Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
School of Nursing, Centro Escolar University, San Miguel, Manila, Philippines.
Gerontologist. 2023 Mar 21;63(3):568-576. doi: 10.1093/geront/gnac079.
Most older adults reside in low- and middle-income countries (LMICs) but most research dollars spent on interventions to improve the lives of older adults are awarded to researchers in high-income countries (HICs). One approach to improve the implementation of evidence-based innovations for older adults in LMICs is designing interventions that are relevant to LMICs and HICs simultaneously. We propose that researchers in HICs could partner with stakeholders in an LMIC throughout the intervention design process to better position their intervention for the implementation in that LMIC. We provide an example study from an adaptation of the Resources for Enhancing Caregiver Health II in Vietnam, which did not use this strategy but may have benefited from this strategy. We then turn to several considerations that are important for researchers to contemplate when incorporating this strategy. Finally, we explore incentives for creating interventions that are relevant to both HICs and LMICs for funders, intervention designers, and intervention receivers. Although this is not the only strategy to bring interventions to LMICs, it may represent another tool in researchers' toolboxes to help expedite the implementation of efficacious interventions in LMICs.
大多数老年人居住在中低收入国家（LMICs），但大多数用于改善老年人生活的干预措施的研究资金都授予了高收入国家（HICs）的研究人员。改善 LMIC 中老年人循证创新实施的一种方法是设计同时与 LMIC 和 HIC 相关的干预措施。我们建议 HIC 的研究人员可以与 LMIC 的利益相关者合作，参与干预措施的设计过程，以更好地将其干预措施定位在该 LMIC 中实施。我们提供了一个来自越南资源增强护理人员健康 II 适应性研究的示例，该研究没有使用这种策略，但可能受益于这种策略。然后，我们转向研究人员在纳入这种策略时需要考虑的几个重要因素。最后，我们探讨了为资助者、干预设计者和干预接受者创造同时与 HIC 和 LMIC 相关的干预措施的激励措施。尽管这不是将干预措施引入 LMIC 的唯一策略，但它可能代表研究人员工具箱中的另一个工具，有助于加快在 LMIC 中实施有效的干预措施。
