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Selecting implementation models, theories, and frameworks in which to integrate intersectional approaches.

Justin Presseau1,2,3, Danielle Kasperavicius4, Isabel Braganca Rodrigues5

  • 1Clinical Epidemiology, Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada. jpresseau@ohri.ca.

BMC Medical Research Methodology
|August 4, 2022
PubMed
Summary
This summary is machine-generated.

This study identified key implementation models, theories, and frameworks (MTFs) to integrate intersectional perspectives, enhancing their applicability in research and practice. The selected MTFs align with specific phases of the Knowledge-to-Action framework for improved implementation science.

Keywords:
Implementation scienceIntersectionalityKnowledge translation

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Area of Science:

  • Implementation Science
  • Health Equity
  • Social Determinants of Health

Background:

  • Models, theories, and frameworks (MTFs) are foundational to implementation science but often underrepresent the impact of intersecting social factors and systems of power.
  • There is a need to enhance existing MTFs to incorporate an intersectional perspective, acknowledging how social dynamics shape implementation processes and outcomes.
  • This study addresses the gap by identifying exemplar MTFs suitable for embedding intersectional approaches within key implementation phases.

Purpose of the Study:

  • To identify exemplar models, theories, and frameworks (MTFs) that can be enhanced with an intersectional perspective.
  • To align these exemplar MTFs with specific phases of the Knowledge-to-Action (KTA) framework.
  • To provide a foundation for integrating intersectionality into implementation research and practice.

Main Methods:

  • A five-step process was employed, mapping 160 MTFs to the Knowledge-to-Action (KTA) framework's phases.
  • An expert panel (implementation researchers, practitioners, and intersectionality experts) used a modified Delphi process to prioritize MTFs based on acceptability, applicability, and usability.
  • Consensus was reached on exemplar MTFs for each of the three prioritized KTA framework phases.

Main Results:

  • Three criteria were used for prioritization: acceptability, applicability, and usability.
  • Exemplar MTFs identified include the Iowa Model of Evidence-Based Practice for 'Identify the problem' phase.
  • The Consolidated Framework for Implementation Research was selected for 'Assess barriers/facilitators to knowledge use,' and the Behaviour Change Wheel for 'Select, tailor, implement interventions.'

Conclusions:

  • An interdisciplinary team successfully identified and prioritized exemplar MTFs for embedding intersectional approaches within specific implementation phases.
  • The selected MTFs align with the Knowledge-to-Action framework, offering practical guidance for researchers and practitioners.
  • This methodology provides a template for future efforts to enhance other MTFs with intersectional considerations.