Abstract
Background: Chronic diseases, such as cancers and cardiovascular diseases, present the greatest burden of morbidity and mortality worldwide. This burden disproportionately affects historically marginalized populations. Health equity is rapidly gaining increased attention in public health, health services, and implementation research, though many health inequities persist. Health equity frameworks and models (FM) have been called upon to guide equity-focused chronic disease and implementation research. However, there is no clear synthesis of the health equity FM used in chronic disease research or how these are applied in empirical studies. This scoping review seeks to fill this gap by identifying and characterizing health equity FM applied in empirical studies along the chronic disease prevention and control continuum, describing how these FM are used, and exploring potential applications to the field of implementation science. Methods: We follow established guidance for conducting scoping reviews, which includes six stages: (1) identify the research question; (2) identify relevant studies; (3) select studies for inclusion; (4) data extraction; (5) collating, summarizing, and reporting the results; and (6) consultation. This protocol presents the iterative, collaborative approach taken to conceptualize this study and develop the search strategy. We describe the criteria for inclusion in this review, methods for conducting two phases of screening (title and abstract, full text), data extraction procedures, and quality assurance approaches taken throughout the project. Discussion: The findings from this review will inform health-equity focused chronic disease prevention and control research. FM identified through this review will be added to an existing website summarizing dissemination and implementation science frameworks, and we will offer case examples and recommendations for utilizing a health equity FM in empirical studies. Our search strategy and review methodology may serve as an example for scholars seeking to conduct reviews of health equity FM in other health disciplines. Systematic review registration: Open Science Framework Registration https://doi.org/10.17605/OSF.IO/SFVE6
| Original language | English (US) |
|---|---|
| Article number | 83 |
| Journal | Systematic Reviews |
| Volume | 12 |
| Issue number | 1 |
| DOIs | |
| State | Published - Dec 2023 |
Funding
This work was supported in part by the National Cancer Institute (P50CA24443, P50CA244668), the National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092950), the National Heart, Lung, and Blood Institute (T32HL130357), the National Institute on Minority Health and Health Disparities (T37MD014218), the National Center for Advancing Translational Sciences (UL1TR002345), the Centers for Disease Control and Prevention (U48DP006395). This work was also supported by the Center for Dissemination and Implementation (CDI) at the Institute for Public Health at Washington University in St. Louis. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the Centers for Disease Control and Prevention, or any other governmental agency. Our team expresses sincere gratitude to Ms. Allison Phad, who provided instrumental support in launching the project. We thank the following groups and their members who provided input on the conceptualization of this study and input on the search strategy: the Collaborative for Anti-Racist Dissemination & Implementation Science (CARDIS), the National Cancer Institute-funded Implementation Science Centers for Cancer Control (ISC3) Health Equity Task Force, the University of Colorado ISC3, the Cancer Consortium for Implementation Science Context and Equity in Implementation Science action group, the Washington University in St. Louis Prevention Research Center, and the Equity Research and Innovation Center (ERIC) at Yale University. We also thank Drs. Shiriki Kumanyika and Ross Brownson for their input and suggestions.
Keywords
- Chronic disease
- Frameworks
- Health equity
- Implementation science
- Models
- Noncommunicable disease
- Scoping review
ASJC Scopus subject areas
- Medicine (miscellaneous)
