VITAM - Centre de recherche en santé durable, Université Laval, Pavillon Landry-Poulin - 2525, Chemin de la Canardière, Quebec, QC, Canada.
Tier 1 Canada Research Chair in Shared Decision Making and Knowledge Translation, Université Laval, Quebec, QC, Canada.
Syst Rev. 2021 Sep 30;10(1):261. doi: 10.1186/s13643-021-01813-3.
There is a growing interest in scaling effective health innovations to promote equitable access to high-quality health services worldwide. However, multiple challenges persist in scaling innovations. In this study, we aim to summarize the scaling evidence in the health and social care literature and identify current knowledge gaps.
We will conduct a living umbrella review according to the Joanna Briggs Institute Reviewers' Manual. We will consider all knowledge syntheses addressing scaling in health or social care (e.g., any setting, any clinical area) and conducted in a systematic way. We will search the following electronic databases: MEDLINE (Ovid), Embase, PsychINFO (Ovid), CINAHL (EBSCO), Web of Science, The Cochrane Library, Sociological Abstract (Proquest), Academic Search Premier (EBSCO), and Proquest Dissertations & Theses Global, from inception. Furthermore, we will conduct searches of the grey literature. No restriction regarding date or language will be applied. Each phase of the review will be processed by two independent reviewers. We will develop a data extraction form on Covidence. We will assess the methodological quality of the included reviews using AMSTAR2 and the risk of bias using ROBIS. Results will be presented in tabular form and accompanied by a narrative synthesis covering the traditional themes of scaling science that emerge from the analysis, such as coverage, range, and sustainability, as well as themes less covered in the literature, including reporting guidance, models, tools, barriers, and/or facilitators to scaling innovations, evidence regarding application in high-income or low-income countries, and end-user engagement. We will disseminate the findings via publications and through relevant networks.
The findings of the umbrella review will facilitate access to scaling evidence in the literature and help strengthen the science of scaling for researchers, policy makers, and program managers. Finally, this work will highlight important knowledge gaps and help prioritize future research questions.
This protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on November 11, 2020 (registration number: CRD42020183774 ).
人们越来越关注扩大有效卫生创新的规模，以促进全球公平获得高质量的卫生服务。然而，在扩大创新方面仍然存在多重挑战。在本研究中，我们旨在总结卫生和社会保健文献中关于扩大规模的证据，并确定当前的知识差距。
我们将根据 Joanna Briggs 研究所评论员手册进行一项正在进行的伞式综述。我们将考虑所有以系统方式解决卫生或社会保健扩大规模问题的知识综合（例如，任何环境、任何临床领域）。我们将检索以下电子数据库：MEDLINE（Ovid）、Embase、PsychINFO（Ovid）、CINAHL（EBSCO）、Web of Science、The Cochrane Library、Sociological Abstract（Proquest）、Academic Search Premier（EBSCO）和 Proquest Dissertations & Theses Global，从一开始。此外，我们将对灰色文献进行搜索。不限制日期或语言。审查的每个阶段都将由两名独立的评论员进行处理。我们将在 Covidence 上开发一个数据提取表格。我们将使用 AMSTAR2 评估纳入的综述的方法学质量，并使用 ROBIS 评估偏倚风险。结果将以表格形式呈现，并附有叙述性综合，涵盖从分析中出现的扩大科学的传统主题，例如覆盖范围、范围和可持续性，以及文献中较少涵盖的主题，包括报告指南、模型、工具、扩大创新的障碍和/或促进因素、在高收入或低收入国家的应用证据，以及最终用户的参与。我们将通过出版物和相关网络传播研究结果。
伞式综述的结果将有助于在文献中获取扩大规模的证据，并帮助研究人员、政策制定者和项目管理人员加强扩大规模的科学。最后，这项工作将突出重要的知识差距，并有助于确定未来的研究问题。
本方案于 2020 年 11 月 11 日在国际前瞻性系统评价登记库（PROSPERO）进行了注册（登记号：CRD42020183774）。
