4.6 Review

Participatory learning and action (PLA) to improve health outcomes in high-income settings: a systematic review protocol

Journal

BMJ OPEN
Volume 12, Issue 2, Pages -

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2021-050784

Keywords

community child health; public health; nutrition

Funding

  1. National Institute for Health Research (NIHR) Advanced Fellowship [NIHR300020]
  2. Barts Charity
  3. NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North Thames
  4. NIHR Advanced Fellowship [NIHR300020]
  5. National Institutes of Health Research (NIHR) [NIHR300020] Funding Source: National Institutes of Health Research (NIHR)

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Participatory learning and action (PLA) has shown effectiveness in improving social and health outcomes in low-income countries, but its implementation in high-income countries (HICs) is limited. This study aims to synthesize existing literature through a systematic review to provide a foundation for future applications of PLA methodology in HICs.
Introduction Participatory learning and action (PLA) is a form of group reflection and learning with documented efficacy in low-income countries to improve social and health outcomes. PLA represents both a learning philosophy and a practical framework that could be applied to a variety of contexts. To date, PLA has not been widely implemented within high-income countries (HICs) to improve health and health-related outcomes. We aim to synthesise the literature currently available by means of a systematic review to form a foundation for future applications of PLA methodology in HICs. Methods and analysis Two reviewers will independently search predefined terms in the following electronic bibliographic databases: MEDLINE, EMBASE, CINAHL and Cochrane Library. The search terms will encompass PLA and PDSA (Plan-Do-Study-Act) projects, as well as studies using the Triple/Quadruple Aim model. We will include randomised controlled trials that incorporate online or face-to-face components using the PLA/PDSA methodology. Our data will be extracted into a standardised prepiloted form with subsequent narrative review according to the SWiM (Synthesis Without Meta-Analysis) guidelines. Ethics and dissemination No ethics approval is required for this study. The results of this study will be submitted for publication in a leading peer-reviewed academic journal in this field. Additionally, a report will be produced for the funders of this review, which can be viewed for free on their website. PROSPERO registration number CRD42020187978.

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