6th UK Implementation Science Research Conference
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PRESENter
Eden Meng Zhu
presenter biography
My name is Eden Zhu, and I am a current PhD researcher at Erasmus University Rotterdam School of Health Policy and Management in the department of Health Service Management and Organization. My PhD research focuses on the implementation and delivery of supportive interventions for informal caregivers of people living with dementia at home. Prior to my PhD, I obtained a Master of Public Administration degree from Tsinghua University (China) and a Bachelor of Science in Global Health and Social Medicine from King’s College London (UK). I have previous experience working and studying in the UK, Switzerland, China and the Netherlands, and I am interested in opportunities to bridge international research and knowledge exchange in the field of global health, dementia care and implementation science.
background
Informal caregivers of people with dementia (PwD) living at home are often the primary source of care, and, in their role, they often experience loss of quality of life. Implementation science knowledge is needed to optimize the real-world outcomes of evidence-based interventions (EBIs) for informal caregivers. This scoping review is the first to systematically synthesize the literature that reports implementation strategies employed to deliver home- and community-based EBIs for informal caregivers of PwD, implementation outcomes, and the barriers and facilitators to implementation in the research context.
MEthod
Embase, MEDLINE, Web of Science and Cochrane Library were searched from inception to March 2021; included studies focused on “implementation science”, “home- and community-based interventions” and “informal caregivers of people with dementia”. Titles and abstracts were screened using ASReview (an AI-based tool) and data extraction was guided by the ERIC taxonomy [1], the Implementation Outcome Framework [2], and the Consolidated Framework for Implementation Science Research [3]; each framework was used to examine a unique element of implementation.
results
67 studies were included in the review. Multi-component (26.9%) and eHealth (22.3%) interventions were the most commonly found in included studies, and 31.34% of included studies were guided by an implementation science framework. Train and educate stakeholders and provide interactive assistance clusters had the most commonly employed implementation strategies, and acceptability (65.67%), appropriateness (70.14%) and penetration (58.21%) were the most frequently reported implementation outcomes. Design quality and packaging (intervention component suitability) and cosmopolitanism (partnerships) constructs, and patient’s needs and resources and available resources (infrastructure) constructs, contained the most frequently reported barriers and facilitators to implementation, respectively.
Conclusion
67 studies were included in the review. Multi-component (26.9%) and eHealth (22.3%) interventions were the most commonly found in included studies, and 31.34% of included studies were guided by an implementation science framework. Train and educate stakeholders and provide interactive assistance clusters had the most commonly employed implementation strategies, and acceptability (65.67%), appropriateness (70.14%) and penetration (58.21%) were the most frequently reported implementation outcomes. Design quality and packaging (intervention component suitability) and cosmopolitanism (partnerships) constructs, and patient’s needs and resources and available resources (infrastructure) constructs, contained the most frequently reported barriers and facilitators to implementation, respectively.