Abstract

Along with the worldwide recognition of the importance of the methodological guidance to the validity and rigour of complex health interventions, this scoping review aims to identify and characterise the scientific evidence on complex health interventions in Portuguese healthcare research. The Joanna Briggs Institute (JBI) guidance for scoping reviews will be followed. The population (P) concept (C) context (C) mnemonic will scaffold the research questions, inclusion and exclusion criteria, and searching strategy. MEDLINE, CINAHL, LILACS, and Open Access Scientific Repository of Portugal (RCAAP) will be searched. Scientific evidence reporting complex health interventions in the Portuguese healthcare context, in Portuguese and English and published from 2008 and onwards will be considered for inclusion. Literature pertaining to complex health interventions outside the Portuguese healthcare context will be excluded. The literature will be screened for eligibility by two independent reviewers first by title and abstract and subsequently by full-text. A data matrix will be used for data-extraction of the included literature. The charted data will be thematically analysed and presented graphically with a narrative description of the literature characteristics. The results from this literature review are expected to provide an overview of the knowledge concerning the characteristics and methodological guidance of Portuguese complex health interventions.

Highlights

  • Publisher’s Note: MDPI stays neutralComplex interventions in health are commonly used in the healthcare services and they are provided and evaluated at different levels.The evidence demonstrates that the research of complex interventions in health is essential to promote efficient clinical practice and promote positive impact on healthcare or population health outcomes [1]

  • The proposed scoping review will be conducted in accordance with the Joanna Briggs

  • The results from this literature review are expected to provide an overview of the knowledge concerning the characteristics and methodological guidance of Portuguese complex health interventions

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Summary

Introduction

Complex interventions in health are commonly used in the healthcare services and they are provided and evaluated at different levels (e.g., from an individual to social level). The evidence demonstrates that the research of complex interventions in health is essential to promote efficient clinical practice and promote positive impact on healthcare or population health outcomes [1]. From the analysis of clinical practice in different fields, health interventions are consensually considered to be complex, as they entail many components and inter-relational elements that might hamper achieving the envisioned outcomes. There are many definitions of complex interventions that are pivotal in the clarification of this concept and in the subsequent research designs used to investigate them. Some authors presented a different definition, with the categorization of complexity beyond the components of the intervention [4] and have considered complexity concerning the implementation (e.g., how an intervention can differ as it is implemented), the context

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