Simultaneously Developing Interventions for Low-/Middle-Income and High-Income Settings: Considerations and Opportunities

Abstract

Most older adults reside in low- and middle-income countries (LMICs) but most research dollars spent on interventions to improve the lives of older adults are awarded to researchers in high-income countries (HICs). One approach to improve the implementation of evidence-based innovations for older adults in LMICs is designing interventions that are relevant to LMICs and HICs simultaneously. We propose that researchers in HICs could partner with stakeholders in an LMIC throughout the intervention design process to better position their intervention for the implementation in that LMIC. We provide an example study from an adaptation of the Resources for Enhancing Caregiver Health II in Vietnam, which did not use this strategy but may have benefited from this strategy. We then turn to several considerations that are important for researchers to contemplate when incorporating this strategy. Finally, we explore incentives for creating interventions that are relevant to both HICs and LMICs for funders, intervention designers, and intervention receivers. Although this is not the only strategy to bring interventions to LMICs, it may represent another tool in researchers’ toolboxes to help expedite the implementation of efficacious interventions in LMICs.

A Systematic Review of Educational Interventions for Informal Caregivers of People Living with Dementia in Low and Middle-Income Countries

“…Assumptions about effective interventions must be avoided when drawn from research in HICs until there is an evidence base to support universal active mechanisms of change. There has been a move towards simultaneously developing interventions for both LMICS and HICs [ 64 ] as this could allow for designs suitable for widespread dissemination.…”