ArticlePloS one2019
The role of context in implementation research for non-communicable diseases: Answering the 'how-to' dilemma.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Health system interventions for adults with type 2 diabetes in low- and middle-income countries: A systematic review and meta-analysis.PLoS medicine · 2020Pooled it
- Implementing lung health interventions in low- and middle-income countries: a FRESH AIR systematic review and meta-synthesis.The European respiratory journal · 2020Pooled it
- Built Environment and Health Behaviors: Deconstructing the Black Box of Interactions-A Review of Reviews.International journal of environmental research and public health · 2019Pooled it
- Understanding context in the implementation of school health promotion: a scoping review and conceptual framework.Systematic reviews · 2026Article
- Participatory Digital Twins for Chronic Care: From Predictive Models to Shared Sensemaking.Journal of participatory medicine · 2026Article
- Context and generalizability in health policy and systems research: a plea for an integrative praxis of theorizing.Health policy and planning · 2025Article
- [Reflections on implementing population-based measures for the prevention of non-communicable diseases].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- In Which Ways Does Community-Based Dental Education Facilitate Development of Professional Identity in Undergraduate Curricula? A Scoping Review.European journal of dental education : official journal of the Association for Dental Education in Europe · 2025Article
- Standardized disease-related measures in diabetes research: results from a global consensus process.Frontiers in public health · 2025Article
- Contextual awareness, response and evaluation (CARE) of diabetes in poor urban communities in Ghana: the CARE diabetes project qualitative study protocol.Global health action · 2024Article
- Beyond autonomy: unpacking self-regulated and self-directed learning through the lens of learner agency- a scoping review.BMC medical education · 2024Article
- Adapting and testing measures of organizational context in primary care clinics in KwaZulu-Natal, South Africa.BMC health services research · 2024Article
- Burden of diseases due to high systolic blood pressure in the Middle East and North Africa region from 1990 to 2019.Scientific reports · 2024Article
- Implementing a cirrhosis order set in a tertiary healthcare system: a theory-informed formative evaluation.BMC health services research · 2023Article
- Factors That Influence the Use of eHealth in Home Care: Scoping Review and Cross-sectional Survey.Journal of medical Internet research · 2023Article
- Connecting the science and practice of implementation - applying the lens of context to inform study design in implementation research.Frontiers in health services · 2023Article
- Qualitative evaluation of rapid implementation of remote blood pressure self-monitoring in pregnancy during Covid-19.PloS one · 2023Article
- Methodological approaches to study context in intervention implementation studies: an evidence gap map.BMC medical research methodology · 2022Article
- Understanding context in the implementation of emergency obstetric and neonatal care in health facilities in Osun State, Nigeria- a mixed-methods study.BMC pregnancy and childbirth · 2022Article
- Group Care in the first 1000 days: implementation and process evaluation of contextually adapted antenatal and postnatal group care targeting diverse vulnerable populations in high-, middle- and low-resource settings.Implementation science communications · 2022Article
Corrections and comments
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Authors and funding
38 authors.
Funding
Abstract
introductionUnderstanding context and how this can be systematically assessed and incorporated is crucial to successful implementation. We describe how context has been assessed (including exploration or evaluation) in Global Alliance for Chronic Diseases (GACD) implementation research projects focused on improving health in people with or at risk of chronic disease and how contextual lessons were incorporated into the intervention or the implementation process.
methodsUsing a web-based semi-structured questionnaire, we conducted a cross-sectional survey to collect quantitative and qualitative data across GACD projects (n = 20) focusing on hypertension, diabetes and lung diseases. The use of context-specific data from project planning to evaluation was analyzed using mixed methods and a multi-layered context framework across five levels; 1) individual and family, 2) community, 3) healthcare setting, 4) local or district level, and 5) state or national level.
resultsProject teams used both qualitative and mixed methods to assess multiple levels of context (avg. = 4). Methodological approaches to assess context were identified as formal and informal assessments, engagement of stakeholders, use of locally adapted resources and materials, and use of diverse data sources. Contextual lessons were incorporated directly into the intervention by informing or adapting the intervention, improving intervention participation or improving communication with participants/stakeholders. Provision of services, equipment or information, continuous engagement with stakeholders, feedback for personnel to address gaps, and promoting institutionalization were themes identified to describe how contextual lessons are incorporated into the implementation process.
conclusionsContext is regarded as critical and influenced the design and implementation of the GACD funded chronic disease interventions. There are different approaches to assess and incorporate context as demonstrated by this study and further research is required to systematically evaluate contextual approaches in terms of how they contribute to effectiveness or implementation outcomes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.