Models, strategies, and tools. Theory in implementing evidence-based findings into health care practice.

Abstract:

:This paper presents a case for careful consideration of theory in planning to implement evidence-based practices into clinical care. As described, theory should be tightly linked to strategic planning through careful choice or creation of an implementation framework. Strategies should be linked to specific interventions and/or intervention components to be implemented, and the choice of tools should match the interventions and overall strategy, linking back to the original theory and framework. The thesis advanced is that in most studies where there is an attempt to implement planned change in clinical processes, theory is used loosely. An example of linking theory to intervention design is presented from a Mental Health Quality Enhancement Research Initiative effort to increase appropriate use of antipsychotic medication among patients with schizophrenia in the Veterans Health Administration.

journal_name

J Gen Intern Med

authors

Sales A,Smith J,Curran G,Kochevar L

doi

10.1111/j.1525-1497.2006.00362.x

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

S43-9

eissn

0884-8734

issn

1525-1497

pii

JGI362

journal_volume

21 Suppl 2

pub_type

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