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Updated: Mar 21, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

An updated framework for task shifting and sharing: refining the SHIFT-SHARE based on stakeholder feedback from

Shukanto Das¹, Liz Grant¹, David Fearon¹

¹University of Edinburgh, Usher Institute, Centre for Global Health, Edinburgh, UK.

Journal of Global Health

|March 19, 2026

Summary

Task shifting and sharing (TS/S) is crucial for healthcare, but frameworks are lacking. The updated SHIFT-SHARE 2.0 framework enhances implementation planning for TS/S strategies, incorporating valuable stakeholder feedback.

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Area of Science:

Health Services Research
Implementation Science
Healthcare Management

Background:

Healthcare provider shortages necessitate task shifting and sharing (TS/S) strategies.
Existing implementation frameworks for TS/S are limited.
The Strategic Healthcare Implementation Framework for Task Shifting, Sharing, and Resource Enhancement (SHIFT-SHARE) was initially developed in 2023.

Purpose of the Study:

To present SHIFT-SHARE 2.0, an updated version of the TS/S implementation framework.
To incorporate feedback from diverse stakeholders in India through focus group discussions.
To refine the framework based on identified strengths, weaknesses, and necessary modifications.

Main Methods:

Conducted eight focus group discussions with 35 stakeholders in India (November 2023 - September 2024).
Stakeholders included healthcare staff, leaders, academics, and students.
Thematic analysis was used to map feedback and identify modifications for the framework.

Main Results:

Stakeholders found SHIFT-SHARE visually clear and comprehensive.
Key modifications include improving language accessibility, continuous risk assessment, and workforce incentivization.
The logic model was reconceptualized to represent continuous cycles, terminating loops, and contingency exits.

Conclusions:

SHIFT-SHARE 2.0 addresses identified barriers to TS/S implementation.
The updated framework aims to make TS/S planning more systematic.
Further validation across diverse contexts is needed to assess the broader utility of SHIFT-SHARE 2.0.