Barriers and enablers to the implementation of healthy lifestyle interventions for people with disability living in supported accommodation: A systematic review using the consolidated framework for implementation research

Kostas Hatzikiriakidis; Darshini Ayton; Amanda O'Connor; Libby Callaway; Sarah Carmody; Helen Skouteris; Rachael Green

doi:10.1016/j.dhjo.2023.101442

Barriers and enablers to the implementation of healthy lifestyle interventions for people with disability living in supported accommodation: A systematic review using the consolidated framework for implementation research

Disabil Health J. 2023 Apr;16(2):101442. doi: 10.1016/j.dhjo.2023.101442. Epub 2023 Jan 16.

Authors

Kostas Hatzikiriakidis¹, Darshini Ayton², Amanda O'Connor², Libby Callaway³, Sarah Carmody², Helen Skouteris⁴, Rachael Green²

Affiliations

¹ Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia. Electronic address: kosta.hatzikiriakidis@monash.edu.
² Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia.
³ Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Australia; Occupational Therapy Department, School of Primary and Allied Health Care, Monash University, Australia.
⁴ Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Australia; Warwick Business School, Warwick University, United Kingdom.

PMID: 36740546
DOI: 10.1016/j.dhjo.2023.101442

Abstract

Background: People with disability living in supported accommodation often experience significant health disparities, despite the availability of additional support. Healthy lifestyle interventions have been identified as one key health promotion strategy. Implementation science offers an opportunity to explore the factors that influence the efficacy and sustainability of these interventions, yet its application in this context has been underutilized.

Objective: This systematic review synthesized the barriers and enablers to the implementation of healthy lifestyle interventions delivered to people with disability living in supported accommodation settings.

Methods: A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A search for relevant literature published between January 2011 and November 2021 was conducted across six databases. The findings of included studies were coded and analyzed according to the domains and constructs of the Consolidated Framework for Implementation Research (CFIR) via deductive content analysis.

Results: Five studies were included, and their findings were mapped to 21 out of 38 constructs under the CFIR. Interventions from each study delivered health promotion education and training to staff and/or people with disability. The most prominent determinants that influenced implementation success included an intervention's relevance and its flexibility to adapt to the needs of people with disability, alongside organizational resourcing, and stakeholder endorsement in supporting implementation.

Conclusions: The CFIR provided a systematic approach to explore the implementation of healthy lifestyle interventions. However, further research that is grounded in and guided by implementation science theories is warranted. Despite the scarcity of literature, several compelling, yet preliminary recommendations were drawn from the findings.

Keywords: Consolidated framework for implementation research; Disability; Healthy eating; Implementation science; Physical activity; Supported accommodation.

Publication types

Systematic Review
Research Support, Non-U.S. Gov't

MeSH terms

Assisted Living Facilities
Disabled Persons*
Health Status Disparities
Healthy Lifestyle*
Humans