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Methodological approaches to study context in intervention implementation studies: an evidence gap map.

Juliane Mielke1, Thekla Brunkert1,2, Franziska Zúñiga1

  • 1Institute of Nursing Science, Department Public Health, University of Basel, Bernoullistrasse 28, CH-4056, Basel, Switzerland.

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Summary
This summary is machine-generated.

This study maps current methods for contextual analysis in implementation science, finding inconsistencies and limited framework use. Standardizing these approaches is crucial for improving intervention implementation and research quality.

Keywords:
Contextual analysisDisseminationEvidence gap mapImplementation science

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Area of Science:

  • Implementation Science
  • Health Services Research
  • Public Health

Background:

  • Contextual analysis is vital for successful intervention implementation in implementation science.
  • Inconsistent methodologies and scarce guidance hinder progress in studying context.
  • This study addresses the need for systematic review and mapping of contextual analysis approaches.

Purpose of the Study:

  • To systematically review and map current methodological approaches to contextual analysis in intervention implementation studies.
  • To identify gaps in the evidence regarding contextual analysis.
  • To provide a framework for systematizing contextual analysis.

Main Methods:

  • Conducted an evidence gap map (EGM) using a stepwise approach.
  • Sampled 20% of intervention implementation studies from PubMed (2015-2020) for contextual analysis.
  • Utilized the Basel Approach for CoNtextual ANAlysis (BANANA) and the Context and Implementation of Complex Interventions (CICI) framework for data extraction and mapping.

Main Results:

  • Of 110 studies examined, 22% reported contextual analysis; only one used an explicit framework.
  • Surveys and individual interviews were common data collection methods.
  • Most studies assessed meso-level factors, particularly socio-cultural aspects, and used findings for intervention adaptation and strategy selection.

Conclusions:

  • Current approaches to contextual analysis in implementation science are varied and lack standardization.
  • A novel framework for evaluating and mapping contextual analysis is presented.
  • Further development and systematization of contextual analysis methodologies are strongly recommended to enhance research quality and consistency.