused implementation science theories, models and frameworks (TMFs) and to synthesise and analyse the evidence relating to the factors that aid or inhibit equitable implementation of health interventions.Methods and analysis The scoping review is guided by the methodology developed by Arksey and O’Malley and enhanced by Levac and colleagues. Relevant literature will be identified by searching electronic databases, grey literature, hand-searching key journals and searching the reference lists and citations of studies that meet the inclusion criteria. We will focus on literature published from 2011 to the present. Titles, abstracts and full-text articles will be screened independently by two researchers; any disagreements will be resolved through discussion with another researcher. Extracted data will be summarised and analysed to address the scoping review aims.Ethics and dissemination The scoping review will map the available literature on equity-focused implementation science TMFs and the facilitators and barriers to equitable implementation of interventions. Ethical approval is not required. Dissemination of the results of the review will include publications in peer-review journals and conference and stakeholder presentations. Findings from the review will support those implementing interventions to ensure that the implementation pathway and processes are equitable, thereby improving health outcomes and reducing existing inequities.https://bmjopen.bmj.com/content/13/2/e065721.full |
| spellingShingle | Sue Crengle Peter Carswell Rachel Brown Karen Bartholomew Michelle Lambert Patricia Priest Adam Fusheini Papillon Gustafson Yasmin Abdul Aziz Mihi Ratima Supporting implementation of interventions to address ethnicity-related health inequities: frameworks, facilitators and barriers – a scoping review protocol BMJ Open |
| title | Supporting implementation of interventions to address ethnicity-related health inequities: frameworks, facilitators and barriers – a scoping review protocol |
| title_full | Supporting implementation of interventions to address ethnicity-related health inequities: frameworks, facilitators and barriers – a scoping review protocol |
| title_fullStr | Supporting implementation of interventions to address ethnicity-related health inequities: frameworks, facilitators and barriers – a scoping review protocol |
| title_full_unstemmed | Supporting implementation of interventions to address ethnicity-related health inequities: frameworks, facilitators and barriers – a scoping review protocol |
| title_short | Supporting implementation of interventions to address ethnicity-related health inequities: frameworks, facilitators and barriers – a scoping review protocol |
| title_sort | supporting implementation of interventions to address ethnicity related health inequities frameworks facilitators and barriers a scoping review protocol |
| url | https://bmjopen.bmj.com/content/13/2/e065721.full |
| work_keys_str_mv | AT suecrengle supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol AT petercarswell supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol AT rachelbrown supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol AT karenbartholomew supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol AT michellelambert supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol AT patriciapriest supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol AT adamfusheini supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol AT papillongustafson supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol AT yasminabdulaziz supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol AT mihiratima supportingimplementationofinterventionstoaddressethnicityrelatedhealthinequitiesframeworksfacilitatorsandbarriersascopingreviewprotocol |