Contextual factors influencing complex intervention research processes in care homes: a systematic review and framework synthesis.

ABSTRACT: Care homes are complex settings to undertake intervention research. Barriers to research implementation processes can threaten studies' validity, reducing the value to residents, staff, researchers and funders. We aimed to (i) identify and categorise contextual factors that may mediate outcomes of complex intervention studies in care homes and (ii) provide recommendations to minimise the risk of expensive research implementation failures. We conducted a systematic review using a framework synthesis approach viewed through a complex adaptive systems lens. We searched: MEDLINE, Embase, CINAHL, ASSIA databases and grey literature. We sought process evaluations of care home complex interventions published in English. Narrative data were indexed under 28 context domains. We performed an inducti

SUBMITTER: Peryer G 

PROVIDER: S-EPMC8887840 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature