A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations.

Abstract:

BACKGROUND:There is growing interest in the use of cognitive, behavioural, and organisational theories in implementation research. However, the extent of use of theory in implementation research is uncertain. METHODS:We conducted a systematic review of use of theory in 235 rigorous evaluations of guideline dissemination and implementation studies published between 1966 and 1998. Use of theory was classified according to type of use (explicitly theory based, some conceptual basis, and theoretical construct used) and stage of use (choice/design of intervention, process/mediators/moderators, and post hoc/explanation). RESULTS:Fifty-three of 235 studies (22.5%) were judged to have employed theories, including 14 studies that explicitly used theory. The majority of studies (n = 42) used only one theory; the maximum number of theories employed by any study was three. Twenty-five different theories were used. A small number of theories accounted for the majority of theory use including PRECEDE (Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation), diffusion of innovations, information overload and social marketing (academic detailing). CONCLUSIONS:There was poor justification of choice of intervention and use of theory in implementation research in the identified studies until at least 1998. Future research should explicitly identify the justification for the interventions. Greater use of explicit theory to understand barriers, design interventions, and explore mediating pathways and moderators is needed to advance the science of implementation research.

journal_name

Implement Sci

authors

Davies P,Walker AE,Grimshaw JM

doi

10.1186/1748-5908-5-14

subject

Has Abstract

pub_date

2010-02-09 00:00:00

pages

14

issn

1748-5908

pii

1748-5908-5-14

journal_volume

5

pub_type

杂志文章
  • A cluster-randomized trial of task shifting and blood pressure control in Ghana: study protocol.

    abstract:BACKGROUND:Countries in sub-Saharan Africa (SSA) are experiencing an epidemic of cardiovascular disease (CVD) propelled by rapidly increasing rates of hypertension. Barriers to hypertension control in SSA include poor access to care and high out-of-pocket costs. Although SSA bears 24% of the global disease burden, it h...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1748-5908-9-73

    authors: Ogedegbe G,Plange-Rhule J,Gyamfi J,Chaplin W,Ntim M,Apusiga K,Khurshid K,Cooper R

    更新日期:2014-06-12 00:00:00

  • Research funders' roles and perceived responsibilities in relation to the implementation of clinical research results: a multiple case study of Swedish research funders.

    abstract:BACKGROUND:Implementation of clinical research results is challenging, yet the responsibility for implementation is seldom addressed. The process from research to the use of clinical research results in health care can be facilitated by research funders. In this paper, we report the roles of ten Swedish research funder...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-015-0290-5

    authors: Brantnell A,Baraldi E,van Achterberg T,Winblad U

    更新日期:2015-07-17 00:00:00

  • A cluster randomized controlled trial aimed at implementation of local quality improvement collaboratives to improve prescribing and test ordering performance of general practitioners: study protocol.

    abstract:BACKGROUND:The use of guidelines in general practice is not optimal. Although evidence-based methods to improve guideline adherence are available, variation in physician adherence to general practice guidelines remains relatively high. The objective for this study is to transfer a quality improvement strategy based on ...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-4-6

    authors: Trietsch J,van der Weijden T,Verstappen W,Janknegt R,Muijrers P,Winkens R,van Steenkiste B,Grol R,Metsemakers J

    更新日期:2009-02-17 00:00:00

  • Training community resource center and clinic personnel to prompt patients in listing questions for doctors: follow-up interviews about barriers and facilitators to the implementation of consultation planning.

    abstract:BACKGROUND:Visit preparation interventions help patients prepare to meet with a medical provider. Systematic reviews have found some positive effects, but there are no reports describing implementation experiences. Consultation Planning (CP) is a visit preparation technique in which a trained coach or facilitator elici...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-3-6

    authors: Belkora J,Edlow B,Aviv C,Sepucha K,Esserman L

    更新日期:2008-01-31 00:00:00

  • Organizational impact of evidence-informed decision making training initiatives: a case study comparison of two approaches.

    abstract:BACKGROUND:The impact of efforts by healthcare organizations to enhance the use of evidence to improve organizational processes through training programs has seldom been assessed. We therefore endeavored to assess whether and how the training of mid- and senior-level healthcare managers could lead to organizational cha...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-9-53

    authors: Champagne F,Lemieux-Charles L,Duranceau MF,MacKean G,Reay T

    更新日期:2014-05-02 00:00:00

  • Refining a taxonomy for guideline implementation: results of an exercise in abstract classification.

    abstract:BACKGROUND:To better understand the efficacy of various implementation strategies, improved methods for describing and classifying the nature of these strategies are urgently required. The aim of this study was to develop and pilot the feasibility of a taxonomy to classify the nature and content of implementation strat...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-8-32

    authors: Mazza D,Bairstow P,Buchan H,Chakraborty SP,Van Hecke O,Grech C,Kunnamo I

    更新日期:2013-03-15 00:00:00

  • Barriers and facilitators of evidence-based management of patients with bacterial infections among general dental practitioners: a theory-informed interview study.

    abstract:BACKGROUND:General dental practitioners (GDPs) regularly prescribe antibiotics to manage dental infections although most infections can be treated successfully by local measures. Published guidance to support GDPs to make appropriate prescribing decisions exists but there continues to be wide variation in dental antibi...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-016-0372-z

    authors: Newlands R,Duncan EM,Prior M,Elouafkaoui P,Elders A,Young L,Clarkson JE,Ramsay CR,Translation Research in a Dental Setting (TRiaDS) Research Methodology Group.

    更新日期:2016-01-29 00:00:00

  • Measuring persistence of implementation: QUERI Series.

    abstract::As more quality improvement programs are implemented to achieve gains in performance, the need to evaluate their lasting effects has become increasingly evident. However, such long-term follow-up evaluations are scarce in healthcare implementation science, being largely relegated to the "need for further research" sec...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-3-21

    authors: Bowman CC,Sobo EJ,Asch SM,Gifford AL,HIV\/Hepatitis Quality Enhancement Research Initiative.

    更新日期:2008-04-22 00:00:00

  • An implementation research agenda.

    abstract::In October 2006, the Chief Medical Officer (CMO) of England asked Professor Sir John Tooke to chair a High Level Group on Clinical Effectiveness in response to the chapter 'Waste not, want not' in the CMOs 2005 annual report 'On the State of the Public Health'. The high level group made recommendations to the CMO to a...

    journal_title:Implementation science : IS

    pub_type: 社论

    doi:10.1186/1748-5908-4-18

    authors: Eccles MP,Armstrong D,Baker R,Cleary K,Davies H,Davies S,Glasziou P,Ilott I,Kinmonth AL,Leng G,Logan S,Marteau T,Michie S,Rogers H,Rycroft-Malone J,Sibbald B

    更新日期:2009-04-07 00:00:00

  • Mechanisms of implementing public health interventions: a pooled causal mediation analysis of randomised trials.

    abstract:BACKGROUND:The World Health Organization recommends that nations implement evidence-based nutritional guidelines and policies in settings such as schools and childcare services to improve public health nutrition. Understanding the causal mechanism by which implementation strategies exert their effects could enhance gui...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-018-0734-9

    authors: Lee H,Hall A,Nathan N,Reilly KL,Seward K,Williams CM,Yoong S,Finch M,Wiggers J,Wolfenden L

    更新日期:2018-03-12 00:00:00

  • Knowledge translation in Uganda: a qualitative study of Ugandan midwives' and managers' perceived relevance of the sub-elements of the context cornerstone in the PARIHS framework.

    abstract:BACKGROUND:A large proportion of the annual 3.3 million neonatal deaths could be averted if there was a high uptake of basic evidence-based practices. In order to overcome this 'know-do' gap, there is an urgent need for in-depth understanding of knowledge translation (KT). A major factor to consider in the successful t...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-7-117

    authors: Bergström A,Peterson S,Namusoko S,Waiswa P,Wallin L

    更新日期:2012-12-03 00:00:00

  • Evaluation of quality improvement for cesarean sections caesarean section programmes through mixed methods.

    abstract:BACKGROUND:The rate of avoidable caesarean sections (CS) could be reduced through multifaceted strategies focusing on the involvement of health professionals and compliance with clinical practice guidelines (CPGs). Quality improvements for CS (QICS) programmes (QICS) based on this approach, have been implemented in Can...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s13012-014-0182-0

    authors: Bermúdez-Tamayo C,Johri M,Perez-Ramos FJ,Maroto-Navarro G,Caño-Aguilar A,Garcia-Mochon L,Aceituno L,Audibert F,Chaillet N

    更新日期:2014-12-11 00:00:00

  • Barriers and enablers to delivery of the Healthy Kids Check: an analysis informed by the Theoretical Domains Framework and COM-B model.

    abstract:BACKGROUND:More than a fifth of Australian children arrive at school developmentally vulnerable. To counteract this, the Healthy Kids Check (HKC), a one-off health assessment aimed at preschool children, was introduced in 2008 into Australian general practice. Delivery of services has, however, remained low. The Theore...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-9-60

    authors: Alexander KE,Brijnath B,Mazza D

    更新日期:2014-05-23 00:00:00

  • Effectiveness of a multi-level implementation strategy for ASD interventions: study protocol for two linked cluster randomized trials.

    abstract:BACKGROUND:The Centers for Disease Control (2018) estimates that 1 in 59 children has autism spectrum disorder, and the annual cost of ASD in the U.S. is estimated to be $236 billion. Evidence-based interventions have been developed and demonstrate effectiveness in improving child outcomes. However, research on general...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-018-0757-2

    authors: Brookman-Frazee L,Stahmer AC

    更新日期:2018-05-09 00:00:00

  • Effectiveness of multifaceted implementation strategies for the implementation of back and neck pain guidelines in health care: a systematic review.

    abstract:BACKGROUND:For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for t...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,评审

    doi:10.1186/s13012-016-0482-7

    authors: Suman A,Dikkers MF,Schaafsma FG,van Tulder MW,Anema JR

    更新日期:2016-09-20 00:00:00

  • Making sense of health information technology implementation: A qualitative study protocol.

    abstract:BACKGROUND:Implementing new practices, such as health information technology (HIT), is often difficult due to the disruption of the highly coordinated, interdependent processes (e.g., information exchange, communication, relationships) of providing care in hospitals. Thus, HIT implementation may occur slowly as staff m...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-5-95

    authors: Kitzmiller RR,Anderson RA,McDaniel RR Jr

    更新日期:2010-11-29 00:00:00

  • Are there valid proxy measures of clinical behaviour? A systematic review.

    abstract:BACKGROUND:Accurate measures of health professionals' clinical practice are critically important to guide health policy decisions, as well as for professional self-evaluation and for research-based investigation of clinical practice and process of care. It is often not feasible or ethical to measure behaviour through d...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-4-37

    authors: Hrisos S,Eccles MP,Francis JJ,Dickinson HO,Kaner EF,Beyer F,Johnston M

    更新日期:2009-07-03 00:00:00

  • Evidence-informed health policy 4 - case descriptions of organizations that support the use of research evidence.

    abstract:BACKGROUND:Previous efforts to produce case descriptions have typically not focused on the organizations that produce research evidence and support its use. External evaluations of such organizations have typically not been analyzed as a group to identify the lessons that have emerged across multiple evaluations. Case ...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-3-56

    authors: Lavis JN,Moynihan R,Oxman AD,Paulsen EJ

    更新日期:2008-12-17 00:00:00

  • Evaluating the effectiveness of a clinical practice change intervention in increasing clinician provision of preventive care in a network of community-based mental health services: a study protocol of a non-randomized, multiple baseline trial.

    abstract:BACKGROUND:People with a mental illness experience substantial disparities in health, including increased rates of morbidity and mortality caused by potentially preventable chronic diseases. One contributing factor to such disparity is a higher prevalence of modifiable health risk behaviors, such as smoking, inadequate...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1748-5908-8-85

    authors: Bartlem K,Bowman J,Freund M,Wye P,McElwaine K,Knight J,McElduff P,Gillham K,Wiggers J

    更新日期:2013-08-06 00:00:00

  • A pragmatic study exploring the prevention of delirium among hospitalized older hip fracture patients: Applying evidence to routine clinical practice using clinical decision support.

    abstract:: Delirium occurs in up to 65% of older hip fracture patients. Developing delirium in hospital has been associated with a variety of adverse outcomes. Trials have shown that multi-component preventive interventions can lower delirium rates. The objective of this study was to implement and evaluate the effectiveness of ...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-5-81

    authors: Holroyd-Leduc JM,Abelseth GA,Khandwala F,Silvius JL,Hogan DB,Schmaltz HN,Frank CB,Straus SE

    更新日期:2010-10-22 00:00:00

  • Understanding the uptake of a clinical innovation for osteoarthritis in primary care: a qualitative study of knowledge mobilisation using the i-PARIHS framework.

    abstract:BACKGROUND:Osteoarthritis is a leading cause of pain and disability worldwide. Despite research supporting best practice, evidence-based guidelines are often not followed. Little is known about the implementation of non-surgical models of care in routine primary care practice. From a knowledge mobilisation perspective,...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-020-01055-2

    authors: Swaithes L,Dziedzic K,Finney A,Cottrell E,Jinks C,Mallen C,Currie G,Paskins Z

    更新日期:2020-10-28 00:00:00

  • Applying GRADE-CERQual to qualitative evidence synthesis findings-paper 6: how to assess relevance of the data.

    abstract:BACKGROUND:The GRADE-CERQual (Confidence in Evidence from Reviews of Qualitative research) approach has been developed by the GRADE (Grading of Recommendations Assessment, Development and Evaluation) Working Group. The approach has been developed to support the use of findings from qualitative evidence syntheses in dec...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-017-0693-6

    authors: Noyes J,Booth A,Lewin S,Carlsen B,Glenton C,Colvin CJ,Garside R,Bohren MA,Rashidian A,Wainwright M,Tunςalp Ö,Chandler J,Flottorp S,Pantoja T,Tucker JD,Munthe-Kaas H

    更新日期:2018-01-25 00:00:00

  • Enhanced implementation of low back pain guidelines in general practice: study protocol of a cluster randomised controlled trial.

    abstract:BACKGROUND:Evidence-based clinical practice guidelines may improve treatment quality, but the uptake of guideline recommendations is often incomplete and slow. Recently new low back pain guidelines are being launched in Denmark. The guidelines are considered to reduce personal and public costs. The aim of this study is...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1748-5908-8-124

    authors: Riis A,Jensen CE,Bro F,Maindal HT,Petersen KD,Jensen MB

    更新日期:2013-10-20 00:00:00

  • Implementation capital: merging frameworks of implementation outcomes and social capital to support the use of evidence-based practices.

    abstract:BACKGROUND:Although there is growing recognition that the implementation of evidence-based practices is a social process, the conceptualization of social capital in implementation frameworks often conflates bonding and bridging social capital. This conflation makes it difficult to concretely operationalize social capit...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-019-0860-z

    authors: Neal JW,Neal ZP

    更新日期:2019-02-14 00:00:00

  • Implementation of clinical practice changes in the PICU: a qualitative study using and refining the iPARIHS framework.

    abstract:BACKGROUND:Like in many settings, implementation of evidence-based practices often fall short in pediatric intensive care units (PICU). Very few prior studies have applied implementation science frameworks to understand how best to improve practices in this unique environment. We used the relatively new integrated Prom...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-021-01080-9

    authors: Steffen KM,Holdsworth LM,Ford MA,Lee GM,Asch SM,Proctor EK

    更新日期:2021-01-28 00:00:00

  • Intervention planning for a digital intervention for self-management of hypertension: a theory-, evidence- and person-based approach.

    abstract:BACKGROUND:This paper describes the intervention planning process for the Home and Online Management and Evaluation of Blood Pressure (HOME BP), a digital intervention to promote hypertension self-management. It illustrates how a Person-Based Approach can be integrated with theory- and evidence-based approaches. The Pe...

    journal_title:Implementation science : IS

    pub_type: 杂志文章,评审

    doi:10.1186/s13012-017-0553-4

    authors: Band R,Bradbury K,Morton K,May C,Michie S,Mair FS,Murray E,McManus RJ,Little P,Yardley L

    更新日期:2017-02-23 00:00:00

  • The use of tacit and explicit knowledge in public health: a qualitative study.

    abstract:BACKGROUND:Planning a public health initiative is both a science and an art. Public health practitioners work in a complex, often time-constrained environment, where formal research literature can be unavailable or uncertain. Consequently, public health practitioners often draw upon other forms of knowledge. METHODS:T...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-7-20

    authors: Kothari A,Rudman D,Dobbins M,Rouse M,Sibbald S,Edwards N

    更新日期:2012-03-20 00:00:00

  • Why don't physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitioners.

    abstract:BACKGROUND:Despite wide distribution and promotion of clinical practice guidelines, adherence among Dutch general practitioners (GPs) is not optimal. To improve adherence to guidelines, an analysis of barriers to implementation is advocated. Because different recommendations within a guideline can have different barrie...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-4-54

    authors: Lugtenberg M,Zegers-van Schaick JM,Westert GP,Burgers JS

    更新日期:2009-08-12 00:00:00

  • The impact of a physician detailing and sampling program for generic atorvastatin: an interrupted time series analysis.

    abstract:BACKGROUND:In 2011, Manitoba implemented a province-wide program of physician detailing and free sampling for generic atorvastatin to increase use of this generic statin. We examined the impact of this unique combined program of detailing and sampling for generic atorvastatin on the use and cost of statin medicines, ma...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/s13012-017-0671-z

    authors: Worthington HC,Cheng L,Majumdar SR,Morgan SG,Raymond CB,Soumerai SB,Law MR

    更新日期:2017-11-25 00:00:00

  • Using behavioural theories to optimise shared haemodialysis care: a qualitative intervention development study of patient and professional experience.

    abstract:BACKGROUND:Patients in control of their own haemodialysis report better outcomes than those receiving professional controlled care in a hospital setting, even though home and hospital haemodialysis are largely equivalent from mechanical and physiological perspectives. Shared Haemodialysis Care (SHC) describes an initia...

    journal_title:Implementation science : IS

    pub_type: 杂志文章

    doi:10.1186/1748-5908-8-118

    authors: Glidewell L,Boocock S,Pine K,Campbell R,Hackett J,Gill S,Wilkie M,Yorkshire and Humber Shared Haemodialysis Care team.

    更新日期:2013-10-07 00:00:00