Barriers, frameworks, and mitigating strategies influencing the dissemination and implementation of health promotion interventions in indigenous communities: a scoping review

Sacca, Lea; Shegog, Ross; Hernandez, Belinda; Peskin, Melissa; Rushing, Stephanie Craig; Jessen, Cornelia; Lane, Travis; Markham, Christine

doi:10.1186/s13012-022-01190-y

Implementation Science

Table 4 SISTER-Strategies by domain, rank, and percentage of citation

From: Barriers, frameworks, and mitigating strategies influencing the dissemination and implementation of health promotion interventions in indigenous communities: a scoping review

#^a	Strategy	Domain^d	Rank	Strat. (%)	Imp.^b	Feas.^c
21	Build partnerships (i.e., coalitions) to support implementation	Develop stakeholder interrelationships	1	86
22	Capture and share local knowledge	Develop stakeholder interrelationships	2	81		x
17	Tailor strategies	Adapt and tailor to context	3	71
23	Conduct local consensus discussions	Develop stakeholder interrelationships	4	52
37	Conduct educational meetings	Train and educate stakeholders	5	38
9	Monitor the progress of the implementation effort	Use evaluative and iterative strategies	5	38	x
57	Involve students, family members, and other staff	Engage consumers	5	38
39	Conduct ongoing training	Train and educate stakeholders	5	38	x
35	Use advisory boards and workgroups	Develop stakeholder interrelationships	6	33
43	Make training dynamic	Train and educate stakeholders	6	33	x	x
28	Inform local opinion leaders	Develop stakeholder interrelationships	7	29
24	Develop academic partnerships	Develop stakeholder interrelationships	7	29
42	Distribute educational materials	Train and educate stakeholders	7	29		x
40	Create a professional learning collaborative	Train and educate stakeholders	8	24
58	Prepare families and students to be active participants	Engage consumers	8	24
13	Peer-assisted learning	Provide interactive assistance	8	24
14	Provide practice-specific supervision	Provide interactive assistance	8	24
12	Facilitation/problem-solving	Provide interactive assistance	9	19		x
15	Provide local technical assistance	Provide interactive assistance	9	19
16	Promote adaptability	Adapt and tailor to context	9	19
29	Involve governing organizations	Develop stakeholder interrelationships	9	19
44	Provide ongoing consultation/coaching	Train and educate stakeholders	9	19	x
1	Assess for readiness and identify barriers and facilitators	Use evaluative and iterative strategies	9	19
7	Develop instruments to monitor and evaluate core components of the innovation/new practice	Use evaluative and iterative strategies	9	19
34	Recruit, designate, train for leadership	Develop stakeholder interrelationships	9	19
68	Change/alter environment	Change infrastructure	9	19

^aSISTER category number based on Cook et al., 2019 [38]. A total of 26 strategies are documented in the table. The rationale behind the cut-off is that the strategy has been included in at least four out of the twenty-three studies
^bRanked as highly important by Lyon et al., 2019 [33]
^cRanked as highly feasible by Lyon et al., 2019 [33]
^dAll 9 SISTER domains were cited (Cook et al, 2019 [38]). They numbered (from highest to lowest) based on the 26 (out of 60) highly ranked SISTER strategies (≥ 4 studies) cited within seven of these domains: Develop stakeholder interrelationships (31%); Train and educate stakeholders (23%); Provide interactive assistance (15%); Use evaluative and iterative strategies (12%); Adapt and tailor to context (8%); Engage consumers (8%); and Change infrastructure (4%). The remaining two domains (“Support educators” and “Use financial strategies”) included strategies cited in less than four studies and were thus not included in the table

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ISSN: 1748-5908

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