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

BMJ Open. 2022 Feb 28;12(2):e050784. doi: 10.1136/bmjopen-2021-050784.

Abstract

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.

Keywords: community child health; nutrition; public health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Humans
  • Income*
  • Outcome Assessment, Health Care*
  • Polyesters
  • Research Design
  • Systematic Reviews as Topic

Substances

  • Polyesters