Kisembo Harriet Nalubega, Nassanga Ritah, Ameda Faith Ameda, Ocan Moses, Kinengyere Alison A, Abdirahaman Sahal Omal, Malumba Richard, Salama Dina Husseiny, Kawooya Michael Grace
Department of Radiology, School of Medicine, College of Health Sciences, Kampala, Uganda.
Ernest cook Ultrasound Research and Education Institute, Mengo Hospital, Kampala, Uganda.
BJR Open. 2021 Mar 16;3(1):20210004. doi: 10.1259/bjro.20210004. eCollection 2021.
To identify, categorize, and develop an aggregated synthesis of evidence using the theoretical domains framework (TDF) on barriers and facilitators that influence implementation of clinical imaging guidelines (CIGs) by healthcare professionals (HCPs) in diagnostic imaging.
The protocol will be guided by the Joanna Briggs Institute Reviewers' Manual 2014. Methodology for JBI Mixed Methods Systematic Reviews and will adhere to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA-P). Information source will include databases (MEDLINE, EMBASE and The Cochrane Library), internet search (https://www.google.com/scholar), experts' opinion, professional societies/organizations websites and government bodies strategies/recommendations, and reference lists of included studies. Articles of any study design published in English from 1990 to date, having investigated factors operating as barriers and/or facilitators to the implementation CIGs by HCPs will be eligible. Selecting, appraising, and extracting data from the included studies will be independently performed by at least two reviewers using validated tools and Rayyan - Systematic Review web application. Disagreements will be resolved by consensus and a third reviewer as a tie breaker. The aggregated studies will be synthesized using thematic analysis guided by TDF. Identified barriers will be defined a priori and mapped into 7 TDF domains including knowledge, awareness, effectiveness, time, litigationand financial incentives.
The results will provide an insight into a theory-based approach to predict behavior-related determinants for implementing CIGs and develop strategies/interventions to target the elicited behaviors. Recommendations will be made if the level of evidence is sufficient.
Resource-constrained settings that are in the process of adopting CIGs may opt for this strategy to predict in advance likely impediments to achieving the goal of CIG implementation and develop tailored interventions during the planning phase.Systematic review Registration: PROSPERO ID = CRD42020136372 (https://www.crd.york.ac.uk/PROSPERO).
运用理论域框架（TDF）识别、分类并汇总有关影响医疗保健专业人员（HCP）在诊断成像中实施临床影像指南（CIG）的障碍和促进因素的证据。
该方案将遵循2014年乔安娜·布里格斯研究所评审手册。JBI混合方法系统评价方法，并将遵循系统评价和Meta分析的首选报告项目指南（PRISMA-P）。信息来源将包括数据库（MEDLINE、EMBASE和Cochrane图书馆）、互联网搜索（https://www.google.com/scholar）、专家意见、专业协会/组织网站和政府机构的策略/建议，以及纳入研究的参考文献列表。1990年至今以英文发表的任何研究设计的文章，只要研究了作为HCP实施CIG的障碍和/或促进因素的因素，均符合条件。至少两名评审员将使用经过验证的工具和Rayyan-系统评价网络应用程序独立进行从纳入研究中选择、评估和提取数据的工作。分歧将通过共识解决，如有平局则由第三名评审员决定。将使用TDF指导的主题分析对汇总研究进行综合。预先确定已识别的障碍，并将其映射到7个TDF领域，包括知识、意识、有效性、时间、诉讼和财务激励。
研究结果将深入了解基于理论的方法，以预测实施CIG的行为相关决定因素，并制定针对所引发行为的策略/干预措施。如果证据水平足够，将提出建议。
正在采用CIG的资源受限环境可以选择此策略，以预先预测实现CIG实施目标可能遇到的障碍，并在规划阶段制定量身定制的干预措施。系统评价注册：PROSPERO ID = CRD42020136372（https://www.crd.york.ac.uk/PROSPERO）。
