1,555 results match your criteria Implementation Science [Journal]


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

Implement Sci 2019 Feb 14;14(1):16. Epub 2019 Feb 14.

Department of Psychology, Michigan State University, 316 W. Physics Rd., East Lansing, 48824, MI, USA.

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 capital and limits the concept's utility for explaining implementation outcomes.

Discussion: We propose a new framework of implementation capital that merges an existing conceptual framework of implementation outcomes with an existing operational framework of social capital. Read More

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http://dx.doi.org/10.1186/s13012-019-0860-zDOI Listing
February 2019

The role of scientific evidence in decisions to adopt complex innovations in cancer care settings: a multiple case study in Nova Scotia, Canada.

Implement Sci 2019 Feb 12;14(1):14. Epub 2019 Feb 12.

Department of Surgery, Dalhousie University, Room 8-032, Centennial Building, 1276 South Park Street, Halifax, Nova Scotia, B3H 2Y9, Canada.

Background: Health care delivery and outcomes can be improved by using innovations (i.e., new ideas, technologies, and practices) supported by scientific evidence. Read More

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http://dx.doi.org/10.1186/s13012-019-0859-5DOI Listing
February 2019

Organizational culture and climate profiles: relationships with fidelity to three evidence-based practices for autism in elementary schools.

Implement Sci 2019 Feb 12;14(1):15. Epub 2019 Feb 12.

Department of Speech and Hearing Sciences, University of Washington, 1417 NE 42nd St, Seattle, WA, 98105, USA.

Background: Implementation researchers have typically studied organizational culture and climate by testing whether individual dimensions are linked to the implementation of evidence-based practices (EBPs) rather than examining how the overarching social context influences implementation. This approach may limit implementation theory and strategy development to the extent that individual dimensions of culture and climate interact, mutually reinforce or counteract one another, or exhibit non-linear relationships. This study tests whether empirically identifiable culture and climate profiles emerge in a sample of organizations and examines how these profiles relate to EBP fidelity and work attitudes that support EBP sustainment, focusing on three EBPs for youth with autism delivered in schools as an example. Read More

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http://dx.doi.org/10.1186/s13012-019-0863-9DOI Listing
February 2019

Correction to: Hospital organizational context and delivery of evidence-based stroke care: a cross-sectional study.

Implement Sci 2019 Feb 8;14(1):13. Epub 2019 Feb 8.

Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3, Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.

Following publication of the original article [1], the authors reported an error in one of the authors' names. In this Correction the incorrect and correct author name are shown. The original article has been corrected. Read More

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http://dx.doi.org/10.1186/s13012-019-0862-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367782PMC
February 2019
1 Read

Implementation and acceptability of a heart attack quality improvement intervention in India: a mixed methods analysis of the ACS QUIK trial.

Implement Sci 2019 Feb 6;14(1):12. Epub 2019 Feb 6.

Department of Medicine, Northwestern University Feinberg School of Medicine, 680 N. Lake Shore Drive, Suite 1400, Chicago, IL, 60611, USA.

Background: The ACS QUIK trial showed that a multicomponent quality improvement toolkit intervention resulted in improvements in processes of care for patients with acute myocardial infarction in Kerala but did not improve clinical outcomes in the context of background improvements in care. We describe the development of the ACS QUIK intervention and evaluate its implementation, acceptability, and sustainability.

Methods: We performed a mixed methods process evaluation alongside a cluster randomized, stepped-wedge trial in Kerala, India. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-019-0857-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364470PMC
February 2019
3 Reads

Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the Veterans Health Administration.

Implement Sci 2019 Feb 1;14(1):11. Epub 2019 Feb 1.

Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Stanford University, 795 Willow Rd, Menlo Park, CA, 94025, USA.

Background: It is challenging to conduct and quickly disseminate findings from in-depth qualitative analyses, which can impede timely implementation of interventions because of its time-consuming methods. To better understand tradeoffs between the need for actionable results and scientific rigor, we present our method for conducting a framework-guided rapid analysis (RA) and a comparison of these findings to an in-depth analysis of interview transcripts.

Methods: Set within the context of an evaluation of a successful academic detailing (AD) program for opioid prescribing in the Veterans Health Administration, we developed interview guides informed by the Consolidated Framework for Implementation Research (CFIR) and interviewed 10 academic detailers (clinical pharmacists) and 20 primary care providers to elicit detail about successful features of the program. Read More

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http://dx.doi.org/10.1186/s13012-019-0853-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6359833PMC
February 2019

Understanding professional advice networks in long-term care: an outside-inside view of best practice pathways for diffusion.

Implement Sci 2019 Jan 30;14(1):10. Epub 2019 Jan 30.

Dalla Lana School of Public Health, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

Background: Interpersonal relationships among professionals drive both the adoption and rejection of consequential innovations. Through relationships, decision-makers learn which colleagues are choosing to adopt innovations, and why. The purpose of our study was to understand how and why long-term care (LTC) leaders in a pan-Canadian interpersonal network provide and seek advice about care improvement innovations, for the eventual dissemination and implementation of these innovations. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-019-0858-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354382PMC
January 2019
4 Reads

Study protocol: a pragmatic, stepped-wedge trial of tailored support for implementing social determinants of health documentation/action in community health centers, with realist evaluation.

Implement Sci 2019 Jan 28;14(1). Epub 2019 Jan 28.

OCHIN, Inc, 1881 SW Naito Pkwy, Portland, OR, 97201, USA.

Background: National leaders recommend documenting social determinants of health and actions taken to address social determinants of health in electronic health records, and a growing body of evidence suggests the health benefits of doing so. However, little evidence exists to guide implementation of social determinants of health documentation/action.

Methods: This paper describes a 5-year, mixed-methods, stepped-wedge trial with realist evaluation, designed to test the impact of providing 30 community health centers with step-by-step guidance on implementing electronic health record-based social determinants of health documentation. Read More

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http://dx.doi.org/10.1186/s13012-019-0855-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348649PMC
January 2019

A randomized trial of decision support for tobacco dependence treatment in an inpatient electronic medical record: clinical results.

Implement Sci 2019 Jan 22;14(1). Epub 2019 Jan 22.

Department of Psychiatry, Yale School of Medicine, New Haven, USA.

Background: Smokers usually abstain from tobacco while hospitalized but relapse after discharge. Inpatient interventions may encourage sustained quitting. We previously demonstrated that a decision support tool embedded in an electronic health record (EHR) improved physicians' treatment of hospitalized smokers. Read More

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http://dx.doi.org/10.1186/s13012-019-0856-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343239PMC
January 2019
2 Reads

Barriers and facilitators of pediatric shared decision-making: a systematic review.

Implement Sci 2019 Jan 18;14(1). Epub 2019 Jan 18.

Faculty of Health Sciences, University of Ottawa, 540 King Edward Avenue, Ottawa, ON, K1N 6N5, Canada.

Background: Shared decision-making (SDM) is rarely implemented in pediatric practice. Pediatric health decision-making differs from that of adult practice. Yet, little is known about the factors that influence the implementation of pediatric shared decision-making (SDM). Read More

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http://dx.doi.org/10.1186/s13012-018-0851-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339273PMC
January 2019
1 Read

Protocol for evaluating the nationwide implementation of the VA Stratification Tool for Opioid Risk Management (STORM).

Implement Sci 2019 Jan 18;14(1). Epub 2019 Jan 18.

Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh, Pittsburgh, PA, USA.

Background: Mitigating the risks of adverse outcomes from opioids is critical. Thus, the Veterans Affairs (VA) Healthcare System developed the Stratification Tool for Opioid Risk Management (STORM), a dashboard to assist clinicians with opioid risk evaluation and mitigation. Updated daily, STORM calculates a "risk score" of adverse outcomes (e. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-019-0852-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339438PMC
January 2019
7 Reads
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Hospital organizational context and delivery of evidence-based stroke care: a cross-sectional study.

Implement Sci 2019 Jan 18;14(1). Epub 2019 Jan 18.

Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3, Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.

Background: Organizational context is one factor influencing the translation of evidence into practice, but data pertaining to patients with acute stroke are limited. We aimed to determine the associations of organizational context in relation to four important evidence-based stroke care processes.

Methods: This was a mixed methods cross-sectional study. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0849-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339367PMC
January 2019
3 Reads

Evaluation of a targeted, theory-informed implementation intervention designed to increase uptake of emergency management recommendations regarding adult patients with mild traumatic brain injury: results of the NET cluster randomised trial.

Implement Sci 2019 Jan 17;14(1). Epub 2019 Jan 17.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Background: Evidence-based guidelines for management of mild traumatic brain injury (mTBI) in the emergency department (ED) are now widely available; however, clinical practice remains inconsistent with these guidelines. A targeted, theory-informed implementation intervention (Neurotrauma Evidence Translation (NET) intervention) was designed to increase the uptake of three clinical practice recommendations regarding the management of patients who present to Australian EDs with mild head injuries. The intervention involved local stakeholder meetings, identification and training of nursing and medical local opinion leaders, train-the-trainer workshops and standardised education materials and interactive workshops delivered by the opinion leaders to others within their EDs during a 3 month period. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-018-0841-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337860PMC
January 2019
5 Reads

Intermediary/purveyor organizations for evidence-based interventions in the US child mental health: characteristics and implementation strategies.

Implement Sci 2019 Jan 14;14(1). Epub 2019 Jan 14.

Washington University Brown School of Social Work, One Brookings Drive, St. Louis, MO, 63130, USA.

Background: Many psychosocial interventions are disseminated and supported by organizations, termed "Intermediary/Purveyor Organizations" (IPOs). Because IPOs remain largely unstudied, we lack understanding of their scale and the strategies they utilize. The role and function of organizations that link resource systems with user systems, such as IPOs, have been identified as an important but understudied issue in implementation science. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0845-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332855PMC
January 2019
6 Reads

Mixed-method approaches to strengthen economic evaluations in implementation research.

Implement Sci 2019 Jan 11;14(1). Epub 2019 Jan 11.

Department of Health Management and Policy, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48109, USA.

Background: Guidance from economic evaluations on which implementation strategies represent the best return on investment will be critical to advancing the Triple Aim of health care: improving patient care and population health while minimizing per-capita cost. The results of traditional (quantitative) economic evaluations are limited by a remaining "qualitative residual" of contextual information and stakeholders perspectives, which cannot be captured by monetary values alone and is particularly prevalent in implementation science research. The emergence of qualitative methods for economic evaluation offers a promising solution. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0850-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329154PMC
January 2019
5 Reads

Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework.

Implement Sci 2019 Jan 5;14(1). Epub 2019 Jan 5.

Child and Adolescent Services Research Center, 3665 Kearny Villa Rd., Suite 200N, San Diego, CA, 92123, USA.

Background: Effective implementation of evidence-based practices (EBPs) remains a significant challenge. Numerous existing models and frameworks identify key factors and processes to facilitate implementation. However, there is a need to better understand how individual models and frameworks are applied in research projects, how they can support the implementation process, and how they might advance implementation science. Read More

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http://dx.doi.org/10.1186/s13012-018-0842-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6321673PMC
January 2019

Improving inappropriate medication and information transfer at hospital discharge: study protocol for a cluster RCT.

Implement Sci 2018 12 27;13(1):155. Epub 2018 Dec 27.

Institute of Primary Care (IHAMZ), University and University Hospital of Zurich, Pestalozzistrasse 24, CH-8091, Zurich, Switzerland.

Background: Inappropriate medication and polypharmacy increase morbidity, hospitalisation rate, costs and mortality in multimorbid patients. At hospital discharge of elderly patients, polypharmacy is often even more pronounced than at admission. However, the optimal discharge strategy in view of sustained medication appropriateness remains unclear. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0839-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309068PMC
December 2018
5 Reads

Implementation science in resource-poor countries and communities.

Implement Sci 2018 12 27;13(1):154. Epub 2018 Dec 27.

Africa Health Research Institute (AHRI), KwaZulu-Natal, South Africa.

Background: Implementation science in resource-poor countries and communities is arguably more important than implementation science in resource-rich settings, because resource poverty requires novel solutions to ensure that research results are translated into routine practice and benefit the largest possible number of people.

Methods: We reviewed the role of resources in the extant implementation science frameworks and literature. We analyzed opportunities for implementation science in resource-poor countries and communities, as well as threats to the realization of these opportunities. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-018-0847-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307212PMC
December 2018
2 Reads

A WHO-HPH operational program versus usual routines for implementing clinical health promotion: an RCT in health promoting hospitals (HPH).

Implement Sci 2018 12 22;13(1):153. Epub 2018 Dec 22.

Clinical Health Promotion Centre, WHO-CC, Bispebjerg and Frederiksberg Hospital, Copenhagen University Hospitals, Nordre Fasanvej 57, Build. 14, Entr. 5, 2nd fl, 2000, Frederiksberg, Denmark.

Background: Implementation of clinical health promotion (CHP) aiming at better health gain is slow despite its effect. CHP focuses on potentially modifiable lifestyle risks such as smoking, alcohol, diet, and physical inactivity. An operational program was created to improve implementation. Read More

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http://dx.doi.org/10.1186/s13012-018-0848-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304000PMC
December 2018

Applying modern measurement approaches to constructs relevant to evidence-based practice among Canadian physical and occupational therapists.

Implement Sci 2018 12 18;13(1):152. Epub 2018 Dec 18.

McGill University, Montreal, QC, Canada.

Background: Evidence-based practice (EBP) is a complex process. To quantify it, one has to also consider individual and contextual factors using multiple measures. Modern measurement approaches are available to optimize the measurement of complex constructs. Read More

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http://dx.doi.org/10.1186/s13012-018-0844-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6299597PMC
December 2018
1 Read

Human papillomavirus vaccine delivery in Mozambique: identification of implementation performance drivers using the Consolidated Framework for Implementation Research (CFIR).

Implement Sci 2018 12 13;13(1):151. Epub 2018 Dec 13.

Department of Global Health, University of Washington, Harris Hydraulics Laboratory, 1510 San Juan Road, Seattle, WA, 98195, USA.

Background: Since 2012 Gavi, the Vaccine Alliance has provided financial support for HPV vaccine introduction in low- and middle-income countries (LMICs); however, funding has been contingent on establishing a demonstration project prior to national scale-up, in order to gauge effectiveness of delivery models. Although by 2016, most beneficiary countries had completed demonstration projects, few have scaled up delivery nationwide. An important barrier was the dearth of published, country-specific implementation recommendations. Read More

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http://dx.doi.org/10.1186/s13012-018-0846-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293623PMC
December 2018
1 Read

Middle managers' role in implementing evidence-based practices in healthcare: a systematic review.

Implement Sci 2018 12 12;13(1):149. Epub 2018 Dec 12.

Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System, 150 South Huntington Avenue (152M), Jamaica Plain Campus, Building 9, Boston, MA, 02130, USA.

Background: Middle managers are in a unique position to promote the implementation of evidence-based practices (EBPs) in healthcare organizations, yet knowledge of middle managers' role in implementation and determinants (e.g., individual-, organizational-, and system-level factors) which influence their role remains fractured, spanning decades and disciplines. Read More

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http://dx.doi.org/10.1186/s13012-018-0843-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292008PMC
December 2018
2 Reads

German language questionnaires for assessing implementation constructs and outcomes of psychosocial and health-related interventions: a systematic review.

Implement Sci 2018 12 12;13(1):150. Epub 2018 Dec 12.

Department for Evidence-based Medicine and Clinical Epidemiology, Danube-University Krems, Dr.-Karl-Dorrek Strasse 30, 3500, Krems a.d. Donau, Austria.

Background: Over the past years, implementation science has gained more and more importance in German-speaking countries. Reliable and valid questionnaires are needed for evaluating the implementation of evidence-based practices. On an international level, several initiatives focused on the identification of questionnaires used in English-speaking countries but limited their search processes to mental health and public health settings. Read More

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http://dx.doi.org/10.1186/s13012-018-0837-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292038PMC
December 2018

Correction to: Improving care at scale: process evaluation of a multi-component quality improvement intervention to reduce mortality after emergency abdominal surgery (EPOCH trial).

Implement Sci 2018 12 10;13(1):148. Epub 2018 Dec 10.

THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Cambridge, UK.

Following the publication of this article [1], the authors reported a number of errors which are given below. Read More

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http://dx.doi.org/10.1186/s13012-018-0840-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287357PMC
December 2018

Economic evaluation of the NET intervention versus guideline dissemination for management of mild head injury in hospital emergency departments.

Implement Sci 2018 12 5;13(1):147. Epub 2018 Dec 5.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Background: Evidence-based guidelines for the management of mild traumatic brain injury (mTBI) in the emergency department (ED) are now widely available, and yet, clinical practice remains inconsistent with the guidelines. The Neurotrauma Evidence Translation (NET) intervention was developed to increase the uptake of guideline recommendations and improve the management of minor head injury in Australian emergency departments (EDs). However, the adoption of this type of intervention typically entails an upfront investment that may or may not be fully offset by improvements in clinical practice, health outcomes and/or reductions in health service utilisation. Read More

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http://dx.doi.org/10.1186/s13012-018-0834-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280545PMC
December 2018
1 Read

The Swedish version of the Normalization Process Theory Measure S-NoMAD: translation, adaptation, and pilot testing.

Implement Sci 2018 12 4;13(1):146. Epub 2018 Dec 4.

School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.

Background: The original British instrument the Normalization Process Theory Measure (NoMAD) is based on the four core constructs of the Normalization Process Theory: Coherence, Cognitive Participation, Collective Action, and Reflexive Monitoring. They represent ways of thinking about implementation and are focused on how interventions can become part of everyday practice.

Aim: To translate and adapt the original NoMAD into the Swedish version S-NoMAD and to evaluate its psychometric properties based on a pilot test in a health care context including in-hospital, primary, and community care contexts. Read More

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http://dx.doi.org/10.1186/s13012-018-0835-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6278165PMC
December 2018
1 Read

Testing implementation facilitation of a primary care-based collaborative care clinical program using a hybrid type III interrupted time series design: a study protocol.

Implement Sci 2018 11 29;13(1):145. Epub 2018 Nov 29.

Pain Research, Informatics, Multimorbidities and Education (PRIME) Center, VA Connecticut Healthcare System, West Haven, CT, USA.

Background: Dissemination of evidence-based practices that can reduce morbidity and mortality is important to combat the growing opioid overdose crisis in the USA. Research and expert consensus support reducing high-dose opioid therapy, avoiding risky opioid-benzodiazepine combination therapy, and promoting multi-modal, collaborative models of pain care. Collaborative care interventions that support primary care providers have been effective in medication tapering. Read More

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http://dx.doi.org/10.1186/s13012-018-0838-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262952PMC
November 2018
4 Reads

De-implementation of low value castration for men with prostate cancer: protocol for a theory-based, mixed methods approach to minimizing low value androgen deprivation therapy (DeADT).

Implement Sci 2018 11 29;13(1):144. Epub 2018 Nov 29.

VA HSR&D Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2215 Fuller Road, Ann Arbor, MI, 48105, USA.

Background: Men with prostate cancer are often castrated with long-acting injectable drugs termed androgen deprivation therapy (ADT). Although many benefit, ADT is also used in patients with little or nothing to gain. The best ways to stop this practice are unknown, and range from blunt pharmacy restrictions to informed decision-making. Read More

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http://dx.doi.org/10.1186/s13012-018-0833-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262964PMC
November 2018
1 Read

T-CaST: an implementation theory comparison and selection tool.

Implement Sci 2018 11 22;13(1):143. Epub 2018 Nov 22.

Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, Ontario, K1H 8L6, Canada.

Background: Theories, models, and frameworks (TMF) are foundational for generalizing implementation efforts and research findings. However, TMF and the criteria used to select them are not often described in published articles, perhaps due in part to the challenge of selecting from among the many TMF that exist in the field. The objective of this international study was to develop a user-friendly tool to help scientists and practitioners select appropriate TMF to guide their implementation projects. Read More

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http://dx.doi.org/10.1186/s13012-018-0836-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251099PMC
November 2018
8 Reads

Facilitating Implementation of Research Evidence (FIRE): an international cluster randomised controlled trial to evaluate two models of facilitation informed by the Promoting Action on Research Implementation in Health Services (PARIHS) framework.

Implement Sci 2018 11 16;13(1):137. Epub 2018 Nov 16.

Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.

Background: Health care practice needs to be underpinned by high quality research evidence, so that the best possible care can be delivered. However, evidence from research is not always utilised in practice. This study used the Promoting Action on Research Implementation in Health Services (PARIHS) framework as its theoretical underpinning to test whether two different approaches to facilitating implementation could affect the use of research evidence in practice. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0831-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238407PMC
November 2018
15 Reads

A realist process evaluation within the Facilitating Implementation of Research Evidence (FIRE) cluster randomised controlled international trial: an exemplar.

Implement Sci 2018 11 16;13(1):138. Epub 2018 Nov 16.

Faculty of Medicine and Health Science, Department of Nursing, Linkoping, and Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Linkopings University, Stockholm, Sweden.

Background: Facilitation is a promising implementation intervention, which requires theory-informed evaluation. This paper presents an exemplar of a multi-country realist process evaluation that was embedded in the first international randomised controlled trial evaluating two types of facilitation for implementing urinary continence care recommendations. We aimed to uncover what worked (and did not work), for whom, how, why and in what circumstances during the process of implementing the facilitation interventions in practice. Read More

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http://dx.doi.org/10.1186/s13012-018-0811-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238283PMC
November 2018

Designing and implementing two facilitation interventions within the 'Facilitating Implementation of Research Evidence (FIRE)' study: a qualitative analysis from an external facilitators' perspective.

Implement Sci 2018 11 16;13(1):141. Epub 2018 Nov 16.

Formerly Institute of Nursing and Health Research, University of Ulster, Coleraine, Northern Ireland.

Background: The 'Facilitating Implementation of Research Evidence' study found no significant differences between sites that received two types of facilitation support and those that did not on the primary outcome of documented compliance with guideline recommendations. Process evaluation highlighted factors that influenced local, internal facilitators' ability to enact the roles as envisaged. In this paper, the external facilitators responsible for designing and delivering the two types of facilitation intervention analyse why the interventions proved difficult to implement as expected, including the challenge of balancing fidelity and adaptation. Read More

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http://dx.doi.org/10.1186/s13012-018-0812-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238352PMC
November 2018
1 Read

Improving care at scale: process evaluation of a multi-component quality improvement intervention to reduce mortality after emergency abdominal surgery (EPOCH trial).

Implement Sci 2018 11 13;13(1):142. Epub 2018 Nov 13.

THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Cambridge, UK.

Background: Improving the quality and safety of perioperative care is a global priority. The Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial was a stepped-wedge cluster randomised trial of a quality improvement (QI) programme to improve 90-day survival for patients undergoing emergency abdominal surgery in 93 hospitals in the UK National Health Service.

Methods: The aim of this process evaluation is to describe how the EPOCH intervention was planned, delivered and received, at both cluster and local hospital levels. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-018-0823-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233578PMC
November 2018
6 Reads

Defining barriers and enablers for clinical pathway implementation in complex clinical settings.

Implement Sci 2018 11 12;13(1):139. Epub 2018 Nov 12.

School of Nursing, Faculty of Health Professions, Dalhousie University, Halifax, NS, Canada.

Background: While clinical pathways have the potential to improve patient outcomes and reduce healthcare costs, their true impact has been limited by variable implementation strategies and suboptimal research designs. This paper explores a comprehensive set of factors perceived by emergency department staff and administrative leads to influence clinical pathway implementation within the complex and dynamic environments of community emergency department settings.

Methods: This descriptive, qualitative study involved emergency health professionals and administrators of 15 community hospitals across Ontario, Canada. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-018-0832-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233585PMC
November 2018
10 Reads

What drives adoption of a computerised, multifaceted quality improvement intervention for cardiovascular disease management in primary healthcare settings? A mixed methods analysis using normalisation process theory.

Implement Sci 2018 11 12;13(1):140. Epub 2018 Nov 12.

The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.

Background: A computerised, multifaceted quality improvement (QI) intervention for cardiovascular disease (CVD) management in Australian primary healthcare was evaluated in a cluster randomised controlled trial. The intervention was associated with improved CVD risk factor screening but there was no improvement in prescribing rates of guideline-recommended medicines. The aim of this study was to conduct a process evaluation to identify and explain the underlying mechanisms by which the intervention did and did not have an impact. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-018-0830-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233504PMC
November 2018
8 Reads

The Calgary Audit and Feedback Framework: a practical, evidence-informed approach for the design and implementation of socially constructed learning interventions using audit and group feedback.

Implement Sci 2018 10 30;13(1):136. Epub 2018 Oct 30.

Department of Family Medicine, Cumming School of Medicine, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, T2N 4N1, Canada.

Background: Audit and feedback interventions may be strengthened using social interaction. The Calgary office of the Alberta Physician Learning Program (CPLP) developed a process for audit and group feedback for physicians. This paper extends previous work in which we developed a conceptual model of physician responses to audit and group feedback based on a qualitative analysis of six audit and group feedback sessions. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0829-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208022PMC
October 2018
3 Reads

Changing behaviour 'more or less'-do theories of behaviour inform strategies for implementation and de-implementation? A critical interpretive synthesis.

Implement Sci 2018 10 29;13(1):134. Epub 2018 Oct 29.

School of Health Sciences, City, University of London, 10 Northampton Square, London, EC1V 0HB, UK.

Background: Implementing evidence-based care requires healthcare practitioners to do less of some things (de-implementation) and more of others (implementation). Variations in effectiveness of behaviour change interventions may result from failure to consider a distinction between approaches by which behaviour increases and decreases in frequency. The distinction is not well represented in methods for designing interventions. Read More

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http://dx.doi.org/10.1186/s13012-018-0826-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206907PMC
October 2018

Why the uptake of eRehabilitation programs in stroke care is so difficult-a focus group study in the Netherlands.

Implement Sci 2018 10 29;13(1):133. Epub 2018 Oct 29.

Department of Biomedical Data Sciences, Section Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands.

Background: The uptake of eRehabilitation programs in stroke care is insufficient, despite the growing availability. The aim of this study was to explore which factors influence the uptake of eRehabilitation in stroke rehabilitation, among stroke patients, informal caregivers, and healthcare professionals.

Methods: A qualitative focus group study with eight focus groups (6-8 participants per group) was conducted: six with stroke patients/informal caregivers and two with healthcare professionals involved in stroke rehabilitation (rehabilitation physicians, physical therapists, occupational therapists, psychologists, managers). Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0827-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206819PMC
October 2018
8 Reads

Reporting quality of European and Croatian health practice guidelines according to the RIGHT reporting checklist.

Implement Sci 2018 10 29;13(1):135. Epub 2018 Oct 29.

Department of Research in Biomedicine and Health, University of Split School of Medicine, Split, Croatia.

Background: Health practice guidelines (HPGs) are important tools for the translation of evidence into practice. Reporting Items for Practice Guidelines in HealThcare (RIGHT) checklist provides guidance on reporting health practice guidelines (HPGs). We assessed the reporting completeness and quality of a set of national (Croatian) and relevant transnational (European) HPGs. Read More

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http://dx.doi.org/10.1186/s13012-018-0828-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206632PMC
October 2018
1 Read

Testing implementation support for evidence-based programs in community settings: a replication cluster-randomized trial of Getting To Outcomes®.

Implement Sci 2018 10 22;13(1):131. Epub 2018 Oct 22.

RAND Corporation, 4570 Fifth Avenue, Pittsburgh, PA, 15213, USA.

Background: Community organizations can have difficulty implementing evidence-based prevention programs. More research is needed on implementation support interventions designed to help these organizations implement programs with quality.

Methods: Preparing to Run Effective Programs (PREP) is a randomized controlled trial testing Getting To Outcomes (GTO), a 2-year implementation support intervention. Read More

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https://implementationscience.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13012-018-0825-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196461PMC
October 2018
9 Reads

A process evaluation of how the routine vaccination programme is implemented at GP practices in England.

Implement Sci 2018 10 22;13(1):132. Epub 2018 Oct 22.

Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.

Background: In recent years, the incidence of several pathogens of public health importance (measles, mumps, pertussis and rubella) has increased in Europe, leading to outbreaks. This has included England, where GP practices implement the vaccination programme based on government guidance. However, there has been no study of how implementation takes place, which makes it difficult to identify organisational variation and thus limits the ability to recommend interventions to improve coverage. Read More

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http://dx.doi.org/10.1186/s13012-018-0824-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198492PMC
October 2018
2 Reads

Application of the COM-B model to barriers and facilitators to chlamydia testing in general practice for young people and primary care practitioners: a systematic review.

Implement Sci 2018 10 22;13(1):130. Epub 2018 Oct 22.

Research Department of Primary Care and Population Health, University College London, London, NW3 2PF, UK.

Background: Chlamydia is a major public health concern, with high economic and social costs. In 2016, there were over 200,000 chlamydia diagnoses made in England. The highest prevalence rates are found among young people. Read More

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http://dx.doi.org/10.1186/s13012-018-0821-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196559PMC
October 2018
2 Reads

Shedding light on conditions for the successful passive dissemination of recommendations in primary care: a mixed methods study.

Implement Sci 2018 10 16;13(1):129. Epub 2018 Oct 16.

Desautels Faculty of Management, McGill University, 1001 Sherbrooke Street West, Montreal, Quebec, H3A 1G5, Canada.

Background: Passive dissemination of information in healthcare refers to the publication or mailing of newly established guidelines or recommendations. It is one of the least costly knowledge translation activities. This approach is generally considered to be ineffective or to result in only small changes in practice. Read More

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http://dx.doi.org/10.1186/s13012-018-0822-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6192363PMC
October 2018

Sustainability of collaborative care management for depression in primary care settings with academic affiliations across New York State.

Implement Sci 2018 10 12;13(1):128. Epub 2018 Oct 12.

Columbia University Mailman School of Public Health, New York, NY, USA.

Background: In a large statewide initiative, New York State implemented collaborative care (CC) from 2012 to 2014 in 32 primary care settings where residents were trained and supported its sustainability through payment reforms implemented in 2015. Twenty-six clinics entered the sustainability phase and six opted out, providing an opportunity to examine factors predicting continued CC participation and fidelity.

Methods: We used descriptive statistics to assess implementation metrics in sustaining vs. Read More

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https://implementationscience.biomedcentral.com/articles/10.
Publisher Site
http://dx.doi.org/10.1186/s13012-018-0818-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186053PMC
October 2018
2 Reads

Managerial leadership for research use in nursing and allied health care professions: a systematic review.

Implement Sci 2018 09 27;13(1):127. Epub 2018 Sep 27.

Sahlgrenska Academy, Department of Health Care Sciences, University of Gothenburg, Gothenburg, Sweden.

Background: Leadership by point-of-care and senior managers is increasingly recognized as critical to the acceptance and use of research evidence in practice. The purpose of this systematic review was to identify the leadership behaviours of managers that are associated with research use by clinical staff in nursing and allied health professionals.

Methods: A mixed methods systematic review was performed. Read More

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http://dx.doi.org/10.1186/s13012-018-0817-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161344PMC
September 2018

Developing an evidence-based program sustainability training curriculum: a group randomized, multi-phase approach.

Implement Sci 2018 09 26;13(1):126. Epub 2018 Sep 26.

Center for Public Health System Science, Brown School at Washington University in St Louis, St Louis, MO, USA.

Background: The emergence of dissemination and implementation (D&I) science has driven a rapid increase in studies of how new scientific discoveries are translated and developed into evidence-based programs and policies. However, D&I science has paid much less attention to what happens to programs once they have been implemented. Public health programs can only deliver benefits if they reach maturity and sustain activities over time. Read More

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http://dx.doi.org/10.1186/s13012-018-0819-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158899PMC
September 2018
3 Reads

A systematic review of adaptations of evidence-based public health interventions globally.

Implement Sci 2018 09 26;13(1):125. Epub 2018 Sep 26.

University of Texas School of Public Health, 7000 Fannin, Ste 2522, Houston, TX, 77030, USA.

Background: Adaptations of evidence-based interventions (EBIs) often occur. However, little is known about the reasons for adaptation, the adaptation process, and outcomes of adapted EBIs. To address this gap, we conducted a systematic review to answer the following questions: (1) What are the reasons for and common types of adaptations being made to EBIs in community settings as reported in the published literature? (2) What steps are described in making adaptations to EBIs? and (3) What outcomes are assessed in evaluations of adapted EBIs?

Methods: We conducted a systematic review of English language publications that described adaptations of public health EBIs. Read More

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http://dx.doi.org/10.1186/s13012-018-0815-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158804PMC
September 2018
13 Reads
4.122 Impact Factor

Process evaluation of a social franchising model to improve maternal health: evidence from a multi-methods study in Uttar Pradesh, India.

Implement Sci 2018 09 24;13(1):124. Epub 2018 Sep 24.

London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.

Background: A prominent strategy to engage private sector health providers in low- and middle-income countries is clinical social franchising, an organisational model that applies the principles of commercial franchising for socially beneficial goals. The Matrika programme, a multi-faceted social franchise model to improve maternal health, was implemented in three districts of Uttar Pradesh, India, between 2013 and 2016. Previous research indicates that the intervention was not effective in improving the quality and coverage of maternal health services at the population level. Read More

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http://dx.doi.org/10.1186/s13012-018-0813-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154932PMC
September 2018
3 Reads

Agents of change: establishing quality improvement collaboratives to improve adherence to Australian clinical guidelines for dementia care.

Implement Sci 2018 09 24;13(1):123. Epub 2018 Sep 24.

College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.

Background: Dissemination of clinical practice guidelines alone is insufficient to create meaningful change in clinical practice. Quality improvement collaborative models have potential to address the evidence-practice gap in dementia care because they capitalise on known knowledge translation enablers and incorporate optimal approaches to implementation. Non-pharmacological interventions focused on promoting independence are effective and favoured by people with dementia and their carers but are not routinely implemented. Read More

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http://dx.doi.org/10.1186/s13012-018-0820-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154830PMC
September 2018
6 Reads

Are healthcare professionals delivering opportunistic behaviour change interventions? A multi-professional survey of engagement with public health policy.

Implement Sci 2018 09 21;13(1):122. Epub 2018 Sep 21.

Manchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Coupland 1 Building, Oxford Road, Manchester, M13 9PL, UK.

Background: "Making Every Contact Count" (MECC), a public health policy in the UK, compels healthcare professionals to deliver opportunistic health behaviour change interventions to patients during routine medical consultations. Professionals' awareness of, and engagement with, the policy is unclear. This study examined (1) awareness of the MECC policy, and (2) the prevalence of MECC-related practice in relation to (a) perceived patient benefit, (b) how often healthcare professionals deliver interventions during routine consultations, and (c) the time spent on this activity. Read More

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http://dx.doi.org/10.1186/s13012-018-0814-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151030PMC
September 2018
2 Reads