Process evaluation of the scale-up of integrated diabetes and hypertension care in Belgium, Cambodia and Slovenia (the SCUBY Project): a study protocol.

Autor:	Martens M; Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium mmartens@itg.be.; Department of Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium., Wouters E; Centre for Population, Family & Health, Department of Social Sciences, University of Antwerp, Antwerp, Belgium.; Centre for Health Systems Research & Development, University of the Free State, Bloemfontein, South Africa., van Olmen J; Department of Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium., Klemenc Ketiš Z; Community Health Center Ljubljana, Ljubljana, Slovenia.; Department of Family Medicine, Medical Faculty, University of Maribor, Maribor, Slovenia.; Department of Family Medicine, Medical Faculty, University of Ljubljana, Ljubljana, Slovenia., Chhim S; National Institute of Public Health, Phnom Penh, Cambodia., Chham S; Centre for Population, Family & Health, Department of Social Sciences, University of Antwerp, Antwerp, Belgium.; National Institute of Public Health, Phnom Penh, Cambodia., Buffel V; Centre for Population, Family & Health, Department of Social Sciences, University of Antwerp, Antwerp, Belgium., Danhieux K; Department of Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium., Stojnić N; Community Health Center Ljubljana, Ljubljana, Slovenia., Zavrnik Č; Community Health Center Ljubljana, Ljubljana, Slovenia., Poplas Susič A; Community Health Center Ljubljana, Ljubljana, Slovenia., Van Damme W; Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.; Gerontology, Vrije Universiteit Brussel, Brussels, Belgium., Ir P; National Institute of Public Health, Phnom Penh, Cambodia., Remmen R; Department of Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium., Ku GMV; Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium., Klipstein-Grobusch K; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.; Division of Epidemiology and Biostatistics, School of Public Health, University of the Witwatersrand Faculty of Health Sciences, Johannesburg, Gauteng, South Africa., Boateng D; Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.; Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti, Ghana.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Dec 29; Vol. 12 (12), pp. e062151. Date of Electronic Publication: 2022 Dec 29.
DOI:	10.1136/bmjopen-2022-062151
Abstrakt:	Introduction: Integrated care interventions for type 2 diabetes (T2D) and hypertension (HT) are effective, yet challenges exist with regard to their implementation and scale-up. The 'SCale-Up diaBetes and hYpertension care' (SCUBY) Project aims to facilitate the scale-up of integrated care for T2D and HT through the co-creation and implementation of contextualised scale-up roadmaps in Belgium, Cambodia and Slovenia. We hereby describe the plan for the process and scale-up evaluation of the SCUBY Project. The specific goals of the process and scale-up evaluation are to (1) analyse how, and to what extent, the roadmap has been implemented, (2) assess how the differing contexts can influence the implementation process of the scale-up strategies and (3) assess the progress of the scale-up. Methods and Analysis: A comprehensive framework was developed to include process and scale-up evaluation embedded in implementation science theory. Key implementation outcomes include acceptability, feasibility, relevance, adaptation, adoption and cost of roadmap activities. A diverse range of predominantly qualitative tools-including a policy dialogue reporting form, a stakeholder follow-up interview and survey, project diaries and policy mapping-were developed to assess how stakeholders perceive the scale-up implementation process and adaptations to the roadmap. The role of context is considered relevant, and barriers and facilitators to scale-up will be continuously assessed. Ethics and Dissemination: Ethical approval has been obtained from the Institutional Review Board (ref. 1323/19) at the Institute of Tropical Medicine (Antwerp, Belgium). The SCUBY Project presents a comprehensive framework to guide the process and scale-up evaluation of complex interventions in different health systems. We describe how implementation outcomes, mechanisms of impact and scale-up outcomes can be a basis to monitor adaptations through a co-creation process and to guide other scale-up interventions making use of knowledge translation and co-creation activities. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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