| Title: | Process evaluation of the scale-up of integrated diabetes and hypertension care in Belgium, Cambodia and Slovenia (the SCUBY Project) : a study protocol |
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| Authors: | ID Martens, Monika (Author)
ID Wouters, Edwin (Author)
ID Van Olmen, Josefien (Author)
ID Klemenc-Ketiš, Zalika (Author)
ID Chhim, Srean (Author)
ID Chham, Savina (Author)
ID Buffel, Verle (Author)
ID Danhieux, Katrien (Author)
ID Stojnić, Nataša (Author)
ID Zavrnik, Črt (Author)
ID Poplas-Susič, Tonka (Author)
ID Van Damme, Win (Author)
ID Ir, Por (Author)
ID Remmen, Roy (Author)
ID Ku, Grace Marie V (Author)
ID Klipstein-Grobusch, Kerstin (Author)
ID Boateng, Daniel (Author) |
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| Files: |  Martens-2022-Process_evaluation_of_the_scale-u.pdf (1,50 MB)
MD5: 90D039B7C3FB7C29E628ABB793F50822
 https://doi.org/10.1136/bmjopen-2022-062151
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| Language: | English |
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| Work type: | Scientific work |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: | MF - Faculty of Medicine
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| Abstract: | 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. |
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| Keywords: | diabetes and hypertension care, Belgium, Cambodia, Slovenia |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Submitted for review: | 21.02.2022 |
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| Article acceptance date: | 30.11.2022 |
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| Publication date: | 29.12.2022 |
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| Publisher: | BMJ Publishing |
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| Year of publishing: | 2022 |
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| Number of pages: | Str. 1-13 |
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| Numbering: | Letn. 12, Št 12, št. članka 062151 |
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| PID: | 20.500.12556/DKUM-89222  |
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| UDC: | 616.379:616.1-084 |
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| ISSN on article: | 2044-6055 |
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| COBISS.SI-ID: | 136711427 |
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| DOI: | 10.1136/bmjopen-2022-062151 |
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| Publication date in DKUM: | 27.06.2024 |
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| Views: | 311 |
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| Downloads: | 12 |
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| Metadata: |    |
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| Categories: | Misc.
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