Unraveling the Complexity in the Design and Implementation of Bundled Payments: A Scoping Review of Key Elements From a Payer's Perspective

BACKGROUND Many health conditions can be prevented, managed, or improved through behavioral interventions. Biological feedback, as a component of health behavior change interventions, is of particular interest given recent advances in wearable biosensing technology, digital health apps, and personalized health and wellness. Yet, there is a paucity of literature to guide the design and implementation of interventions that incorporate biological feedback to motivate health behavior change. OBJECTIVE The goal of this scoping review is to deeply explore the use of biological feedback as a component of health behavior change interventions that target adults. Objectives of the review include: (1) mapping the domains of research that incorporate biological feedback and (2) describing the operational characteristics of using biological feedback in the context of health behavior change. METHODS A comprehensive list of search terms was developed to capture studies from a wide range of domains. Studies to be included are randomized controlled trials targeting adults ≥18 years old that use biological feedback to change a health-related behavior, and are published as primary research articles, theses, or dissertations. The following electronic databases were searched: Ovid MEDLINE, Embase.com Embase, Cochrane Central Register of Controlled Trials, EBSCOhost PsycINFO, and ProQuest Dissertations & Theses Global. The screening and data extraction process will be guided by the Joanna Briggs Institute Manual for Evidence Synthesis and conducted by trained reviewers. RESULTS Database searches were completed in June 2021. A total of 50,459 unique records were returned after the removal of 48,634 duplicate records. The scoping review is planned for completion in 2022. CONCLUSIONS To our knowledge, this will be the first scoping review to map the literature that uses biological feedback as a component of health behavior change interventions targeting adults. Findings will be used to develop a framework to guide the design and implementation of future health behavior change interventions that incorporate biological feedback. CLINICALTRIAL 10.17605/OSF.IO/YP5WA

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Key issues for participatory research in the design and implementation of humanitarian assistance: a scoping review

Global Health Action ◽

10.1080/16549716.2020.1826730 ◽

2020 ◽

Vol 13 (1) ◽

pp. 1826730

Author(s):

Ilja Ormel ◽

Jon Salsberg ◽

Matthew Hunt ◽

Alison Doucet ◽

Lisa Hinton ◽

...

Keyword(s):

Participatory Research ◽

Scoping Review ◽

Humanitarian Assistance ◽

Design And Implementation ◽

Key Issues

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Have Policies Tackled Gender Inequalities in Health? A Scoping Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18010327 ◽

2021 ◽

Vol 18 (1) ◽

pp. 327

Author(s):

Nuria Crespí-Lloréns ◽

Ildefonso Hernández-Aguado ◽

Elisa Chilet-Rosell

Keyword(s):

Decision Making ◽

Scoping Review ◽

Policy Making ◽

Web Of Science ◽

Implementation Process ◽

Gender Inequalities ◽

Inequalities In Health ◽

Design And Implementation ◽

Women's Participation ◽

Evaluation Of Policies

Gender is recognized as one of the most relevant determinants of health inequalities. This scoping review sought to identify and analyse policies, either implemented or formulated as proposals, which aimed to reduce gender inequalities in health. We searched Medline, Web of Science, and Scielo. Of 2895 records, 91 full text articles were analysed, and 33 papers were included. Of these papers, 22 described the process of formulation, implementation, or evaluation of policies whose aim was to reduce gender inequalities in health; six focused on recommendations, and the remaining five dealt with both issues. Our review showed that the policies aimed at reducing gender inequalities in health, either implemented or formulated as proposals, are scarce. Moreover, despite some success, overall progress has been slow. The studies show failures in design and particularly in the implementation process. We found a lack of awareness and capacity in the policy-making progress, under-financing, bureaucratization, shortage of relevant data, and absence of women’s participation in decision-making. Therefore, an emphasis on the design and implementation of gender-sensitive policies seems essential to advance gender equality in health. This scoping review gathers evidence to support the design of such policies and recommendations that can facilitate their implementation.

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Health Taxes on Tobacco, Alcohol, Food and Drinks in Low- and Middle-Income Countries: A Scoping Review of Policy Content, Actors, Process and Context

International Journal of Health Policy and Management ◽

10.34172/ijhpm.2020.170 ◽

2020 ◽

Author(s):

Lana M. Elliott ◽

Sarah L. Dalglish ◽

Stephanie M. Topp

Keyword(s):

Scoping Review ◽

Soft Drink ◽

Related Factors ◽

Middle Income ◽

Middle Income Countries ◽

Design And Implementation ◽

Factors Influencing ◽

Vested Interests ◽

Health Related ◽

Low And Middle Income

Background: Taxation of tobacco, food, alcohol and other beverages has gained renewed attention in responding to non-communicable diseases (NCDs). While largely built on evidence from high-income countries (HICs), the projected economic and health benefits of these measures have increased calls for their use in price-sensitive low- and middle-income countries (LMICs). However, uptake has been sporadic and there remains little research on why and how LMICs utilise fiscal measures in response to NCDs. Methods: This scoping review analyses factors influencing the design and implementation of health-related fiscal measures in LMICs. Utilising Arksey and O’Malley’s scoping review methodology and Walt and Gilson’s policy triangle, we considered the contextual, procedural, content and stakeholder-related factors that influenced measures. Results: We identified 75 papers focussing on health-related fiscal measures, with 47 (63%) focused on tobacco, 5 on alcohol, 6 on soft drink and 4 studies on food-related fiscal regulation. Thirteen papers analysed multiple measures and most papers (n = 66, 88%) were less than a decade old. Key factors enabling the design and implementation of measures included localised health and economic evidence, policy championing, inter-ministerial support, and global or regional momentum. Impeding factors encompassed negative framing and retaliation by industry, vested interests and governmental policy disjuncture. Aligning with theoretic insights from the policy triangle, findings consistently demonstrated that the interplay between factors – rather than the presence or absence of particular factors – has the most profound impact on policy implementation. Conclusion: Given the growing urgency to address NCDs in LMICs, this review highlights the need for recognition and rigorous exploration of political economy factors influencing the design and implementation of fiscal measures. Broader LMIC-specific empirical research is needed to overcome an implication noted in much of the literature: that mechanisms used to enact tobacco taxation are universally applicable to measures targeting foods, alcohol and other beverages.

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Design and implementation framework of social assistive robotics for people with dementia - a scoping review

Health and Technology ◽

10.1007/s12553-021-00522-0 ◽

2021 ◽

Vol 11 (2) ◽

pp. 367-378

Author(s):

Deniz Ozdemir ◽

Jaroslav Cibulka ◽

Olga Stepankova ◽

Iva Holmerova

Keyword(s):

Scoping Review ◽

Assistive Robotics ◽

Implementation Framework ◽

Design And Implementation ◽

People With Dementia

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AAC Considerations for Individuals With Angelman Syndrome

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac24.3.106 ◽

2015 ◽

Vol 24 (3) ◽

pp. 106-113 ◽

Cited By ~ 1

Author(s):

Stephen N. Calculator

Keyword(s):

Angelman Syndrome ◽

Augmentative And Alternative Communication ◽

High Tech ◽

Alternative Communication ◽

Design And Implementation

Purpose To provide an overview of communication characteristics exhibited by individuals with Angelman Syndrome (AS) and special considerations associated with the design and implementation of augmentative and alternative communication (AAC) programs. Method Results of recent studies exploring individuals' uses of AAC are reviewed, with particular emphasis on factors related to individuals' acceptance and successful uses of AAC systems. Results Not applicable Conclusion Despite their inconsistent access to practices previously found to foster individuals' acceptance of AAC systems, individuals with AS demonstrate the ability to use AAC systems, including high-tech AAC devices, successfully.

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