20.500.12556/DKUM-89222 Process evaluation of the scale-up of integrated diabetes and hypertension care in Belgium, Cambodia and Slovenia (the SCUBY Project) a study protocol 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. diabetes and hypertension care Belgium Cambodia Slovenia oskrba sladkorne bolezni in hipertenzije Belgija Kambodža Slovenija true false true BMJ Publishing Angleški jezik Slovenski jezik Znanstveno delo 2024-06-27 07:52:02 2024-06-27 08:23:04 2024-06-28 03:54:51 0000-00-00 00:00:00 2022 0 0 Str. 1-13 Št 12, št. članka 062151 Letn. 12 2022 0000-00-00 Zaloznikova Objavljeno NiDoloceno 2022-02-21 2022-11-30 2022-12-29 616.379:616.1-084 136711427 10.1136/bmjopen-2022-062151 2044-6055 Martens-2022-Process_evaluation_of_the_scale-u.pdf Martens-2022-Process_evaluation_of_the_scale-u.pdf 1 90D039B7C3FB7C29E628ABB793F50822 8a1f772ebe59bae8d1dd1911bf78afcb4647ad5b24a3760af97a61d88d5b55a6 4af3ae32-344d-11ef-901a-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=180833 https://doi.org/10.1136/bmjopen-2022-062151 0 6b9223dd-3449-11ef-901a-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=180831 Medicinska fakulteta 0 0 0