Nursing, Midwifery and Allied Health Professions Research Unit (NMAHPRU), Glasgow Caledonian University, Glasgow, UK.
Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.
BMJ Open. 2018 Sep 5;8(9):e025069. doi: 10.1136/bmjopen-2018-025069.
Sustaining effective interventions in hospital environments is essential to improving health outcomes, and reducing research waste. Current evidence suggests many interventions are not sustained beyond their initial delivery. The reason for this failure remains unclear. Increasingly research is employing theoretical frameworks and models to identify critical factors that influence the implementation of interventions. However, little is known about the value of these frameworks on sustainability. The aim of this review is to examine the evidence regarding the use of theoretical frameworks to maximise effective intervention sustainability in hospital-based settings in order to better understand their role in supporting long-term intervention use.
Systematic review. We will systematically search the following databases: Medline, AMED, CINAHL, Embase and Cochrane Library (CENTRAL, CDSR, DARE, HTA). We will also hand search relevant journals and will check the bibliographies of all included studies. Language and date limitations will be applied. We will include empirical studies that have used a theoretical framework (or model) and have explicitly reported the sustainability of an intervention (or programme). One reviewer will remove obviously irrelevant titles. The remaining abstracts and full-text articles will be screened by two independent reviewers to determine their eligibility for inclusion. Disagreements will be resolved by discussion, and may involve a third reviewer if required. Key study characteristics will be extracted (study design, population demographics, setting, evidence of sustained change, use of theoretical frameworks and any barriers or facilitators data reported) by one reviewer and cross-checked by another reviewer. Descriptive data will be tabulated within evidence tables, and key findings will be brought together within a narrative synthesis.
Formal ethical approval is not required as no primary data will be collected. Dissemination of results will be through peer-reviewed journal publications, presentation at an international conference and social media.
CRD42017081992.
在医院环境中维持有效的干预措施对于改善健康结果和减少研究浪费至关重要。目前的证据表明，许多干预措施在最初实施后无法持续。这种失败的原因尚不清楚。越来越多的研究正在采用理论框架和模型来确定影响干预措施实施的关键因素。然而，对于这些框架在可持续性方面的价值知之甚少。本综述的目的是检查使用理论框架来最大限度地提高基于医院的干预措施的有效性和可持续性的证据，以便更好地了解它们在支持长期干预措施使用方面的作用。
系统评价。我们将系统地搜索以下数据库：Medline、AMED、CINAHL、Embase 和 Cochrane 图书馆（CENTRAL、CDSR、DARE、HTA）。我们还将手检相关期刊，并检查所有纳入研究的参考文献。将应用语言和日期限制。我们将包括使用理论框架（或模型）并明确报告干预措施（或计划）可持续性的实证研究。一位评审员将删除明显不相关的标题。其余的摘要和全文文章将由两名独立评审员筛选，以确定其纳入的资格。分歧将通过讨论解决，如果需要，可能会涉及第三名评审员。一位评审员将提取关键研究特征（研究设计、人口统计学特征、环境、持续变化的证据、理论框架的使用以及报告的任何障碍或促进因素数据），并由另一位评审员交叉核对。描述性数据将在证据表中制表，并在叙述性综合中汇总关键发现。
由于不会收集原始数据，因此不需要正式的伦理批准。结果将通过同行评议的期刊出版物、国际会议上的演讲和社交媒体进行传播。
PROSPERO 注册号：CRD42017081992。
