Mapping Complex Interventions in Portuguese Healthcare Research: A Scoping Review Protocol
Abstract
:1. Introduction
- In which health care domains is complex health intervention research being conducted?
- What is the methodological guidance that is followed throughout the intervention research lifecycle?
- How are the complex health interventions designated?
- What are the complexity elements identified?
- What is the theory underpinning the complex health intervention?
- Who are the persons delivering the complex health intervention?
- Who are the persons receiving the complex health intervention?
- What are the contexts of intervention delivery?
- What is the format of intervention delivery?
- What outcomes (process, effectiveness, and implementation) are being assessed?
- What is/are the completed phase(s) of the study in relation to the intervention research lifecycle?
2. Methods
2.1. Inclusion Criteria
2.1.1. Population
2.1.2. Concept
- Intervention complexity—they have multiple components;
- Pathway complexity—complicated or multiple causal pathways, feedback loops, synergies, and/or mediators and moderators of effect;
- Population complexity—target multiple participants, groups, or organisational levels;
- Implementation complexity—require multifaceted adoption, uptake, or integration strategies;
- Contextual complexity or work in a dynamic multi-dimensional environment.
2.1.3. Context
2.1.4. Types of Sources
2.2. Search Strategy
2.3. Study/Source of Evidence Selection
2.4. Data Extraction
2.5. Data Analysis and Presentation
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Acknowledgments
Conflicts of Interest
Appendix A
Search No. | Query | Records Retrieved |
---|---|---|
#1 | ((((((((health personnel[MeSH Terms]) OR (“health professional”[Title/Abstract])) OR (“healthcare professional”[Title/Abstract])) OR (physician[Title/Abstract])) OR (nurse[Title/Abstract])) OR (physiotherapist[Title/Abstract])) OR (nutritionist[Title/Abstract])) OR (psychologist[Title/Abstract])) OR (midwife[Title/Abstract]) | 827,852 |
#2 | (((((((Humans[MeSH Terms]) OR (Patients[MeSH Terms])) OR (Persons[MeSH Terms])) OR (relative[Title/Abstract])) OR (family[Title/Abstract])) OR (individuals[Title/Abstract])) OR (client[Title/Abstract])) OR (subject[Title/Abstract]) | 21,125,847 |
#3 | ((((((Research Design*[MeSH Terms]) OR (“complex intervention”[Title/Abstract])) OR (“intervention program*”[Title/Abstract])) OR (intervention[Title/Abstract])) OR (“intervention approach”[Title/Abstract])) OR (“health intervention”[Title/Abstract])) OR (intervention[Title/Abstract]) | 1,136,000 |
#4 | ((((Health services*[MeSH Terms]) OR (“health institution”[Title/Abstract]) OR (“healthcare institution”[Title/Abstract]))) OR ((“Primary Health Care”[Mesh]) OR (“Ambulatory Care Facilities”[Mesh])) OR ((“Assisted Living Facilities”[Mesh]) OR (nursing homes[Title/Abstract])) OR (hospital*[Title/Abstract])) | 5,686,278 |
#5 | ((“Portugal”[MeSH Terms]) OR (“Portugal”[All Fields])) OR (“Portuguese” [All Fields]) OR (Portug*[All Fields]) | 239,152 |
#6 | #1 AND #2 AND #3 AND #4 AND #5 | 371 |
Appendix B
Main Field | Extraction Categories | Category Description |
---|---|---|
Study ID | 1. Reference number | |
2. Authors | ||
3. Year | ||
4. Title | ||
5. Journal | ||
6. Issue no. | ||
7. Vol no. | ||
8. Type of reference | 1. Primary research | |
2. Systematic review | ||
3. Unpublished research | ||
Inclusion/Exclusion criteria | 9. Does the literature involve healthcare professionals? | 1: Yes |
2: No | ||
10. Does the study involve research about a complex health intervention? | 1: Yes | |
2: No | ||
11. Does the intervention target outcomes related to the healthcare sciences domain? | 1: Yes | |
2: No | ||
12. Does the study occur in a Portuguese healthcare context? | 1: Yes | |
2: No | ||
13. Does the study pertain to primary research, systematic review or unpublished research? | 1: Yes | |
2: No | ||
14. Are there any other reasons for exclusion? | 1: Yes | |
2: No | ||
15. Inclusion of paper | 1: Yes | |
2: No | ||
Characteristics of population | 16. Who are the healthcare professionals in the healthcare practice/intervention? | 1. Physicians |
2. Nurses | ||
3. Psychologists | ||
4. Physiotherapists | ||
5. Psychologists | ||
6. Nutritionists | ||
7. Midwifes | ||
8. Multidisciplinary | ||
9. Other, please specify | ||
17. Who are the healthcare service users involved in the healthcare practice/intervention? | 1. Persons of all ages | |
2. Patients of all ages | ||
3. Relatives | ||
4. Family | ||
5. Community groups | ||
6. Residents | ||
7. Other, please specify | ||
Characteristics of Complex health interventions | 18. In which health care domains is complex health intervention research being conducted? | 1. Medicine |
2. Nursing | ||
3. Psychology | ||
4. Multidisciplinary, please specify | ||
5. Other, please specify | ||
19. What is the methodological guidance applied? | 1. Intervention research framework | |
2. Not explicitly stated | ||
20. What is the theory, model, and framework guiding the complex health intervention? | 1. Please describe | |
2. Not explicitly stated | ||
21. How is the complex health intervention designated? | 1. Educational | |
2. Psychosocial | ||
3. Supportive | ||
4. Communicational | ||
5. Other, please specify | ||
22. What is the type of complexity identified? | 1. Intervention complexity | |
2. Pathway complexity | ||
3. Population complexity | ||
4. Implementation complexity | ||
5. Contextual complexity | ||
6. Interventionist complexity | ||
7. Multiple behaviours | ||
8. Other, please specify | ||
23. What is the format of intervention delivery? | Please describe | |
24. What are the outcomes being assessed? | 1. Effectiveness, please specify | |
3. Process, please specify | ||
2. No outcomes are assessed | ||
25. What is/are the completed phase(s) of the study in relation to the intervention research lifecycle? | 1. Development | |
2. Feasibility | ||
3. Piloting | ||
4. Evaluation | ||
5. Implementation | ||
6. Not explicitly stated | ||
7. Other relevant information | ||
Characteristics of context | 26. What is the setting of intervention delivery? | 1. Healthcare setting |
2. Community setting | ||
2. Person’s home | ||
3. Virtual | ||
4. Other, Please specify | ||
Literature summary | ||
Reviewers commentaries |
References
- Skivington, K.; Matthews, L.; Simpson, S.A.; Craig, P.; Baird, J.; Blazeby, J.M.; Boyd, K.A.; Craig, N.; French, D.P.; McIntosh, E.; et al. A new framework for developing and evaluating complex interventions: Update of Medical Research Council guidance. BMJ 2021, 374, n2061. [Google Scholar] [CrossRef] [PubMed]
- Medical Research Council. Developing and Evaluating Complex Interventions: New Guidance; Medical Research Council: London, UK, 2008.
- Medical Research Council. A Framework for Development and Evaluation of RCTs for Complex Interventions to Improve Health; Medical Research Council: London, UK, 2000.
- Anderson, L.M.; Petticrew, M.; Chandler, J.; Grimshaw, J.; Tugwell, P.; O’Neill, J.; Welch, V.; Squires, J.; Churchill, R.; Shemilt, I. Introducing a series of methodological articles on considering complexity in systematic reviews of interventions. J. Clin. Epidemiol. 2013, 66, 1205–1208. [Google Scholar] [CrossRef] [PubMed]
- Richards, D. The complex interventions framework. In Complex Interventions in Health: An Overview of Research Methods; Richards, D., Hallberg, I.R., Eds.; Routledge: New York, NY, USA, 2015; pp. 1–15. [Google Scholar]
- Datta, J.; Petticrew, M. Challenges to evaluating complex interventions: A content analysis of published papers. BMC Public Health 2013, 13, 568. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Guise, J.M.; Chang, C.; Butler, M.; Viswanathan, M.; Tugwell, P. AHRQ series on complex intervention systematic reviews-paper 1: An introduction to a series of articles that provide guidance and tools for reviews of complex interventions. J. Clin. Epidemiol. 2017, 90, 6–10. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Hallberg, I.R. Knowledge for health care practice. In Complex Interventions in Health: An Overview of Research Methods; Richards, D., Hallberg, I.R., Eds.; Routledge: New York, NY, USA, 2015; pp. 16–28. [Google Scholar]
- Pinto, S.; Caldeira, S.; Martins, J. The use of the Medical Research Council framework in the study of complex interventions in nursing: A literature review. Nurse Res. 2021, 10, 29. [Google Scholar] [CrossRef] [PubMed]
- Peters, M.; Godfrey, C.; McInerney, P.; Munn, Z.; Tricco, A.; Khalil, H. Chapter 11: Scoping reviews. In BI Manual for Evidence Synthesis; Aromataris, E., Munn, Z., Eds.; JBI: Adelaide, Australia, 2020. [Google Scholar]
- Tricco, A.C.; Lillie, E.; Zarin, W.; O’Brien, K.K.; Colquhoun, H.; Levac, D.; Moher, D.; Peters, M.D.J.; Horsley, T.; Weeks, L.; et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann. Intern. Med. 2018, 169, 467–473. [Google Scholar] [CrossRef] [PubMed] [Green Version]
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Ventura, F.; Araújo, O.; Casaleiro, T.; Morgado, T.; Oliveira, C. Mapping Complex Interventions in Portuguese Healthcare Research: A Scoping Review Protocol. Nurs. Rep. 2022, 12, 142-151. https://doi.org/10.3390/nursrep12010015
Ventura F, Araújo O, Casaleiro T, Morgado T, Oliveira C. Mapping Complex Interventions in Portuguese Healthcare Research: A Scoping Review Protocol. Nursing Reports. 2022; 12(1):142-151. https://doi.org/10.3390/nursrep12010015
Chicago/Turabian StyleVentura, Filipa, Odete Araújo, Tiago Casaleiro, Tânia Morgado, and Cláudia Oliveira. 2022. "Mapping Complex Interventions in Portuguese Healthcare Research: A Scoping Review Protocol" Nursing Reports 12, no. 1: 142-151. https://doi.org/10.3390/nursrep12010015
APA StyleVentura, F., Araújo, O., Casaleiro, T., Morgado, T., & Oliveira, C. (2022). Mapping Complex Interventions in Portuguese Healthcare Research: A Scoping Review Protocol. Nursing Reports, 12(1), 142-151. https://doi.org/10.3390/nursrep12010015