Implementation science in adolescent healthcare research: an integrative review.
Background: Multiple theories, models and frameworks have been developed to assist implementation of evidence-based practice. However, to date there has been no review of implementation literature specific to adolescent healthcare. This integrative review therefore aimed to determine what implementa...
| Publicado en: | BMC Health Services Research Vol. 22; no. 1; pp. 1 - 20 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
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BioMed Central
5/3/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156644755&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156644755 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726963 1CHS jtl: BMC Health Services Research issn: 14726963 maglogo: N pubinfo: dt: 5/3/2022 vid: 22 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 156644755 156644755 NLM35505305 156644755 10.1186/s12913-022-07941-3 NLM35505305 156644755 ppf: 1 ppct: 19 formats: tig: atl: Implementation science in adolescent healthcare research: an integrative review. aug: au: Zolfaghari, Elham Armaghanian, Natasha Waller, Daniel Medlow, Sharon Hobbs, Annabelle Perry, Lin Nguyen, Katie Steinbeck, Katharine affil: Specialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, 2006, Sydney, NSW, Australia sug: subj: Professional Practice, Evidence-Based Human Adolescence Health Services Research Health Care Delivery Adolescent: 13-18 years ab: Background: Multiple theories, models and frameworks have been developed to assist implementation of evidence-based practice. However, to date there has been no review of implementation literature specific to adolescent healthcare. This integrative review therefore aimed to determine what implementation science theories, models and frameworks have been applied, what elements of these frameworks have been identified as influential in promoting the implementation and sustainability of service intervention, and to what extent, in what capacity and at what time points has the contribution of adolescent consumer perspectives on evidence implementation been considered. METHODS: An integrative design was used and reported based on a modified form of the PRISMA (2020) checklist. Seven databases were searched for English language primary research which included any implementation science theory, model or framework developed for/with adolescents or applied in relation to adolescent healthcare services within the past 10 years. Content and thematic analysis were applied with the Consolidated Framework for Implementation Research (CFIR) used to frame analysis of the barriers and facilitators to effective implementation of evidence-informed interventions within youth health settings.Results: From 8717 citations, 13 papers reporting 12 studies were retained. Nine different implementation science theories, frameworks or approaches were applied; six of 12 studies used the CFIR, solely or with other models. All CFIR domains were represented as facilitators and barriers for implementation in included studies. However, there was little or no inclusion of adolescents in the development or review of these initiatives. Only three mentioned youth input, occurring in the pre-implementation or implementation stages.Conclusions: The few studies found for this review highlight the internationally under-developed nature of this topic. Flagging the importance of the unique characteristics of this particular age group, and of the interventions and strategies to target it, the minimal input of adolescent consumers is cause for concern. Further research is clearly needed and must ensure that youth consumers are engaged from the start and consistently throughout; that their voice is prioritised and not tokenistic; that their contribution is taken seriously. Only then will age-appropriate evidence implementation enable innovations in youth health services to achieve the evidence-based outcomes they offer.Trial Registration: PROSPERO 2020 CRD42020201142 https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=201142. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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