Prioritising child health and maternity evidence-based interventions or service models: a stakeholder-driven process
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Published 10 June 2022 · BMC Health Services Research
Prioritising child health and maternity evidence-based interventions or service models: a stakeholder-driven process
A UK programme led by the NIHR and coordinated by Applied Research Collaborations (ARC) developed a three-stage stakeholder-driven process to identify, assess and select evidence-based, implementation-ready service innovations for child and maternal health.
Forbes, C., Morley, N., Liabo, K. et al. BMC Health Serv Res 22, 764 (2022).
Abstract
Aim
A UK programme, led by the National Institute for Health Research (NIHR) and coordinated by Applied Research Collaborations (ARC), aimed to identify and select evidence-based, implementation-ready service innovations for evaluation. The programme focused on seven areas of health provision. We report on a prioritisation process designed to identify and assess innovations in one of these areas: child and maternal health (CH&M).
Methods
We developed a three-stage, online, stakeholder-driven process to:
Identify evidence-based interventions or service models, using crowdsourcing to gather initial suggestions
Assess and prioritise using the APEASE criteria, with brief evidence reviews for all initial suggestions to identify those with the largest evidence base
Select final projects via the Project Management Group and Advisory Board, using in-depth evidence reviews and the APEASE criteria
Stakeholder workshops considered and ranked suggestions using the APEASE criteria, with in-depth evidence reviews conducted for the highest-ranked suggestions.
Results
We received 32 initial suggestions from a range of clinicians, practitioners and researchers. Fourteen of the most evidence-based suggestions were considered and ranked at four themed stakeholder workshops. Nine suggestions were ranked for further in-depth evidence review, and a final four projects were selected for implementation evaluation:
Maternal Mental Health Services Multidisciplinary Teams — ESMI-III
Early years tooth brushing programme — BRUSH
Trauma-focused CBT for young people in care — ADaPT
Independent Domestic Violence Advisors in maternity settings — RIVA
Feedback from participants suggested that having public representatives participating in all stakeholder meetings, rather than being consulted separately, focused discussions clearly on patient benefit rather than research aims.
Conclusions
The stakeholder-driven process achieved its aim of identifying, prioritising, assessing and selecting evidence-based projects for wider implementation and evaluation. The concurrent process could be adapted by other researchers or policy makers.
Key finding: Embedding public and patient representatives in all stakeholder meetings — rather than consulting them separately — focused discussions on patient benefit and improved the quality of the prioritisation process.
Publication details
| Authors | Naomi Morley, Dr Kristin Liabo, Dr Gretchen Bjornstad, Heather Boult, Professor Stuart Logan, Professor Vashti Berry |
| Published | 10 June 2022 |
| Journal | BMC Health Services Research, Vol. 22, Article 764 |
| DOI | 10.1186/s12913-022-08110-2 |
Associated projects
- →
Children’s Health and Maternity programme - →
ESMI-III: The Effectiveness and Implementation of Maternal Mental Health Services - →
Evaluating models of health-based maternity Violence Advisor (RIVA) provision in maternity services - →
BRUSH: Optimising toothbrushing programmes in nurseries and schools - →
Trauma-focused Cognitive Behavioural Therapy for children in care (ADaPT)
Original source: arc-swp.nihr.ac.uk — NIHR ARC South West legacy content archived for South London Maternal Health Research.