Hatzikiriakidis Kostas, Ayton Darshini, O'Connor Amanda, Callaway Libby, Carmody Sarah, Skouteris Helen, Green Rachael
Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia.
Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia.
Disabil Health J. 2023 Apr;16(2):101442. doi: 10.1016/j.dhjo.2023.101442. Epub 2023 Jan 16.
People with disability living in supported accommodation often experience significant health disparities, despite the availability of additional support. Healthy lifestyle interventions have been identified as one key health promotion strategy. Implementation science offers an opportunity to explore the factors that influence the efficacy and sustainability of these interventions, yet its application in this context has been underutilized.
This systematic review synthesized the barriers and enablers to the implementation of healthy lifestyle interventions delivered to people with disability living in supported accommodation settings.
A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A search for relevant literature published between January 2011 and November 2021 was conducted across six databases. The findings of included studies were coded and analyzed according to the domains and constructs of the Consolidated Framework for Implementation Research (CFIR) via deductive content analysis.
Five studies were included, and their findings were mapped to 21 out of 38 constructs under the CFIR. Interventions from each study delivered health promotion education and training to staff and/or people with disability. The most prominent determinants that influenced implementation success included an intervention's relevance and its flexibility to adapt to the needs of people with disability, alongside organizational resourcing, and stakeholder endorsement in supporting implementation.
The CFIR provided a systematic approach to explore the implementation of healthy lifestyle interventions. However, further research that is grounded in and guided by implementation science theories is warranted. Despite the scarcity of literature, several compelling, yet preliminary recommendations were drawn from the findings.
生活在支持性住所中的残疾人尽管能获得额外支持，但往往仍面临显著的健康差距。健康生活方式干预已被确定为一项关键的健康促进策略。实施科学提供了一个机会来探索影响这些干预措施有效性和可持续性的因素，然而其在这种背景下的应用尚未得到充分利用。
本系统评价综合了针对生活在支持性住所中的残疾人实施健康生活方式干预的障碍和促进因素。
按照系统评价和Meta分析的首选报告项目（PRISMA）指南进行系统评价。在六个数据库中检索了2011年1月至2021年11月期间发表的相关文献。通过演绎性内容分析，根据实施研究综合框架（CFIR）的领域和结构对纳入研究的结果进行编码和分析。
纳入了五项研究，其结果映射到CFIR下38个结构中的21个。每项研究的干预措施都为工作人员和/或残疾人提供了健康促进教育和培训。影响实施成功的最突出决定因素包括干预措施的相关性及其适应残疾人需求的灵活性，以及组织资源和利益相关者对实施的支持。
CFIR提供了一种系统方法来探索健康生活方式干预措施的实施。然而，有必要开展更多以实施科学理论为基础并受其指导的研究。尽管文献稀缺，但从研究结果中得出了一些引人关注但仍属初步的建议。
