A systematic approach to context-mapping to prepare for health interventions: development and validation of the SETTING-tool in four countries. Issue 1 (12th January 2021)

• Record Type: Journal Article
• Authors: Brakema, Evelyn A; van der Kleij, Rianne MJJ; Poot, Charlotte C; Chavannes, Niels H; Tsiligianni, Ioanna; Walusimbi, Simon; An, Pham Le; Sooronbaev, Talant; Numans, Mattijs E; Crone, Matty R; Reis, Ria R
• Other Names: author non-byline.; An Pham Le author non-byline.; Anastasaki Marilena author non-byline.; Akylbekov Azamat author non-byline.; Barton Andy author non-byline.; Bertsias Antonios author non-byline.; Uyen Binh Pham Duong author non-byline.; Boven Job FM van author non-byline.; Brakema Evelyn A author non-byline.; Burges Dennis author non-byline.; Cartwright Lucy author non-byline.; Chatzea Vasiliki E author non-byline.; Chavannes Niels H author non-byline.; Cragg Liza author non-byline.; Dang Tran Ngoc author non-byline.; Dautov Ilyas author non-byline.; Emilov Berik author non-byline.; Ferarrio Irene author non-byline.; Gemert Frederik A van author non-byline.; Hedrick Ben author non-byline.; Cam Hong Le Huynh Thi author non-byline.; Hopkinson Nick author non-byline.; Isaeva Elvira author non-byline.; Jones Rupert author non-byline.; Jong Corina de author non-byline.; Kampen Sanne van author non-byline.; Katagira Winceslaus author non-byline.; Kirenga Bruce author non-byline.; Kjærgaard Jesper author non-byline.; Kleij Rianne MJJ van der author non-byline.; Kocks Janwillem author non-byline.; Lan Le Thi Tuyet author non-byline.; Duv Linh Tran Thanh author non-byline.; Lionis Christos author non-byline.; Loan Kim Xuan author non-byline.; Mademilov Maamed author non-byline.; McEwen Andy author non-byline.; Musinguzi Patrick author non-byline.; Nantanda Rebecca author non-byline.; Ndeezi Grace author non-byline.; Papadakis Sophia author non-byline.; Pinnock Hilary author non-byline.; Pooler Jillian author non-byline.; Poot Charlotte C author non-byline.; Postma Maarten J author non-byline.; Poulsen Anja author non-byline.; Powell Pippa author non-byline.; Quynh Nguyen Nhat author non-byline.; Reventlow Susanne author non-byline.; Sifaki-Pistolla Dimitra author non-byline.; Singh Sally author non-byline.; Sooronbaev Talant author non-byline.; Sousa Jaime Correia de author non-byline.; Stout James author non-byline.; Østergaard Marianne Stubbe author non-byline.; Tabyshova Aizhamal author non-byline.; Tsiligianni Ioanna author non-byline.; Tuan Tran Diep author non-byline.; Tumwine James author non-byline.; Van Le Thanh author non-byline.; Vinh Nguyen Nhu author non-byline.; Walusimbi Simon author non-byline.; Warren Louise author non-byline.; Williams Sian author non-byline.;
• Is Part Of: BMJ global health. Volume 6:Issue 1(2021)
• Publication Date: 2021-01-12
• Subjects: diagnostics and tools -- health policies and all other topics -- public health -- asthma -- chronic obstructive pulmonary disease; World health -- Periodicals; 362.105
• DOI: 10.1136/bmjgh-2020-003221
• Languages: English
• ISSNs: 2059-7908

Abstract

Abstract : Effectiveness of health interventions can be substantially impaired by implementation failure. Context-driven implementation strategies are critical for successful implementation. However, there is no practical, evidence-based guidance on how to map the context in order to design context-driven strategies. Therefore, this practice paper describes the development and validation of a systematic context-mapping tool. The tool was cocreated with local end-users through a multistage approach. As proof of concept, the tool was used to map beliefs and behaviour related to chronic respiratory disease within the FRESH AIR project in Uganda, Kyrgyzstan, Vietnam and Greece. Feasibility and acceptability were evaluated using the modified Conceptual Framework for Implementation Fidelity. Effectiveness was assessed by the degree to which context-driven adjustments were made to implementation strategies of FRESH AIR health interventions. The resulting Setting-Exploration-Treasure-Trail-to-Inform-implementatioN-strateGies (SETTING-tool) consisted of six steps: (1) Coset study priorities with local stakeholders, (2) Combine a qualitative rapid assessment with a quantitative survey (a mixed-method design), (3) Use context-sensitive materials, (4) Collect data involving community researchers, (5) Analyse pragmatically and/or in-depth to ensure timely communication of findings and (6) Continuously disseminate findings to relevant stakeholders. Use of the tool proved highly feasible, acceptable and effective in each setting. To conclude, the SETTING-tool is validated to systematically map local contexts for (lung) health interventions in diverse low-resource settings. It can support policy-makers, non-governmental organisations and health workers in the design of context-driven implementation strategies. This can reduce the risk of implementation failure and the waste of resource potential. Ultimately, this could improve health outcomes.