How are health research partnerships assessed? A systematic review of outcomes, impacts, terminology and the use of theories, models and frameworks

Health Research Policy and Systems

Review

Ian D. Graham¹  Sumair Shergill²  Liam Swain³  Michael D. Hill⁴  Kelly J. Mrklas⁵  Masood Khan⁶  Kathryn M. Sibley⁷  Marcello Tonelli⁸  Sera Merali⁹  Shelley Raffin-Bouchal^1,10  Lorelli Nowell^1,10  Amelia Goertzen^1,11  Lisa M. Pfadenhauer^1,12  Jamie M. Boyd^1,13  Mathew Vis-Dunbar^1,14  Kevin Paul^1,15 

[1] Centre for Implementation Research, Ottawa Hospital Research Institute, Ottawa, ON, Canada;School of Epidemiology and Public Health & School of Nursing, University of Ottawa, Ottawa, ON, Canada;Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3D10-3280 Hospital Drive NW, T2N 4Z6, Calgary, AB, Canada;Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3D10-3280 Hospital Drive NW, T2N 4Z6, Calgary, AB, Canada;Departments of Clinical Neurosciences, Medicine and Radiology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3D10-3280 Hospital Drive NW, T2N 4Z6, Calgary, AB, Canada;Strategic Clinical Networks™, Provincial Clinical Excellence, Alberta Health Services, Calgary, AB, Canada;Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada;Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada;George & Fay Yee Centre for Healthcare Innovation, University of Manitoba, Winnipeg, MB, Canada;Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada;Office of the Vice-President (Research), University of Calgary, Calgary, AB, Canada;Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada;Faculty of Nursing, University of Calgary, Calgary, AB, Canada;Faculty of Science, University of Alberta, Edmonton, AB, Canada;Institute for Medical Information Processing, Biometry, and Epidemiology-IBE, Ludwig-Maximilian Universität Munich, Munich, Germany;Pettenkofer School of Public Health, Munich, Germany;Knowledge Translation Program, St Michael’s Hospital, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada;University of British Columbia-Okanagan, Kelowna, BC, Canada;University of Calgary Summer Studentships Program, University of Calgary, Calgary, AB, Canada;

关键词: Health research partnerships;    Outcomes;    Impacts;    Psychometrics;    Pragmatics;    Systematic review;    Integrated knowledge translation;    Community-based participatory research;   

DOI  :  10.1186/s12961-022-00938-8

 received in 2022-04-06, accepted in 2022-11-09,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundAccurate, consistent assessment of outcomes and impacts is challenging in the health research partnerships domain. Increased focus on tool quality, including conceptual, psychometric and pragmatic characteristics, could improve the quantification, measurement and reporting partnership outcomes and impacts. This cascading review was undertaken as part of a coordinated, multicentre effort to identify, synthesize and assess a vast body of health research partnership literature.ObjectiveTo systematically assess the outcomes and impacts of health research partnerships, relevant terminology and the type/use of theories, models and frameworks (TMF) arising from studies using partnership assessment tools with known conceptual, psychometric and pragmatic characteristics.MethodsFour electronic databases were searched (MEDLINE, Embase, CINAHL Plus and PsycINFO) from inception to 2 June 2021. We retained studies containing partnership evaluation tools with (1) conceptual foundations (reference to TMF), (2) empirical, quantitative psychometric evidence (evidence of validity and reliability, at minimum) and (3) one or more pragmatic characteristics. Outcomes, impacts, terminology, definitions and TMF type/use were abstracted verbatim from eligible studies using a hybrid (independent abstraction–validation) approach and synthesized using summary statistics (quantitative), inductive thematic analysis and deductive categories (qualitative). Methodological quality was assessed using the Quality Assessment Tool for Studies with Diverse Designs (QATSDD).ResultsApplication of inclusion criteria yielded 37 eligible studies. Study quality scores were high (mean 80%, standard deviation 0.11%) but revealed needed improvements (i.e. methodological, reporting, user involvement in research design). Only 14 (38%) studies reported 48 partnership outcomes and 55 impacts; most were positive effects (43, 90% and 47, 89%, respectively). Most outcomes were positive personal, functional, structural and contextual effects; most impacts were personal, functional and contextual in nature. Most terms described outcomes (39, 89%), and 30 of 44 outcomes/impacts terms were unique, but few were explicitly defined (9, 20%). Terms were complex and mixed on one or more dimensions (e.g. type, temporality, stage, perspective). Most studies made explicit use of study-related TMF (34, 92%). There were 138 unique TMF sources, and these informed tool construct type/choice and hypothesis testing in almost all cases (36, 97%).ConclusionThis study synthesized partnership outcomes and impacts, deconstructed term complexities and evolved our understanding of TMF use in tool development, testing and refinement studies. Renewed attention to basic concepts is necessary to advance partnership measurement and research innovation in the field.Systematic review protocol registration: PROSPERO protocol registration: CRD42021137932 https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=137932.

【 授权许可】

CC BY   
© The Author(s) 2022

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