Translating research into practice is an important issue for implementing health interventions effectively for Indigenous communities. He Pikinga Waiora (HPW) is a recent implementation framework that provides a strong foundation for designing and implementing health interventions in Indigenous communities for non-communicable diseases around community engagement, culture-centred approach, systems thinking and integrated knowledge translation. This study addresses the following research question: How are the elements of the HPW Implementation Framework reflected in studies involving the implementation of a non-communicable disease health intervention in an Indigenous community? A systematic review was conducted using multiple databases. Studies were included if they involved the implementation or evaluation of a health intervention targeting non-communicable diseases for Indigenous communities in Australia, Canada, New Zealand or the United States of America. Published quantitative and qualitative literature from 2008 to 2018 were included. Methodological appraisal of the included articles was completed using the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information. Data on the population, topic, methods, and outcomes were detailed for each individual study. Key data extracted included the HPW elements along with study characteristics, who delivered the intervention and health outcomes. Data analysis involved a qualitative synthesis of findings as guided by a coding scheme of the HPW elements. Twenty-one studies were included. Health topics included diabetes, nutrition, weight loss, cancer and general health. The key themes were as follows: (a) two thirds of studies demonstrated high levels of community engagement; (b) from the culture-centred approach, two-thirds of studies reflected moderate to high levels of community voice/agency although only a third of the studies included structural changes and researcher reflexivity; (c) about a quarter of studies included multi-level outcomes and activities consistent with systems thinking, 40% had individual-level outcomes with some systems thinking, and 33% included individual-level outcomes and limited systems thinking; and (d) almost 40% of studies included high levels of end user (e.g., policy makers and tribal leaders) engagement reflective of integrated knowledge translation, but nearly half had limited end-user engagement. The HPW Implementation Framework is a comprehensive model for potentially understanding implementation effectiveness in Indigenous communities. The review suggests that the studies are reflective of high levels of community engagement and culture-centredness. The long-term sustainability and translation of evidence to practice may be inhibited because of lower levels of systems thinking and integrated knowledge translation. Not registered

中文翻译：

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原住民社区健康干预措施的实施效果：系统评价

将研究转化为实践是为土著社区有效实施健康干预措施的一个重要问题。He Pikinga Waiora (HPW) 是一个最新的实施框架，为围绕社区参与、以文化为中心的方法、系统思维和综合知识转化在原住民社区设计和实施针对非传染性疾病的健康干预措施提供了坚实的基础。本研究解决了以下研究问题：HPW 实施框架的要素如何反映在涉及在土著社区实施非传染性疾病健康干预措施的研究中？使用多个数据库进行了系统评价。如果研究涉及针对澳大利亚、加拿大、新西兰或美利坚合众国土著社区非传染性疾病的健康干预措施的实施或评估，则纳入研究。包括2008年至2018年发表的定量和定性文献。使用乔安娜·布里格斯研究所信息统一管理、评估和审查系统完成了对纳入文章的方法学评估。每项研究都详细介绍了有关人群、主题、方法和结果的数据。提取的关键数据包括 HPW 要素以及研究特征、实施干预措施的人员和健康结果。数据分析涉及在 HPW 元素编码方案的指导下对研究结果进行定性综合。纳入了二十一项研究。健康主题包括糖尿病、营养、减肥、癌症和一般健康。关键主题如下： (a) 三分之二的研究表明社区参与程度很高；(b) 从以文化为中心的方法来看，三分之二的研究反映了中等到高水平的社区声音/能动性，尽管只有三分之一的研究包括结构性变化和研究人员的反思性；(c) 大约四分之一的研究包括与系统思维一致的多层次成果和活动，40%的研究包括带有一些系统思维的个人层面的成果，33%的研究包括个人层面的成果和有限的系统思维；(d) 近 40% 的研究包括反映综合知识翻译的最终用户（例如政策制定者和部落领袖）的高水平参与，但近一半的最终用户参与有限。HPW 实施框架是一个综合模型，可用于了解原住民社区的实施有效性。审查表明，这些研究反映了高水平的社区参与和文化中心性。由于系统思维和综合知识转化水平较低，长期可持续性和证据转化为实践可能会受到抑制。未注册