Using a cross-contextual reciprocal learning approach in a multisite implementation research project to improve self-management for type 2 diabetes

dc.contributor.authorOlmen, Josefien van ,
dc.contributor.authorOlmen, Josefien van
dc.contributor.authorDelobelle, Peter
dc.contributor.authorGuwatudde, David
dc.contributor.authorAbsetz, Pilvikki
dc.contributor.authorSanders, David
dc.contributor.authorMölsted Alvesson, Helle
dc.contributor.authorPuoane, Thandi
dc.contributor.authorOstenson, Claes-Goran
dc.contributor.authorTomson, Göran
dc.contributor.authorMayega, Roy William
dc.contributor.authorSundberg, Carl Johan
dc.contributor.authorPeterson, Stefan
dc.contributor.authorDaivadanam, Meena
dc.date.accessioned2022-04-30T11:06:23Z
dc.date.available2022-04-30T11:06:23Z
dc.date.issued2018
dc.description.abstractThis paper reports on the use of reciprocal learning for identifying, adopting and adapting a type 2 diabetes self-management support intervention in a multisite implementation trial conducted in a rural setting in a low-income country (Uganda), a periurban township in a middle-income country (South Africa) and socioeconomically disadvantaged suburbs in a highincome country (Sweden). The learning process was guided by a framework for knowledge translation and structured into three learning cycles, allowing for a balance between evidence, stakeholder interaction and contextual adaptation. Key factors included commitment, common goals, leadership and partnerships. Synergistic outcomes were the cocreation of knowledge, interventions and implementation methods, including reverse innovations such as adaption of community-linked models of care. Contextualisation was achieved by cross-site exchanges and local stakeholder interaction to balance intervention fidelity with local adaptation. Interdisciplinary and crosssite collaboration resulted in the establishment of learning networks. Limitations of reciprocal learning relate to the complexity of the process with unpredictable outcomes and the limited generalisability of results.en_US
dc.identifier.citationvan Olmen J, Delobelle P, Guwatudde D, et al. Using a cross-contextual reciprocal learning approach in a multisite implementation research project to improve self-management for type 2 diabetes. BMJ Glob Health 2018;3:e001068. doi:10.1136/ bmjgh-2018-001068en_US
dc.identifier.other10.1136/ bmjgh-2018-001068
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3048
dc.language.isoenen_US
dc.publisherBMJ Glob Healthen_US
dc.subjectCross-contextual reciprocal learningen_US
dc.subjectResearch projecten_US
dc.subjectSelf-managementen_US
dc.subjectType 2 diabetesen_US
dc.titleUsing a cross-contextual reciprocal learning approach in a multisite implementation research project to improve self-management for type 2 diabetesen_US
dc.typeArticleen_US
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