Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol
Introduction One of the most commonly reported COVID-19-related changes to all maternity services has been an increase in the use of digital clinical consultations such as telephone or video calling; however, the ways in which they can be optimally used along maternity care pathways remain unclear....
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/9/e062106.full |
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| author | Andrew Booth Catrin Evans Stephen Timmons Helen Spiby Mark Clowes Nia Jones Kerry Evans Benash Nazmeen Candice Sunney Georgia Clancy |
| author_facet | Andrew Booth Catrin Evans Stephen Timmons Helen Spiby Mark Clowes Nia Jones Kerry Evans Benash Nazmeen Candice Sunney Georgia Clancy |
| author_sort | Andrew Booth |
| collection | DOAJ |
| description | Introduction One of the most commonly reported COVID-19-related changes to all maternity services has been an increase in the use of digital clinical consultations such as telephone or video calling; however, the ways in which they can be optimally used along maternity care pathways remain unclear. It is imperative that digital service innovations do not further exacerbate (and, ideally, should tackle) existing inequalities in service access and clinical outcomes. Using a realist approach, this project aims to synthesise the evidence around implementation of digital clinical consultations, seeking to illuminate how they can work to support safe, personalised and appropriate maternity care and to clarify when they might be most appropriately used, for whom, when, and in what contexts?Methods and analysis The review will be conducted in four iterative phases, with embedded stakeholder involvement: (1) refining the review focus and generating initial programme theories, (2) exploring and developing the programme theories in light of evidence, (3) testing/refining the programme theories and (4) constructing actionable recommendations. The review will draw on four sources of evidence: (1) published literature (searching nine bibliographic databases), (2) unpublished (grey) literature, including research, audit, evaluation and policy documents (derived from Google Scholar, website searches and e-thesis databases), (3) expertise contributed by service user and health professional stakeholder groups (n=20–35) and (4) key informant interviews (n=12). Included papers will consist of any study design, in English and from 2010 onwards. The review will follow the Realist and Meta-narrative Evidence Synthesis Evolving Standards quality procedures and reporting guidance.Ethics and dissemination Ethical approval has been obtained from the University of Nottingham, Faculty of Medicine and Health Sciences Ethics Committee (FMHS 426–1221). Informed consent will be obtained for all key informant interviews. Findings will be disseminated in a range of formats relevant to different audiences.PROSPERO registration number CRD42021288702. |
| format | Article |
| id | doaj-art-3d24a2504970453e83d6c03cad168ae4 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-3d24a2504970453e83d6c03cad168ae42025-02-11T16:00:10ZengBMJ Publishing GroupBMJ Open2044-60552022-09-0112910.1136/bmjopen-2022-062106Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocolAndrew Booth0Catrin Evans1Stephen Timmons2Helen Spiby3Mark Clowes4Nia Jones5Kerry Evans6Benash Nazmeen7Candice Sunney8Georgia Clancy9School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK1 School of Health Sciences, University of Nottingham, Nottingham, UKBusiness School, University of Nottingham, Nottingham, UK1 School of Health Sciences, University of Nottingham, Nottingham, UK2 School of Health and Related Research, University of Sheffield, Sheffield, UKCentre for Perinatal Research, University of Nottingham, Nottingham, UK1 School of Health Sciences, University of Nottingham, Nottingham, UK3 School of Allied Health Professionals and Midwifery, University of Bradford, Bradford, UK4 Notitngham Maternity Research Network, University of Nottingham, Nottingham, UK1 School of Health Sciences, University of Nottingham, Nottingham, UKIntroduction One of the most commonly reported COVID-19-related changes to all maternity services has been an increase in the use of digital clinical consultations such as telephone or video calling; however, the ways in which they can be optimally used along maternity care pathways remain unclear. It is imperative that digital service innovations do not further exacerbate (and, ideally, should tackle) existing inequalities in service access and clinical outcomes. Using a realist approach, this project aims to synthesise the evidence around implementation of digital clinical consultations, seeking to illuminate how they can work to support safe, personalised and appropriate maternity care and to clarify when they might be most appropriately used, for whom, when, and in what contexts?Methods and analysis The review will be conducted in four iterative phases, with embedded stakeholder involvement: (1) refining the review focus and generating initial programme theories, (2) exploring and developing the programme theories in light of evidence, (3) testing/refining the programme theories and (4) constructing actionable recommendations. The review will draw on four sources of evidence: (1) published literature (searching nine bibliographic databases), (2) unpublished (grey) literature, including research, audit, evaluation and policy documents (derived from Google Scholar, website searches and e-thesis databases), (3) expertise contributed by service user and health professional stakeholder groups (n=20–35) and (4) key informant interviews (n=12). Included papers will consist of any study design, in English and from 2010 onwards. The review will follow the Realist and Meta-narrative Evidence Synthesis Evolving Standards quality procedures and reporting guidance.Ethics and dissemination Ethical approval has been obtained from the University of Nottingham, Faculty of Medicine and Health Sciences Ethics Committee (FMHS 426–1221). Informed consent will be obtained for all key informant interviews. Findings will be disseminated in a range of formats relevant to different audiences.PROSPERO registration number CRD42021288702.https://bmjopen.bmj.com/content/12/9/e062106.full |
| spellingShingle | Andrew Booth Catrin Evans Stephen Timmons Helen Spiby Mark Clowes Nia Jones Kerry Evans Benash Nazmeen Candice Sunney Georgia Clancy Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol BMJ Open |
| title | Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol |
| title_full | Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol |
| title_fullStr | Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol |
| title_full_unstemmed | Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol |
| title_short | Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol |
| title_sort | realist inquiry into maternity care a distance arm da realist review protocol |
| url | https://bmjopen.bmj.com/content/12/9/e062106.full |
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