6th UK and Ireland Implementation Science Research Conference 2023
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PRESENter
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Biography
Dr Fiona Riordan is a Senior Postdoctoral Researcher in the School of Public Health, UCC. Her research interests include implementation science, quality improvement and health service evaluation particularly in the areas of integrated care and chronic disease management. Currently, Fiona works on the CUSTOMISE project, which aims to explore the process and impact of tailoring strategies to implement evidence-based interventions. Before her current position Fiona worked as a Postdoctoral Researcher on the IDEAs study, managing a pilot cluster-randomised trial and process evaluation of an implementation intervention to enhance the uptake of diabetic retinopathy screening. Fiona has a PhD in Health Services Research from UCC and a MPH from Imperial College London.
background
Tailoring has generally been described as a prospective process for selecting and modifying strategies to address contextual determinants of implementation to increase implementation success. A Cochrane review (2015) reported a small to moderate effect of a tailored strategy compared to no strategy or a non-tailored strategy, concluding that methods of tailoring are not yet well-developed or described in published studies. Since 2015, numerous studies of tailored strategies have been published. Therefore, we aim to update this review to determine the effectiveness of tailored strategies in improving professional practice and healthcare outcomes.
MEthod
We conducted searches of The Cochrane Library, MEDLINE, EMBASE, PubMed, CINAHL, and the British Nursing Index, two grey literature databases, and three trial registers. Studies were eligible for inclusion if they were randomised controlled trials of tailored strategies that reported either professional practice or patient healthcare outcomes and where at least one group received a tailored strategy. Title/abstract and full texts were screened independently in Covidence by two authors. Two authors will independently assess quality and extract data.
results
Overall, 6772 papers were identified from database searches and 2479 from trial registers. Full text screening (n=788) is underway. For each comparison for each outcome, we aim to conduct a pooled quantitative synthesis and, where unfeasible, use a narrative synthesis approach in line with the Synthesis Without Meta-analysis guidance. We will conduct the following subgroup analyses: sample size; study setting (high/middle/low-income countries); use of theory, evidence, and stakeholders in the tailoring process.
Conclusion
Since the last revision of this review, several new studies of tailored strategies have been published, partly owing to the legitimization of the field with the flagship journal, Implementation Science (2006), and subsequent field-specific journals. This review update will identify additional evidence on the effectiveness of tailoring and how it can be undertaken most effectively.