A scoping review of de-implementation frameworks and models

Abstract Background Reduction or elimination of inappropriate, ineffective, or potentially harmful healthcare services and public health programs can help to ensure limited resources are used effectively. Frameworks and models (FM) are valuable tools in conceptualizing and guiding the study of de-im...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Callie Walsh-Bailey, Edward Tsai, Rachel G. Tabak, Alexandra B. Morshed, Wynne E. Norton, Virginia R. McKay, Ross C. Brownson, Sheyna Gifford
Formato: article
Lenguaje:EN
Publicado: BMC 2021
Materias:
Acceso en línea:https://doaj.org/article/d7883593cfc74b4d9ec7da000bfb796b
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:d7883593cfc74b4d9ec7da000bfb796b
record_format dspace
spelling oai:doaj.org-article:d7883593cfc74b4d9ec7da000bfb796b2021-11-28T12:23:54ZA scoping review of de-implementation frameworks and models10.1186/s13012-021-01173-51748-5908https://doaj.org/article/d7883593cfc74b4d9ec7da000bfb796b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13012-021-01173-5https://doaj.org/toc/1748-5908Abstract Background Reduction or elimination of inappropriate, ineffective, or potentially harmful healthcare services and public health programs can help to ensure limited resources are used effectively. Frameworks and models (FM) are valuable tools in conceptualizing and guiding the study of de-implementation. This scoping review sought to identify and characterize FM that can be used to study de-implementation as a phenomenon and identify gaps in the literature to inform future model development and application for research. Methods We searched nine databases and eleven journals from a broad array of disciplines (e.g., healthcare, public health, public policy) for de-implementation studies published between 1990 and June 2020. Two raters independently screened titles and abstracts, and then a pair of raters screened all full text records. We extracted information related to setting, discipline, study design, methodology, and FM characteristics from included studies. Results The final search yielded 1860 records, from which we screened 126 full text records. We extracted data from 27 articles containing 27 unique FM. Most FM (n = 21) were applicable to two or more levels of the Socio-Ecological Framework, and most commonly assessed constructs were at the organization level (n = 18). Most FM (n = 18) depicted a linear relationship between constructs, few depicted a more complex structure, such as a nested or cyclical relationship. Thirteen studies applied FM in empirical investigations of de-implementation, while 14 articles were commentary or review papers that included FM. Conclusion De-implementation is a process studied in a broad array of disciplines, yet implementation science has thus far been limited in the integration of learnings from other fields. This review offers an overview of visual representations of FM that implementation researchers and practitioners can use to inform their work. Additional work is needed to test and refine existing FM and to determine the extent to which FM developed in one setting or for a particular topic can be applied to other contexts. Given the extensive availability of FM in implementation science, we suggest researchers build from existing FM rather than recreating novel FM. Registration Not registeredCallie Walsh-BaileyEdward TsaiRachel G. TabakAlexandra B. MorshedWynne E. NortonVirginia R. McKayRoss C. BrownsonSheyna GiffordBMCarticleDe-implementationDe-adoptionDisinvestmentObsolescenceLow-valueHealthMedicine (General)R5-920ENImplementation Science, Vol 16, Iss 1, Pp 1-18 (2021)
institution DOAJ
collection DOAJ
language EN
topic De-implementation
De-adoption
Disinvestment
Obsolescence
Low-value
Health
Medicine (General)
R5-920
spellingShingle De-implementation
De-adoption
Disinvestment
Obsolescence
Low-value
Health
Medicine (General)
R5-920
Callie Walsh-Bailey
Edward Tsai
Rachel G. Tabak
Alexandra B. Morshed
Wynne E. Norton
Virginia R. McKay
Ross C. Brownson
Sheyna Gifford
A scoping review of de-implementation frameworks and models
description Abstract Background Reduction or elimination of inappropriate, ineffective, or potentially harmful healthcare services and public health programs can help to ensure limited resources are used effectively. Frameworks and models (FM) are valuable tools in conceptualizing and guiding the study of de-implementation. This scoping review sought to identify and characterize FM that can be used to study de-implementation as a phenomenon and identify gaps in the literature to inform future model development and application for research. Methods We searched nine databases and eleven journals from a broad array of disciplines (e.g., healthcare, public health, public policy) for de-implementation studies published between 1990 and June 2020. Two raters independently screened titles and abstracts, and then a pair of raters screened all full text records. We extracted information related to setting, discipline, study design, methodology, and FM characteristics from included studies. Results The final search yielded 1860 records, from which we screened 126 full text records. We extracted data from 27 articles containing 27 unique FM. Most FM (n = 21) were applicable to two or more levels of the Socio-Ecological Framework, and most commonly assessed constructs were at the organization level (n = 18). Most FM (n = 18) depicted a linear relationship between constructs, few depicted a more complex structure, such as a nested or cyclical relationship. Thirteen studies applied FM in empirical investigations of de-implementation, while 14 articles were commentary or review papers that included FM. Conclusion De-implementation is a process studied in a broad array of disciplines, yet implementation science has thus far been limited in the integration of learnings from other fields. This review offers an overview of visual representations of FM that implementation researchers and practitioners can use to inform their work. Additional work is needed to test and refine existing FM and to determine the extent to which FM developed in one setting or for a particular topic can be applied to other contexts. Given the extensive availability of FM in implementation science, we suggest researchers build from existing FM rather than recreating novel FM. Registration Not registered
format article
author Callie Walsh-Bailey
Edward Tsai
Rachel G. Tabak
Alexandra B. Morshed
Wynne E. Norton
Virginia R. McKay
Ross C. Brownson
Sheyna Gifford
author_facet Callie Walsh-Bailey
Edward Tsai
Rachel G. Tabak
Alexandra B. Morshed
Wynne E. Norton
Virginia R. McKay
Ross C. Brownson
Sheyna Gifford
author_sort Callie Walsh-Bailey
title A scoping review of de-implementation frameworks and models
title_short A scoping review of de-implementation frameworks and models
title_full A scoping review of de-implementation frameworks and models
title_fullStr A scoping review of de-implementation frameworks and models
title_full_unstemmed A scoping review of de-implementation frameworks and models
title_sort scoping review of de-implementation frameworks and models
publisher BMC
publishDate 2021
url https://doaj.org/article/d7883593cfc74b4d9ec7da000bfb796b
work_keys_str_mv AT calliewalshbailey ascopingreviewofdeimplementationframeworksandmodels
AT edwardtsai ascopingreviewofdeimplementationframeworksandmodels
AT rachelgtabak ascopingreviewofdeimplementationframeworksandmodels
AT alexandrabmorshed ascopingreviewofdeimplementationframeworksandmodels
AT wynneenorton ascopingreviewofdeimplementationframeworksandmodels
AT virginiarmckay ascopingreviewofdeimplementationframeworksandmodels
AT rosscbrownson ascopingreviewofdeimplementationframeworksandmodels
AT sheynagifford ascopingreviewofdeimplementationframeworksandmodels
AT calliewalshbailey scopingreviewofdeimplementationframeworksandmodels
AT edwardtsai scopingreviewofdeimplementationframeworksandmodels
AT rachelgtabak scopingreviewofdeimplementationframeworksandmodels
AT alexandrabmorshed scopingreviewofdeimplementationframeworksandmodels
AT wynneenorton scopingreviewofdeimplementationframeworksandmodels
AT virginiarmckay scopingreviewofdeimplementationframeworksandmodels
AT rosscbrownson scopingreviewofdeimplementationframeworksandmodels
AT sheynagifford scopingreviewofdeimplementationframeworksandmodels
_version_ 1718408047521431552