Dr Fiona Riordan is a Senior Postdoctoral Researcher in the School of Public Health, UCC. Her research interests include implementation science, quality improvement, integrated care, and chronic disease management in primary care. Currently, Fiona works on the CUSTOMISE project, which aims to explore the process and impact of tailoring strategies to implement evidence-based interventions. In 2021 she has been working on the LINK project, to understand the implementation of a local befriending service during the COVID-19 pandemic, including how it links in with community healthcare services. Fiona has a PhD in Health Services Research and a Masters in Public Health.
Tailoring strategies to target the salient barriers to and enablers of implementation is considered a critical step in supporting successful delivery of evidence based interventions in healthcare. Theory, evidence, and stakeholder engagement are considered key ingredients in the process however, these ingredients can be combined in different ways [1,2]. There is no consensus on the definition of tailoring or single method for tailoring strategies to optimize impact, ensure transparency, and facilitate replication. The purpose of this scoping review is to describe how tailoring has been undertaken within healthcare, to answer questions about how it has been conceptualised, described, and conducted in practice, and to identify research gaps.
The review is being conducted in accordance with best practice guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for scoping reviews (PRISMA-ScR) will be used to guide the reporting. Searches have been conducted of MEDLINE, Embase, Web of Science, Scopus, from 2005 to present. Reference lists of included articles will be searched. Grey literature will be searched on Google Scholar. Screening and data extraction is being conducted by four members of the research team. Any discrepancies will be resolved through discussion. Initial analysis will be quantitative involving a descriptive numerical summary of the characteristics of the studies and the tailoring process. Qualitative content analysis aligned to the research questions will also be conducted, and data managed using NVivo where applicable. This scoping review is pre-registered with the Open Science Framework.
In total, 5936 articles have been identified through database searches. Pilot screening of title and abstracts is underway.
The findings will serve as a resource for implementation researchers and practitioners to guide future research in this field and facilitate systematic, transparent, and replicable development of tailored implementation strategies.