Characterising processes and outcomes of tailoring implementation strategies in healthcare: a protocol for a scoping review

Riordan, Fiona; Kerins, Claire; Pallin, Nickola D.; Albers, Bianca; Clack, Lauren; Morrissey, Eimear; Curran, Geoffrey M.; Lewis, Cara C.; Powell, Byron J.; Presseau, Justin; Wolfenden, Luke; McHugh, Sheena

doi:10.12688/hrbopenres.13507.2

Cited by 5 publications

(7 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In terms of clarifying the core components and functions of tailoring, we feel that with the increasing focus on tailoring, now is an opportune time to synthesize existing examples to see how tailoring is defined and applied. We are engaged in an ongoing scoping review to bring together the available evidence (13), including how tailoring is conceptualized, operationalized, and evaluated, to shed light on some of the hidden trade-offs for researchers and practitioners that are inherent in the process. There may be value in learning from efforts to systematize and categorize different approaches to developing complex interventions (49,65).…”

Section: Discussionmentioning

confidence: 99%

“…Since December 2014, when the most recent search for the Cochrane review was published, there appears to be substantial growth in the number of studies focusing on tailored implementation strategies. We conducted an electronic search for key terms ("tailor * " and terms for strategy or intervention and implementation and healthcare) in title and abstracts along with relevant subject headings in MEDLINE (13). In the last 20 years, there has been a clear upward trend in articles referring to tailoring (Figure 1 The 2015 Cochrane review identified substantial variation in tailoring approaches, a lack of detail about how the process was conducted, insufficient rationale underpinning the tailoring process, and no assessment of the relative costs of tailored strategies.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Conceptual tensions and practical trade-offs in tailoring implementation interventions

et al. 2022

Self Cite

View full text Add to dashboard Cite

Tailored interventions have been shown to be effective and tailoring is a popular process with intuitive appeal for researchers and practitioners. However, the concept and process are ill-defined in implementation science. Descriptions of how tailoring has been applied in practice are often absent or insufficient in detail. This lack of transparency makes it difficult to synthesize and replicate efforts. It also hides the trade-offs for researchers and practitioners that are inherent in the process. In this article we juxtapose the growing prominence of tailoring with four key questions surrounding the process. Specifically, we ask: (1) what constitutes tailoring and when does it begin and end?; (2) how is it expected to work?; (3) who and what does the tailoring process involve?; and (4) how should tailoring be evaluated? We discuss these questions as a call to action for better reporting and further research to bring clarity, consistency, and coherence to tailoring, a key process in implementation science.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Conceptual tensions and practical trade-offs in tailoring implementation interventions

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Work stream 3 will be a multiple case study of different tailoring approaches carried out in the individual studies (Goal 4) which will enable us to develop an enhanced understanding of how tailoring works in different service contexts, complementing the findings from the evidence synthesis work. As separate protocol papers on the evidence synthesis workstream are available 20 , 40 we provide more detail on Workstreams 2 and 3 ( Figure 1 ).…”

Section: Protocolmentioning

confidence: 99%

“…More detail is available in the published protocol 20 . In brief, the specific objectives are 1) to determine how tailoring has been defined and conceptualised in healthcare contexts), 2) how it has been operationalised and 3) evaluated.…”

Section: Work Stream 1: Evidence Synthesismentioning

confidence: 99%

“…Without a clear sense of the underpinning logic of tailoring, it can be difficult to determine how tailoring can be made more effective and how to measure the “success” of tailoring. To address these gaps in how tailoring has been conceptualised, operationalised, and evaluated, we will conduct a scoping review 20 to characterise the processes and outcomes of tailoring.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Understanding tailoring to support the implementation of evidence-based interventions in healthcare: The CUSTOMISE research programme protocol

et al. 2023

Self Cite

View full text Add to dashboard Cite

Although there are effective evidence-based interventions (EBIs) to prevent, treat and coordinate care for chronic conditions they may not be adopted widely and when adopted, implementation challenges can limit their impact. Implementation strategies are “methods or techniques used to enhance the adoption, implementation, and sustainment of a clinical program or practice”. There is some evidence to suggest that to be more effective, strategies should be tailored; that is, selected and designed to address specific determinants which may influence implementation in a given context. Despite the growing popularity of tailoring the concept is ill-defined, and the way in which tailoring is applied can vary across studies or lack detail when reported. There has been less focus on the part of tailoring where stakeholders prioritise determinants and select strategies, and the way in which theory, evidence and stakeholders’ perspectives should be combined to make decisions during the process. Typically, tailoring is evaluated based on the effectiveness of the tailored strategy, we do not have a clear sense of the mechanisms through which tailoring works, or how to measure the “success” of the tailoring process. We lack an understanding of how stakeholders can be involved effectively in tailoring and the influence of different approaches on the outcome of tailoring. Our research programme, CUSTOMISE (Comparing and Understanding Tailoring Methods for Implementation Strategies in healthcare) will address some of these outstanding questions and generate evidence on the feasibility, acceptability, and efficiency of different tailoring approaches, and build capacity in implementation science in Ireland, developing and delivering training and supports for, and network of, researchers and implementation practitioners. The evidence generated across the studies conducted as part of CUSTOMISE will bring greater clarity, consistency, coherence, and transparency to tailoring, a key process in implementation science.

show abstract

Mapping mental models through an improved method for identifying causal structures in qualitative data

Kenzie,

Wakeland,

Jetter

et al. 2024

Syst Res Behav Sci

View full text Add to dashboard Cite

Qualitative data are commonly used in the development of system dynamics models, but methods for systematically identifying causal structures in qualitative data have not been widely established. This article presents a modified process for identifying causal structures (e.g., feedback loops) that are communicated implicitly or explicitly and utilizes software to make coding, tracking, and model rendering more efficient. This approach draws from existing methods, system dynamics best practice, and qualitative data analysis techniques. Steps of this method are presented along with a description of causal structures for an audience new to system dynamics. The method is applied to a set of interviews describing mental models of clinical practice transformation from an implementation study of screening and treatment for unhealthy alcohol use in primary care. This approach has the potential to increase rigour and transparency in the use of qualitative data for model building and to broaden the user base for causal‐loop diagramming.

show abstract

Characterising processes and outcomes of tailoring implementation strategies in healthcare: a protocol for a scoping review

Cited by 5 publications

References 36 publications

Conceptual tensions and practical trade-offs in tailoring implementation interventions

Conceptual tensions and practical trade-offs in tailoring implementation interventions

Understanding tailoring to support the implementation of evidence-based interventions in healthcare: The CUSTOMISE research programme protocol

Mapping mental models through an improved method for identifying causal structures in qualitative data

Contact Info

Product

Resources

About