Universidad Peruana Cayetano Heredia

Process evaluation of complex interventions in non-communicable and neglected tropical diseases in low- and middle-income countries: A scoping review

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dc.contributor.author Lazo Porras, María de los Ángeles
dc.contributor.author Liu, H.
dc.contributor.author Ouyang, M.
dc.contributor.author Yin, X.
dc.contributor.author Malavera, A.
dc.contributor.author Bressan, T.
dc.contributor.author Guzman-Vilca, Wilmer Cristobal
dc.contributor.author Pacheco, Niels
dc.contributor.author Benito, Melissa
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Moore, G.
dc.contributor.author Chappuis, F.
dc.contributor.author Perel, P.
dc.contributor.author Beran, D.
dc.date.accessioned 2022-10-12T18:25:59Z
dc.date.available 2022-10-12T18:25:59Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12390
dc.description.abstract Objectives The aim of this review is to map out the use of process evaluation (PE) in complex interventions that address non-communicable diseases (NCDs) and neglected tropical diseases (NTDs) to identify gaps in the design and conduct, as well as strengths, limitations and implications, of this type of research in low- and middle-income countries (LMICs). Design Scoping review of PE studies of complex interventions implemented in LMICs. Six databases were searched focused on studies published since 2008. Data sources Embase, PubMed, EbscoHost, Web of Science (WOS), Virtual Health Library (VHL) Regional Portal and Global Index Medicus: Regional Indexes AIM (AFRO), LILACS (AMRO/PAHO), IMEMR (EMRO), IMSEAR (SEARO), WPRIM (WPRO) Global Index Regional Indexes, MEDLINE, SciELO. Eligibility criteria Studies conducted in LMICs on PEs of randomised controlled trials (RCTs) and non-RCTs published between January 2008 and January 2020. Other criteria were studies of interventions for people at risk or having physical and mental NCDs, and/or NTDs, and/or their healthcare providers and/or others related to achieve better health for these two disease groups. Studies were excluded if they were not reported in English or Spanish or Portuguese or French, not peer-reviewed articles, not empirical research and not human research. Data extraction and synthesis Data extracted to be evaluated were: available evidence in the utilisation of PE in the areas of NCDs and NTDs, including frameworks and theories used; methods applied to conduct PEs; and in a subsample, the barriers and facilitators to implement complex interventions identified through the PE. Variables were extracted and categorised. The information was synthesised through quantitative analysis by reporting frequencies and percentages. Qualitative analysis was also performed to understand facilitators and barriers presented in these studies. The implications for PEs, and how the information from the PE was used by researchers or other stakeholders were also assessed in this approach. Results 303 studies were identified, 79% were for NCDs, 12% used the label 'PE', 27% described a theory or framework for the PE, and 42% used mixed methods to analyse their findings. Acceptability, barriers and facilitators to implement the interventions, experiences and perceptions, and feasibility were the outcomes most frequently evaluated as part of the PEs. Barriers and facilitators themes identified were contextual factors, health system factors, human resources, attitudes and policy factors. Conclusions PEs in NCDs and NTDs are used in LMICs with a wide variety of methods. en_US
dc.language.iso eng
dc.publisher BMJ Publishing Group
dc.relation.ispartofseries BMJ Open
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject tropical diseases en_US
dc.subject low-income countries en_US
dc.subject middle-income countries en_US
dc.subject review en_US
dc.title Process evaluation of complex interventions in non-communicable and neglected tropical diseases in low- and middle-income countries: A scoping review en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.1136/bmjopen-2021-057597
dc.relation.issn 2044-6055


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