Implementing lung health interventions in low- and middle-income countries - a FRESH AIR systemaktic review and meta-synthesis.

Implementing lung health interventions in low- and middle-income countries - a FRESH AIR systemaktic review and meta-synthesis. Eur Respir J. 2020 Apr 27;: Authors: Brakema EA, Vermond D, Pinnock H, Lionis C, Kirenga B, Pham Le A, Sooronbaev T, Chavannes NH, van der Kleij RMJJ, FRESH AIR collaborators Abstract The vast majority of patients with chronic respiratory disease live in low- and middle-income countries (LMICs). Paradoxically, relevant interventions often fail to be effective particularly in these settings, as LMICs lack solid evidence on how to implement interventions successfully. Therefore, we aimed to identify factors critical to the implementation of lung health interventions in LMICs, and weight their level of evidence.This systematic review followed Cochrane methodology and PRISMA reporting standards. We searched eight databases without date- or language restrictions in July 2019, and included all relevant original, peer-reviewed articles. Two researchers independently selected articles, critically appraised them (using CASP/MetaQAT), extracted data, coded factors (following CFIR), and assigned levels of confidence in the factors (via GRADE-CERQual). We meta-synthesised levels of evidence of the factors based on their frequency and the assigned level of confidence. (PROSPERO:CRD42018088687)We included 37 articles out of 9111 screened. Studies were performed across the globe in a broad range of settings. Factors identi...
Source: Respiratory Care - Category: Respiratory Medicine Authors: Tags: Eur Respir J Source Type: research