Delivering screening programmes in primary care: protocol for a scoping and systematic mixed studies review
Introduction Screening programmes represent a considerable amount of healthcare activity. As complex interventions, they require careful delivery to generate net benefit. Much screening work occurs in primary care. Despite intensive study of intervention delivery in primary care, there is currently...
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BMJ Publishing Group
2021-04-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/4/e046331.full |
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| author | Isla Kuhn Jonathan Mant Sarah Hoare Jenni Burt Alison Powell Sarah Kelly Rakesh Narendra Modi Juliet Usher-Smith |
| author_facet | Isla Kuhn Jonathan Mant Sarah Hoare Jenni Burt Alison Powell Sarah Kelly Rakesh Narendra Modi Juliet Usher-Smith |
| author_sort | Isla Kuhn |
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| description | Introduction Screening programmes represent a considerable amount of healthcare activity. As complex interventions, they require careful delivery to generate net benefit. Much screening work occurs in primary care. Despite intensive study of intervention delivery in primary care, there is currently no synthesis of the delivery of screening programmes in this setting. The purpose of this review is to describe and critically evaluate the delivery of screening programmes in general practice and community services.Methods and analysis We will use scoping review methods to explore which components of screening programmes are delivered in primary care and systematic review methods to locate and synthesise evidence on how screening programmes can be delivered in primary care, including barriers, facilitators and strategies. We will include empirical studies of any design which consider screening programmes in high-income countries, based in part or whole in primary care. We will search 20 information sources from 1 January 2000, including those relating to health (eg, MEDLINE, Embase, CINAHL), management (eg, Rx for change database) and grey literature (eg, OpenGrey, screening committee websites). Two reviewers will screen citations and full texts of potentially eligible studies and assess these against inclusion criteria. Qualitative and quantitative data will be extracted in duplicate and synthesised using a best fit framework approach. Within the systematic review, the mixed methods appraisal tool will be used to assess risk of bias.Ethics and dissemination No ethics approval is required. We will disseminate findings to academics through publication and presentation, to decision-makers through national screening bodies, to practitioners through professional bodies, and to the public through social media.PROSPERO registration number CRD42020215420. |
| format | Article |
| id | doaj-art-ce01152ac3ba4f87874e5c4f0b07a2c2 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-ce01152ac3ba4f87874e5c4f0b07a2c22024-11-18T06:35:09ZengBMJ Publishing GroupBMJ Open2044-60552021-04-0111410.1136/bmjopen-2020-046331Delivering screening programmes in primary care: protocol for a scoping and systematic mixed studies reviewIsla Kuhn0Jonathan Mant1Sarah Hoare2Jenni Burt3Alison Powell4Sarah Kelly5Rakesh Narendra Modi6Juliet Usher-Smith7School of Clinical Medicine, University of Cambridge, Cambridge, UKPrimary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UKhe Healthcare Improvement Studies Institute, University of Cambridge, Cambridge, UK3 THIS Labs, Cambridge, UK17 THIS Institute, University of Cambridge, Cambridge, UKSwansea Bay University Health Board, Port Talbot, Neath Port Talbot, UKStrangeways Research Laboratory, Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UKThe Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UKIntroduction Screening programmes represent a considerable amount of healthcare activity. As complex interventions, they require careful delivery to generate net benefit. Much screening work occurs in primary care. Despite intensive study of intervention delivery in primary care, there is currently no synthesis of the delivery of screening programmes in this setting. The purpose of this review is to describe and critically evaluate the delivery of screening programmes in general practice and community services.Methods and analysis We will use scoping review methods to explore which components of screening programmes are delivered in primary care and systematic review methods to locate and synthesise evidence on how screening programmes can be delivered in primary care, including barriers, facilitators and strategies. We will include empirical studies of any design which consider screening programmes in high-income countries, based in part or whole in primary care. We will search 20 information sources from 1 January 2000, including those relating to health (eg, MEDLINE, Embase, CINAHL), management (eg, Rx for change database) and grey literature (eg, OpenGrey, screening committee websites). Two reviewers will screen citations and full texts of potentially eligible studies and assess these against inclusion criteria. Qualitative and quantitative data will be extracted in duplicate and synthesised using a best fit framework approach. Within the systematic review, the mixed methods appraisal tool will be used to assess risk of bias.Ethics and dissemination No ethics approval is required. We will disseminate findings to academics through publication and presentation, to decision-makers through national screening bodies, to practitioners through professional bodies, and to the public through social media.PROSPERO registration number CRD42020215420.https://bmjopen.bmj.com/content/11/4/e046331.full |
| spellingShingle | Isla Kuhn Jonathan Mant Sarah Hoare Jenni Burt Alison Powell Sarah Kelly Rakesh Narendra Modi Juliet Usher-Smith Delivering screening programmes in primary care: protocol for a scoping and systematic mixed studies review BMJ Open |
| title | Delivering screening programmes in primary care: protocol for a scoping and systematic mixed studies review |
| title_full | Delivering screening programmes in primary care: protocol for a scoping and systematic mixed studies review |
| title_fullStr | Delivering screening programmes in primary care: protocol for a scoping and systematic mixed studies review |
| title_full_unstemmed | Delivering screening programmes in primary care: protocol for a scoping and systematic mixed studies review |
| title_short | Delivering screening programmes in primary care: protocol for a scoping and systematic mixed studies review |
| title_sort | delivering screening programmes in primary care protocol for a scoping and systematic mixed studies review |
| url | https://bmjopen.bmj.com/content/11/4/e046331.full |
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