Laura-Jane McCarthy is a Research Assistant in the School of Public Health, University College Cork, Ireland. Laura-Jane is currently working on the CUSTOMISE project, which aims to explore the process and impact of tailoring strategies to implement evidence-based interventions in healthcare. Laura-Jane interests include, implementation science, health protection, women’s health and global health equity. Laura-Jane has a background in nursing (RGN) and has a Masters in Public Health.
Tailoring strategies to target salient barriers to and enablers of implementation is considered important to support the successful delivery and uptake of evidence-based healthcare interventions (EBI). We are conducting a scoping review to explore how tailoring has been conceptualised, operationalised, and evaluated in healthcare contexts. Our understanding of how to tailor patient-level strategies to support the uptake of an EBI (e.g., screening intervention) is limited; this extends to cultural tailoring, whereby consideration is given to the culture, language and local factors that reflect the preferences and needs of patients.  How and when patients should be included in the tailoring process is also unclear. To address this gap, we will conduct a sub-analysis which will specifically focus on tailoring strategies which target patients.
The scoping review is being conducted in line with best practice guidelines  and will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for scoping reviews (PRISMA-ScR). Searches have been conducted of MEDLINE, Embase, Web of Science, Scopus, from 2005 to present. Articles related to cultural tailoring or tailoring of patient-level implementation strategies will be isolated and sub-analysed. Analysis will be quantitative, including descriptive numerical summaries of study characteristics and the tailoring process. Qualitative content analysis will also be conducted.
Title/abstracts of 5936 articles identified through database searches have been screened. Full text screening of 956 articles is currently being conducted by the research team and expected to be completed by August 2023.
Findings from this sub-study will identify how patient level tailoring, including cultural tailoring of implementation strategies has been conceptualised, operationalised, and evaluated in healthcare. Furthermore, findings may provide more clarity on how and when patients should be included in the tailoring process.