MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Implementation Science' source. Thu, 09 Feb 2012 10:12:57 +0100 http://www.medworm.com/index.php?rid=5663393&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F7%2F1%2F9 Conclusions: Facilitation of evidence-based practice is a multifaceted process and a team effort. Communication and relationship-building are key components. The practical aspects of facilitation explicated in this study validate what has been previously noted in the literature and expand what is known about facilitation process and activity. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5663393 Mon, 06 Feb 2012 05:00:00 +0100 5663393 http://www.medworm.com/index.php?rid=5654829&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F7%2F1%2F8 Conclusions: Stepped care for depression is received positively in primary care. While it is difficult for the implementation of a full stepped-care approach to occur within a short time frame, clinicians can make progress towards achieving a stepped-care approach, particularly within the context of a QIC. Creating a shared understanding within multidisciplinary teams of what constitutes depression, reaching a consensus about the content of depression care, and the division of tasks are important when addressing the implementation process. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5654829 Tue, 31 Jan 2012 05:00:00 +0100 5654829 http://www.medworm.com/index.php?rid=5642504&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F7%2F1%2F7 We describe the implementation and evaluation of self-management support through an evidence-based 'whole systems' model involving patient support, training for primary care teams, and service re-organisation, all integrated into routine delivery within primary care. Methods: The evaluation involves a large-scale, multi-site study of the implementation, effectiveness, and cost-effectiveness of this model of self-management support using a cluster randomised controlled trial in patients with three long-term conditions of diabetes, chronic obstructive pulmonary disease (COPD), and irritable bowel syndrome (IBS). The outcome measures include healthcare utilisation and quality of life. We describe the methods of the cluster randomised trial.DiscussionIf the 'whole systems' model proves effecti... Implementation Science journals http://www.medworm.com/rss/comments.php?id=5642504 Thu, 26 Jan 2012 05:00:00 +0100 5642504 http://www.medworm.com/index.php?rid=5623768&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F7%2F1%2F5 Conclusions: mRDTs were found to be acceptable to and used by the target users, provided clear policy guidelines exist, ancillary tools are easy to use and health supplies beyond the diagnostic tools are met. Based on our results, health workers' needs for comprehensive case management should be met, and specific guidance for managing febrile patients with negative test outcomes should be provided alongside the new health technology. The extent to which the implementation process of mRDT-led, parasite-based diagnosis accommodates end user beliefs, attitudes, perceptions, and satisfaction, as well as technology learnability and suitability, influences the level of acceptance and use of mRDTs. The effectiveness of the health system in providing the enabling environment and the integration of... Implementation Science journals http://www.medworm.com/rss/comments.php?id=5623768 Mon, 23 Jan 2012 05:00:00 +0100 5623768 http://www.medworm.com/index.php?rid=5623767&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F7%2F1%2F6 Conclusions: The ADAPT system combines the influential powers of shared goal setting and feedback, tailoring, modeling, contracting, reminders, and social comparisons to integrate evidence-based behavior-change principles into the electronic health record to maximize provider counseling efficacy during routine primary care clinical encounters. If successful, the ADAPT system may represent an adaptable and scalable technology-enabled behavior-change tool for all primary care providers.Trial Registration: ClinicalTrials.gov Identifier NCT01473654 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5623767 Mon, 23 Jan 2012 05:00:00 +0100 5623767 http://www.medworm.com/index.php?rid=5615749&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F7%2F1%2F4 This study extends the work of an earlier study designed to assess the effects of an audit-with-feedback intervention. It will be delivered quarterly over a one-year period in seven home care offices and 11 supportive living sites. The research questions are the same as in the first study but in a different environment. They are as follows:1. What effects do feedback reports have on processes and outcomes over time?2. How do different provider groups in home care and supportive living sites respond to feedback reports based on quality indicator data? Methods: The research team conducting this study includes researchers and decision makers in continuing care in the province of Alberta, Canada. The intervention consists of quarterly feedback reports in 19 home care offices and supportive liv... Implementation Science journals http://www.medworm.com/rss/comments.php?id=5615749 Wed, 18 Jan 2012 05:00:00 +0100 5615749 http://www.medworm.com/index.php?rid=5602733&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F7%2F1%2F3 Conclusions: When services attempt to implement the recommendation for stepped care in the National Institute for Health and Clinical Excellence guidelines, there were significant differences in implementation and consequent high levels of variation in patient pathways. Evaluations driven by the principles of implementation science (such as targeted planning, defined implementation strategies, and clear activity specification around service organisation) are required to improve evidence on the most effective, efficient, and acceptable stepped care systems. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5602733 Mon, 16 Jan 2012 05:00:00 +0100 5602733 http://www.medworm.com/index.php?rid=5591111&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F7%2F1%2F2 Conclusions: Researchers in the EMR recognize the importance of using health systems evidence in health policymaking. Potential strategies to improve the use of research evidence emphasize two-way communication between researchers and policymakers. Findings are critical for the upcoming World Health Report 2012, which will emphasize the significance of conducting and translating health research to inform health policies. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5591111 Wed, 11 Jan 2012 05:00:00 +0100 5591111 http://www.medworm.com/index.php?rid=5575585&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F7%2F1%2F1 Conclusions: No general conclusions about the impact of the characteristics of QI teams on the quality of healthcare can be drawn, but support of the management and active, inspirational team leadership appear to be important. Not only patient outcomes but also the performance indicators of monitoring and screening/assessment showed improvement in many but not all of the QI teams with such characteristics. More studies are needed to identify factors associated with the impact of multidisciplinary practice guidelines in mental healthcare. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5575585 Mon, 09 Jan 2012 05:00:00 +0100 5575585 http://www.medworm.com/index.php?rid=5548805&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F133 This study focuses on improving health outcomes for common paediatric acute health concerns by evaluating strategies that improve knowledge translation and reduce clinical practice variation.Design/Methods: Using a multiple case study design, qualitative and quantitative data will be collected from four Emergency Departments in western Canada. Data sources will include: 1) pre- and post-implementation focus group data from multidisciplinary health care professionals, 2) individual interviews with the local champions, KT intervention providers and unit/site leaders/managers, 3) Alberta Context Tool (ACT) survey data, and 4) aggregated patient outcome data. Qualitative and quantitative data will be systematically triangulated and matrices will be built to do cross-case comparison. Explanatio... Implementation Science journals http://www.medworm.com/rss/comments.php?id=5548805 Wed, 28 Dec 2011 05:00:00 +0100 5548805 http://www.medworm.com/index.php?rid=5531405&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F132 Conclusion: Tensions exist for nurses when attempting to deliver psychological therapy for patients with CFS/ME in a primary care trial which would need to be addressed before implementing within routine clinical practice. Similar tensions may be found for other long term conditions. These have implications for developing therapeutic alliance and highlight the need for regular supervision. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5531405 Thu, 22 Dec 2011 05:00:00 +0100 5531405 http://www.medworm.com/index.php?rid=5531406&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F131 Background: The aim of this study was to investigate the efficacy of a newly developed implementation strategy for the insurance medicine guidelines for depression in the Netherlands. We hypothesized that an educational intervention would increase the insurance physicians' (IPs) guideline adherence in a controlled setting. Methods: Forty IPs were allocated in a randomised controlled trial (RCT) to an intervention group (IG) (n = 21) and a control group (CG) (n = 19). The IG received tailored training in applying the guidelines for depression, while the CG received an alternative programme. Baseline (T0) and follow-up (T1) measurements were conducted before and after the intervention within a period of two weeks. The intervention consisted of a workshop in which the evidence-based theory of... Implementation Science journals http://www.medworm.com/rss/comments.php?id=5531406 Wed, 21 Dec 2011 05:00:00 +0100 5531406 http://www.medworm.com/index.php?rid=5531407&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F130 Conclusions: While many interventions show promise of effectiveness in the cancer control context, few reviews were able to conclude definitively in favour of or against a specific intervention. We discuss the complexity of implementation research and offer suggestions to advance the science in this area. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5531407 Tue, 20 Dec 2011 05:00:00 +0100 5531407 http://www.medworm.com/index.php?rid=5510868&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F129 Conclusions: Three out of four interventions improved intermediate outcomes or process of diabetes care. The diastolic BP reduction approximates to relative reductions in mortality of 3% to 5% in stroke and 3% to 4% in ischaemic heart disease over 10 years. The lack of effect for other outcomes may, in part, be explained by difficulties in bringing about further improvements beyond certain thresholds of clinical performance.Trial RegistrationCurrent Controlled Trials, ISRCTN2186314. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5510868 Fri, 16 Dec 2011 05:00:00 +0100 5510868 http://www.medworm.com/index.php?rid=5510869&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F128 Conclusions: This study showed that the Delphi technique can be a useful tool in reaching consensus about feasible multi-sector policy measures. The study yielded several feasible policy measures aimed at physical and social environmental correlates of physical activity among children and can assist local policy makers in designing multi-sector policies aimed at an activity-friendly environment for children. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5510869 Thu, 15 Dec 2011 05:00:00 +0100 5510869 http://www.medworm.com/index.php?rid=5491519&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F127 Conclusions: We have prepared a strategy to develop, implement, and evaluate a national training initiative to build capacity in the science and practice of KT. Ultimately through this initiative, we hope to meet the capacity demand for KT researchers and practitioners in Canada that will lead to improved care and a strengthened healthcare system. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5491519 Fri, 09 Dec 2011 05:00:00 +0100 5491519 http://www.medworm.com/index.php?rid=5481766&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F126 This study aims to evaluate on effectiveness of this strategy to improve pain reporting, pain measurement and adequate pain therapy. In addition, whether the active role of the patient and involvement of caregivers in pain management may change.Methods/designA cluster randomised controlled trial with two arms will be performed in six oncology outpatient clinics of hospitals in the Southeastern region of the Netherlands, with three hospitals in the intervention and three in the control condition. Follow-up measurements will be conducted in all hospitals to study the long-term effect of the intervention. The intervention includes training of professionals (medical oncologists, nurses, and general practitioners) and SMS-IVR to report pain in patients with cancer to improve pain reporting by p... Implementation Science journals http://www.medworm.com/rss/comments.php?id=5481766 Tue, 06 Dec 2011 05:00:00 +0100 5481766 http://www.medworm.com/index.php?rid=5472896&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F125 DiscussionThis project combines evidence mapping, conceptual and taxonomy development, priority setting, systematic reviews, and knowledge transfer. It will build and share concepts, terms, evidence, and resources to aid the development of communication strategies for effective vaccination programmes in LMICs. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5472896 Fri, 02 Dec 2011 05:00:00 +0100 5472896 http://www.medworm.com/index.php?rid=5463743&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F124 Conclusions: Using data from multiple studies can provide valuable insight into how an intervention is working and what factors may explain variability in effects. Findings clearly suggest that major intervention strategies aimed at improving child and newborn survival in low-income settings should go well beyond the fixed inputs (training, guidelines, and job aides) that are typical of many major programmes. Strategies required to deliver good care in low-income settings should recognize that this will need to be co-produced through engagement often over prolonged periods and as part of a directive but adaptive, participatory, information-rich, and reflective process. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5463743 Fri, 02 Dec 2011 03:59:59 +0100 5463743 http://www.medworm.com/index.php?rid=5463744&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F123 This study involves a community based on cluster randomized trial in primary healthcare centres in the Madrid Region (Spain). The project aims to determine whether the use of implementation strategy (including training session, information, opinion leader, reminders, audit, and feed-back) of CPG for patients with anxiety disorders in primary care is more effective than usual diffusion.The number of patients required is 296 (148 in each arm), all older than 18 years and diagnosed with generalized anxiety disorder, panic disorder, and panic attacks by the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV). They are chosen by consecutive sampling.The main outcome variable is the change in two or more points into Goldberg anxiety scale at six and twelve months. Secondary outcome... Implementation Science journals http://www.medworm.com/rss/comments.php?id=5463744 Thu, 01 Dec 2011 05:00:00 +0100 5463744 http://www.medworm.com/index.php?rid=5427016&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F122 Conclusion: The use of the e-HIT is feasible and acceptable in a range of international contexts by a range of professionals for a range of different e-health systems. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5427016 Sat, 19 Nov 2011 05:00:00 +0100 5427016 http://www.medworm.com/index.php?rid=5353838&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F121 Conclusions: Depression CCM designed and implemented by primary care practices using EBQI improved antidepressant initiation. Combining QI methods with a randomized evaluation proved challenging, but enabled new insights into the process of translating research-based CCM into practice. Future research on the effects of PCC attitudes and skills on CCM results, as well as on enhancing the link between improved antidepressant use and symptom outcomes, is needed.Trial RegistrationNCT00105820 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5353838 Thu, 27 Oct 2011 04:00:00 +0100 5353838 http://www.medworm.com/index.php?rid=5353839&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F120 Conclusions: The study produced a model of conducive and impeding factors drawn from the composite picture of 11 innovative mental health projects, and this is discussed in light of relevant literature. The model provides a rich agenda to consider for services wanting to innovate or adopt innovations from elsewhere. The evaluation suggested the importance of studying innovation with a focus on context, process, and outcomes. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5353839 Wed, 26 Oct 2011 04:00:00 +0100 5353839 http://www.medworm.com/index.php?rid=5353840&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F119 DiscussionThe results of this study will inform those involved in providing ICU care on the feasibility of a tailored multifaceted performance feedback intervention and its ability to accelerate systematic and local quality improvement. Although our study will be conducted within the domain of intensive care, we believe our conclusions will be generalizable to other settings that have a quality registry including an indicator set available.Trial registration - Current Controlled Trials ISRCTN50542146 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5353840 Mon, 24 Oct 2011 04:00:00 +0100 5353840 http://www.medworm.com/index.php?rid=5342234&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F118 Conclusions: This primary care practice tool based on an implementation science model has the potential to guide patients to more healthful behaviors and improved self-management of chronic conditions, while fostering effective and efficient communication between patients and their healthcare team. RE-AIM and similar models can help clinicians and media developers create practical products more likely to be widely adopted, feasible in busy medical practices, and able to produce public health impact. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5342234 Fri, 21 Oct 2011 04:00:00 +0100 5342234 http://www.medworm.com/index.php?rid=5309552&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F117 Conclusions: Opinion leaders identified in this study were not stable over a two-year time period and generally appear to be monomorphic with clearly demarcated areas of expertise and limited spheres of influence. These findings may limit the practicability of routinely using opinion leaders to influence practice. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5309552 Tue, 11 Oct 2011 04:00:00 +0100 5309552 http://www.medworm.com/index.php?rid=5291525&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F116 Conclusions: By assessing the attainment time of each stage and the proportion of activities completed, the SIC measure can be used to track and compare the effectiveness of various implementation strategies. Data from the SIC will provide sites with relevant information on the time and resources needed to implement MTFC during various phases of implementation. With some modifications, the SIC could be appropriate for use in evaluating implementation strategies in head-to-head randomized implementation trials and as a monitoring tool for rolling out other EBPs. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5291525 Thu, 06 Oct 2011 04:00:00 +0100 5291525 http://www.medworm.com/index.php?rid=5280148&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F114 DiscussionWe briefly describe the rationale for the interventions being studied, as well as the major design choices. Rigorous research designs such as the one described here are necessary to determine whether performance-based payment arrangements such as financial incentives result in meaningful quality improvements.Trial Registration: www.clinicaltrials.gov NCT00302718 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5280148 Mon, 03 Oct 2011 04:00:00 +0100 5280148 http://www.medworm.com/index.php?rid=5280147&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F115 Conclusions: The TCT demonstrates good measurement reliability, validity, and responsiveness. By having more validated measures on implementation context, researchers can more readily conduct rigorous studies to identify contextual variables linked to key intervention and patient outcomes and strengthen the evidence base on successful spread of efficacious team-based interventions. QI teams participating in an intervention should also find data from a validated tool useful for identifying opportunities to improve their own implementation. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5280147 Mon, 03 Oct 2011 04:00:00 +0100 5280147 http://www.medworm.com/index.php?rid=5266991&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F111 Conclusion: The new evidence generally aligns with the evidence and conclusions from the original systematic reviews. This review served as the evidentiary foundation for an implementation guideline. Poor reporting, lack of precision and consistency in defining operational elements, and insufficient consideration of context and differences among populations are areas for additional research. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5266991 Thu, 29 Sep 2011 04:00:00 +0100 5266991 http://www.medworm.com/index.php?rid=5266990&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F112 Conclusion: Using established guideline development methodologies and the AGREE II as our methodological frameworks, we developed an implementation guideline to advise on interventions to increase the rate of breast, cervical and colorectal cancer screening. While advancements have been made in these areas of implementation science, more investigations are warranted. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5266990 Thu, 29 Sep 2011 04:00:00 +0100 5266990 http://www.medworm.com/index.php?rid=5266989&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F113 Conclusions: Successful implementation of EBPs requires consideration and utilization of existing social networks of high-status systems leaders that often cut across service organizations and their geographic jurisdictions.Trial RegistrationNCT00880126 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5266989 Thu, 29 Sep 2011 04:00:00 +0100 5266989 http://www.medworm.com/index.php?rid=5266992&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F110 DiscussionThis pragmatic, stepped-wedge randomized controlled trial with both quantitative and process evaluations demonstrates innovative methods of implementing large-scale quality improvement and evidence-based approaches to care delivery. This is the first Canadian study to examine the impact of a large-scale multifaceted cardiovascular quality-improvement program in primary care. It is anticipated that through the evaluation of IDOCC, we will demonstrate an effective, practical, and sustainable means of improving the cardiovascular health of patients across Canada.Trial Registration: NCT00574808 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5266992 Tue, 27 Sep 2011 04:00:00 +0100 5266992 http://www.medworm.com/index.php?rid=5231434&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F109 DiscussionUsing iterative usability testing and development paired with provider training, the iCPR CDS tool leverages user-centered design principles to overcome pervasive underutilization of EBM and support evidence-based practice at the point-of-care. The ongoing trial will determine if this collaborative process will lead to higher rates of utilization and EBM guided use of antibiotics and chest x-ray's in primary care.Trial Registration: ClinicalTrials.gov Identifier NCT01386047 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5231434 Mon, 19 Sep 2011 04:00:00 +0100 5231434 http://www.medworm.com/index.php?rid=5231435&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F108 Conclusions: Applying a sustainability model to a hospital smoking cessation program allowed for an examination of how decisions made during implementation may impact sustainability. Examining these factors during implementation may provide insight into issues affecting program sustainability, and foster development of a sustainability plan. Based on this study, we suggest that sustainability plans should focus on enhancing interactions between the health problem, program features, and stakeholder influence. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5231435 Wed, 14 Sep 2011 04:00:00 +0100 5231435 http://www.medworm.com/index.php?rid=5216688&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F107 Conclusions: Our study is the first international survey about the process of updating CPGs among prominent guideline institutions across the world, providing a comprehensive picture of guideline updating. There is an urgent need to develop rigorous international standards for this process, and to minimise duplication of effort internationally. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5216688 Tue, 13 Sep 2011 04:00:00 +0100 5216688 http://www.medworm.com/index.php?rid=5216689&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F106 Conclusions: The principles of knowledge translation suggest that investigators can increase use by tailoring the format and context of their findings to the absorptive capacity of nonscholars. Greater absorption should result in higher levels of knowledge awareness, interest, and use, which can then be documented. National organizations and their members, in turn, can strive to optimize their absorptive capacities regarding the state of the sciences. This combination will ensure the highest possible return on public investment in research activities. This knowledge-value mapping study concludes that national organizations are appropriate channels for communicating research findings and for meeting statutory requirements and general expectations for generating and documenting knowledge use... Implementation Science journals http://www.medworm.com/rss/comments.php?id=5216689 Mon, 12 Sep 2011 04:00:00 +0100 5216689 http://www.medworm.com/index.php?rid=5202396&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F105 Conclusions: Large group-randomized trials benefit from having dedicated physician investigators and IRBpersonnel involved in recruitment. A large-scale, nationally representative, group-randomizedtrial of community-based clinics is feasible within the VHA or a similar national healthcaresystem. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5202396 Fri, 09 Sep 2011 04:00:00 +0100 5202396 http://www.medworm.com/index.php?rid=5202397&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F104 Conclusions: EBP implementation is a complex process, and different stakeholders may hold different opinions regarding the relative importance of the impact of EBP implementation. Implementation efforts must include input from stakeholders at multiple levels to bring divergent and convergent perspectives to light. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5202397 Wed, 07 Sep 2011 04:00:00 +0100 5202397 http://www.medworm.com/index.php?rid=5202398&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F102 Conclusions: Mobilizing knowledge in the area of VAW practice and policy is complex and resource-intensive, and must acknowledge and respect the values of identified knowledge users, while balancing the objectivity of the research and researchers. This paper provides important lessons learned about these processes, including attending to the potential unintended consequences of knowledge sharing. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5202398 Tue, 06 Sep 2011 04:00:00 +0100 5202398 http://www.medworm.com/index.php?rid=5189856&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F100 Conclusions: A majority of patients in the CAATCH trial exhibited adverse lifestyle behaviors, and had significant medical and psychosocial barriers to adequate BP control. Trial outcomes will shed light on the effectiveness of evidence-based interventions for BP control when implemented in real-world medical settings that serve high numbers of low-income hypertensive African-Americans with multiple co-morbidity and significant barriers to behavior change. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5189856 Wed, 31 Aug 2011 23:00:00 +0100 5189856 http://www.medworm.com/index.php?rid=5178689&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F99 Conclusions: We invite researchers using PARIHS for targeted evidence-based practice (EBP) implementations with a strong task-orientation to use this Guide as a companion and to apply the revised framework prospectively and comprehensively. Researchers also are encouraged to evaluate its use relative to perceived strengths and issues. Such evaluations and critical reflections regarding PARIHS and our Guide could thereby promote the framework's continued evolution. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5178689 Mon, 29 Aug 2011 23:00:00 +0100 5178689 http://www.medworm.com/index.php?rid=5167631&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F98 Trainees (e.g., graduate students, residents, fellows) are increasingly identifying knowledge translation as their research discipline. In Canada, a group of trainees have created a trainee-initiated and trainee-led national collaborative to provide a vehicle for trainees to examine the diversity of knowledge translation research and practice, and to link trainees from diverse geographical areas and disciplines. The aim of this paper is to describe our experience and lessons learned in creating the Knowledge Translation Trainee Collaborative. In this meeting report, we outline the process, challenges, and opportunities in planning and experiencing the collaborative's inaugural meeting as participant organizers, and present outcomes and learnings to date. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5167631 Wed, 24 Aug 2011 23:00:00 +0100 5167631 http://www.medworm.com/index.php?rid=5153612&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F96 We present an argument for adopting an integrative, co-production approach to planning and evaluating the implementation of research into practice, drawing on an eclectic range of evidence sources. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5153612 Mon, 22 Aug 2011 23:00:00 +0100 5153612 http://www.medworm.com/index.php?rid=5153611&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F97 Conclusions: Not unlike systematic reviews of quality improvement collaboratives, this broad review revealed that while teams reported a number of positive results, there are many methodological issues. This study is unique in utilizing traditional quality assessment and more novel methods of quality assessment and reporting of results (SQUIRE) to appraise studies. Rigorous design, evaluation, and reporting of quality and safety team initiatives are required. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5153611 Mon, 22 Aug 2011 23:00:00 +0100 5153611 http://www.medworm.com/index.php?rid=5123681&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F95 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5123681 Thu, 11 Aug 2011 23:00:00 +0100 5123681 http://www.medworm.com/index.php?rid=5115719&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F94 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5115719 Wed, 10 Aug 2011 23:00:00 +0100 5115719 http://www.medworm.com/index.php?rid=5093014&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F87 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5093014 Tue, 02 Aug 2011 23:00:00 +0100 5093014 http://www.medworm.com/index.php?rid=5093013&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F88 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5093013 Tue, 02 Aug 2011 23:00:00 +0100 5093013 http://www.medworm.com/index.php?rid=5093012&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F89 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5093012 Tue, 02 Aug 2011 23:00:00 +0100 5093012 http://www.medworm.com/index.php?rid=5093011&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F90 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5093011 Tue, 02 Aug 2011 23:00:00 +0100 5093011 http://www.medworm.com/index.php?rid=5093010&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F91 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5093010 Tue, 02 Aug 2011 23:00:00 +0100 5093010 http://www.medworm.com/index.php?rid=5093009&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F92 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5093009 Tue, 02 Aug 2011 23:00:00 +0100 5093009 http://www.medworm.com/index.php?rid=5093015&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F86 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5093015 Mon, 01 Aug 2011 23:00:00 +0100 5093015 http://www.medworm.com/index.php?rid=5084536&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F85 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5084536 Sun, 31 Jul 2011 23:00:00 +0100 5084536 http://www.medworm.com/index.php?rid=5075130&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F83 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5075130 Tue, 26 Jul 2011 23:00:00 +0100 5075130 http://www.medworm.com/index.php?rid=5075129&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F84 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5075129 Tue, 26 Jul 2011 23:00:00 +0100 5075129 http://www.medworm.com/index.php?rid=5067643&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F80 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5067643 Mon, 25 Jul 2011 23:00:00 +0100 5067643 http://www.medworm.com/index.php?rid=5067642&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F81 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5067642 Mon, 25 Jul 2011 23:00:00 +0100 5067642 http://www.medworm.com/index.php?rid=5067641&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F82 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5067641 Mon, 25 Jul 2011 23:00:00 +0100 5067641 http://www.medworm.com/index.php?rid=5056627&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F76 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5056627 Thu, 21 Jul 2011 23:00:00 +0100 5056627 http://www.medworm.com/index.php?rid=5056626&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F77 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5056626 Thu, 21 Jul 2011 23:00:00 +0100 5056626 http://www.medworm.com/index.php?rid=5056625&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F78 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5056625 Thu, 21 Jul 2011 23:00:00 +0100 5056625 http://www.medworm.com/index.php?rid=5046655&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F75 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5046655 Wed, 20 Jul 2011 23:00:00 +0100 5046655 http://www.medworm.com/index.php?rid=5046656&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F74 ${item.shortDescription} (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5046656 Mon, 18 Jul 2011 23:00:00 +0100 5046656 http://www.medworm.com/index.php?rid=5034650&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F73 Conclusions: Health professionals' provision of physical activity advice in primary care can be predicted by perceptions about how their conflicting and facilitating goal-directed behaviours help and hinder giving advice, over and above theory of planned behaviour constructs. Incorporating features of multiple goal pursuit into the theory of planned behaviour may help to better understand health professional behaviour. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5034650 Thu, 14 Jul 2011 23:00:00 +0100 5034650 http://www.medworm.com/index.php?rid=5025797&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F72 This study provides a comprehensive synthesis of current knowledge on explanatory models and instruments assessing OR for KT. Moreover, this project aims to create more consensus on the theoretical underpinnings and the instrumentation of organizational readiness for knowledge translation in chronic care. The final product - a comprehensive and valid OR for KT instrument - will provide the chronic care settings with an instrument to assess their readiness to implement evidence-based chronic care. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5025797 Tue, 12 Jul 2011 23:00:00 +0100 5025797 http://www.medworm.com/index.php?rid=5016130&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F71 DiscussionThere are two sustainability challenges in this study: (i) ongoing staff and leadership engagement, and (ii) organizational infrastructure. Addressing these challenges will require strategic planning with input from key stakeholders for sustaining quality improvement initiatives in the long term care sector. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5016130 Sun, 10 Jul 2011 23:00:00 +0100 5016130 http://www.medworm.com/index.php?rid=5004772&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F70 Conclusions: Shared decision making with our multi-modular electronic library of decision aids (arriba-lib) was accepted by a high number of patients. It has positive associations to general aspects of decision making in patients. It can be used for patient groups with a wide range of individual characteristics. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5004772 Wed, 06 Jul 2011 23:00:00 +0100 5004772 http://www.medworm.com/index.php?rid=5004773&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F69 This study will use a customised realist-review approach to synthesising the literature to better understand and operationalise a complex and under-theorised concept. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5004773 Tue, 05 Jul 2011 23:00:00 +0100 5004773 http://www.medworm.com/index.php?rid=5004774&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F68 Conclusion: Variability in shared decision-making training programs showcases the need for quality assurance frameworks. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=5004774 Mon, 04 Jul 2011 23:00:00 +0100 5004774 http://www.medworm.com/index.php?rid=4996772&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F66 Conclusions: Our method can be used to measure connections between care providers of an individual patient, and to examine the association between specific network parameters and healthcare received. Further research is needed to refine the measurement method and to test the association of specific network parameters with quality and outcomes of healthcare. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4996772 Sat, 02 Jul 2011 23:00:00 +0100 4996772 http://www.medworm.com/index.php?rid=4996771&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F67 Background: Patients with chronic illness typically receive ambulatory treatment from multiple health professionals. Connectedness between these professionals may influence their clinical decisions and the coordination of patient care. We aimed to describe and analyze connectedness in a regional network of health professionals involved in ambulatory treatment of patients with Parkinson's disease (PD). Methods: Observational study with 104 health professionals who had joined a newly established network (ParkinsonNet) were asked to complete a pre-structured form to report on their professional contacts with others in the network. Using social networks methods, network measures were calculated for the total network and for the networks of individual health professionals. We planned to test di... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4996771 Sat, 02 Jul 2011 23:00:00 +0100 4996771 http://www.medworm.com/index.php?rid=4966417&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F65 This study was designed to investigate effective methods of changing physician behavior to decrease the use of aspirin for primary cardiovascular disease prevention. The results of this study will contribute to the small pool of knowledge currently available on the topic of ceasing previously supported practices.Trial RegistrationThis study was registered on ClinicalTrials.gov, registration number NCT01247454. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4966417 Sat, 25 Jun 2011 23:00:00 +0100 4966417 http://www.medworm.com/index.php?rid=4966418&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F64 DiscussionThe paper discusses seminal theoretical literature on CoPs as well as previous empirical research on the role of these communities in healthcare collaboration, which is organised around the following three themes: knowledge sharing within and across CoPs, CoP formation and manageability, and identity building in CoPs. It argues that the multiprofessional and multi-agency nature of the CLAHRCs operating in the traditionally demarcated organisational landscape of the NHS may present formidable obstacles to knowledge sharing between various professional groupings, formation of a shared 'collaborative' identity, and the development of new communities within the CLAHRCs. To cross multiple boundaries between various professional and organisational communities and hence enable the flow ... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4966418 Wed, 22 Jun 2011 23:00:00 +0100 4966418 http://www.medworm.com/index.php?rid=4930684&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F63 DiscussionWe convened a panel of experts from American Indian and Alaska Native communities, substance abuse treatment programs serving these communities, and researchers to discuss and analyze these controversies in preparation for a national study of American Indian and Alaska Native substance abuse services. While the panel identified programs that are using evidence-based treatments, members still voiced concerns about the cultural appropriateness of many evidence-based treatments as well as the lack of guidance on how to adapt them for use with American Indians and Alaska Natives. The panel concluded that the efforts of federal and state policymakers to promote the use of evidence-based treatments are further complicating an already-contentious debate within American Indian and Alaska... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4930684 Wed, 15 Jun 2011 23:00:00 +0100 4930684 http://www.medworm.com/index.php?rid=4919033&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F62 DiscussionThis case study provides useful guidance for guideline developers and clinicians about what they ought to demand from clinical practice guidelines to facilitate implementation and strengthen confidence in recommendations about diagnostic tests. Applying a structured framework like the GRADE approach with its requirement for transparency in the description of the evidence and factors that influence recommendations facilitates laying out the process and decision factors that are required for the development, interpretation, and implementation of recommendations about diagnostic tests. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4919033 Thu, 09 Jun 2011 23:00:00 +0100 4919033 http://www.medworm.com/index.php?rid=4919034&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F61 This study aimed: to investigate theoretically-based organisational, team and individual factors determining the multiple behaviours needed to manage diabetes; to identify multilevel determinants of different diabetes management behaviours and potential interventions to improve them. This paper describes the instrument development, study recruitment, characteristics of the study participating practices and their constituent healthcare professionals and administrative staff and reports descriptive analyses of the data collected. Methods: The study was a predictive study over a 12 month period. Practices (N=99) were recruited from within the UK Medical Research Council General Practice Research Framework. We identified six behaviours chosen to cover a range of clinical activities (prescribin... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4919034 Wed, 08 Jun 2011 23:00:00 +0100 4919034 http://www.medworm.com/index.php?rid=4909421&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F60 This study examines research knowledge infrastructures (RKIs) found in health systems. RKI is defined as any instrument (i.e. programs, interventions, tools) implemented in order to facilitate access, dissemination, exchange and/or use of evidence in healthcare organizations. Based on an environmental scan (17 key informant interviews) and scoping review (26 studies) we found support for a framework that we developed that outlines components that a healthsystem can have in its RKI. The broad domains are climate for research use, research production, activities used to link research to action, and evaluation.The objective of the current study is to profile the RKI of three types of health system organizations -- regional health authorities, primary care practices, and hospitals -- in two Ca... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4909421 Sun, 05 Jun 2011 23:00:00 +0100 4909421 http://www.medworm.com/index.php?rid=4900206&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F59 DiscussionCommunity-based organizations face a distinctive set of challenges and concerns related to engaging in the knowledge translation process, suggesting a unique perspective on knowledge translation in these settings. Specifically, community-based organizations tend to value the process of working in collaboration with multi-sector stakeholders in order to achieve an outcome. A feature of such community-based collaborations is the way in which 'evidence' is conceptualized or defined by these partners, which may in turn influence the degree to which generalizable research evidence in particular is relevant and useful when balanced against more contextually-informed knowledge, such as tacit knowledge. Related to the issues of evidence and context is the desire for local information. Fo... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4900206 Sun, 05 Jun 2011 23:00:00 +0100 4900206 http://www.medworm.com/index.php?rid=4890457&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F57 Conclusions: The implementation of SDM in nutrition clinical practice can be guided by addressing dietitians' salient beliefs. Identifying these beliefs also provides the theoretical framework needed for developing a quantitative survey questionnaire to further study the determinants of dietitians' adoption of SDM behaviors. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4890457 Tue, 31 May 2011 23:00:00 +0100 4890457 http://www.medworm.com/index.php?rid=4882230&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F56 DiscussionThe translation and implementation of a self-care agenda in contemporary health and social context needs to acknowledge and incorporate the resources and networks operating in patients' domestic and social environments and everyday lives. The latter compliments the focus on healthcare settings for developing and delivering self-care support by viewing communities and networks, as well as people suffering from long-term conditions, as a key means of support for managing long-term conditions. By focusing on patient work and social-network provision, our aim is to open up a second frontier in implementation research, to translate knowledge into better chronic illness management, and to shift the emphasis towards support that takes place outside formal health services. (Source: Imple... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4882230 Sat, 28 May 2011 23:00:00 +0100 4882230 http://www.medworm.com/index.php?rid=4869589&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F51 DiscussionTo our knowledge, this will be the first RCT to evaluate the effects of an evidence service specifically designed to support health-system policy makers in finding and using research evidence. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4869589 Thu, 26 May 2011 23:00:00 +0100 4869589 http://www.medworm.com/index.php?rid=4869588&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F52 DiscussionTo our knowledge, this will be the first RCT to evaluate the effects of an evidence service specifically designed to support CBOs in finding and using research evidence.Trial registration: NCT01257724 (ClinicalTrials.gov) (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4869588 Thu, 26 May 2011 23:00:00 +0100 4869588 http://www.medworm.com/index.php?rid=4869587&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F53 Conclusions: Qualitative studies carried out alongside trials of complex interventions could offer opportunities to authors of systematic reviews of effectiveness wishing to understand the heterogeneity of trial results. For interventions of lay health worker programmes at least, too few such studies exist at present for these opportunities to be realised. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4869587 Thu, 26 May 2011 23:00:00 +0100 4869587 http://www.medworm.com/index.php?rid=4869590&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F50 Conclusions: This study demonstrated a theoretically informed approach to identifying possible implementation difficulties in TUPAC counselling among dental providers. This approach provides a method for moving from diagnosing implementation difficulties to designing and evaluating interventions. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4869590 Wed, 25 May 2011 23:00:00 +0100 4869590 http://www.medworm.com/index.php?rid=4851697&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F49 This study further enhances the value of realist evaluations by incorporating a social network analysis component to quantify the structural context associated with CoPs. By identifying key mechanisms and contexts that optimise the effectiveness of CoPs, this study will contribute to creating a framework that will guide future establishment and evaluation of CoPs in healthcare. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4851697 Sun, 22 May 2011 23:00:00 +0100 4851697 http://www.medworm.com/index.php?rid=4846578&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F48 DiscussionSuccessful translation of evidence into clinical practice can reduce avoidable stroke, death, and disability due to nonvalvular atrial fibrillation. If successful, DESPATCH will inform public policy, providing quality evidence for an effective implementation strategy to improve management of nonvalvular atrial fibrillation, to close an important evidence-practice gap.Trial RegistrationAustralian Clinical Trials Registry Registration Number: ACTRN12608000074392. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4846578 Thu, 19 May 2011 23:00:00 +0100 4846578 http://www.medworm.com/index.php?rid=4838278&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F47 Conclusion The IM methodology resulted in a systematic, comprehensive and transparent procedure of program development. A potentially effective intervention program to change influenza vaccination behaviour among HCWs was developed and its impact was assessed in a clustered randomised controlled trial. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4838278 Wed, 18 May 2011 23:00:00 +0100 4838278 http://www.medworm.com/index.php?rid=4811004&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F46 DiscussionThe product of this research will be a working version of a decision aid to support policy makers in population-based health policy decisions. The decision aid will address the need for more structured and systematic ways of incorporating various evidentiary sources where applicable. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4811004 Mon, 09 May 2011 23:00:00 +0100 4811004 http://www.medworm.com/index.php?rid=4801157&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F45 DiscussionWe identified 801 quality indicators that met our inclusion criteria. An expert panel agreed on a final set of 37 items containing validated quality indicators relevant for chronic disease prevention and management in primary care. We pilot tested our public-involvement intervention with 27 participants (11 public representatives and 16 professionals) and our study instruments with an additional 21 participants, which demonstrated the feasibility of the intervention and generated important insights and adaptations to engage public representatives more effectively. To our knowledge, this study is the first trial of public involvement in quality-indicator prioritisation, and its results could foster more effective upstream engagement of patients and the public in clinical practice ... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4801157 Sun, 08 May 2011 23:00:00 +0100 4801157 http://www.medworm.com/index.php?rid=4757799&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F43 Conclusions: The limited empirical data renders the strength of evidence weak for the effectiveness and the types of interventions that encourage health policymakers and managers to use systematic reviews in decision making. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4757799 Tue, 26 Apr 2011 23:00:00 +0100 4757799 http://www.medworm.com/index.php?rid=4744532&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F42 Conclusions: Interventions and policies to change behaviour can be usefully characterised by means of a 'Behaviour Change Wheel' (BCW) comprising: a 'behaviour system' at the hub, encircled by intervention functions and then by policy categories. Research is needed to establish how far the BCW can lead to more efficient design of effective interventions. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4744532 Fri, 22 Apr 2011 23:00:00 +0100 4744532 http://www.medworm.com/index.php?rid=4740676&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F41 DiscussionOur proposal to bring clinical practice in line with published guidelines has significant potential to decrease overdiagnosis of CAUTI and associated inappropriate antibiotic use. Our study will also provide information about how to maximize effectiveness of audit and feedback to achieve guideline adherence in the inpatient setting.Trial Registration: NCT01052545 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4740676 Thu, 21 Apr 2011 23:00:00 +0100 4740676 http://www.medworm.com/index.php?rid=4740677&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F40 The objective of this study is to assess the contribution of shared communication and decision making processes in patient-centered health care teams to the generation of innovative concepts and consequently to improvements in patient satisfaction. Methods: A theoretical framework covering interaction processes and explorative outcomes and using patient satisfaction as a measure for operational performance was developed based on health care management, innovation and social science literature. This theoretical framework forms the basis for a three-phase, mixed-method study. Exploratory phase I will first involve collecting qualitative data to detect central interaction barriers within health care teams. The results are related back to theory, and testable hypotheses will be derived. Phase ... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4740677 Wed, 20 Apr 2011 23:00:00 +0100 4740677 http://www.medworm.com/index.php?rid=4718485&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F39 This study has been designed to answer three key questions to improve the RRS: estimate the scope of the problem in terms of numbers of patients requiring activation of the RRS; determine cognitive and socio-cultural barriers to calling the Rapid Response Team; and design and implement solutions to address the effectiveness of the RRS. Methods: The extent of the problem will be addressed by establishing the incidence of patients who meet abnormal physiological criteria, as determined from a point prevalence investigation conducted across four hospitals. Follow-up review will determine if these patients subsequently require intensive care unit or critical care intervention. This study will be grounded in both cognitive and socio-cultural theoretical frameworks. The cognitive model of situat... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4718485 Fri, 15 Apr 2011 23:00:00 +0100 4718485 http://www.medworm.com/index.php?rid=4702536&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F38 Background: The Charlotte-Mecklenburg region has one of the fastest growing Hispanic communities in the country. This population has experienced disparities in health outcomes and diminished ability to access healthcare services. This city is home to an established practice-based research network (PBRN) that includes community representatives, health services researchers, and primary care providers. The aims of this project are: (1) to use key principles of community-based participatory research (CBPR) within a Practice based research network (PBRN) to identify a single disease or condition that negatively affects the Charlotte Hispanic community; (2) to develop a community-based intervention that positively impacts the chosen condition and improves overall community health; and (3) to dis... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4702536 Sun, 10 Apr 2011 23:00:00 +0100 4702536 http://www.medworm.com/index.php?rid=4681780&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F37 Conclusions: Although this large audit of medical records in general practices identified many patient safety incidents, only a few had a major impact on patients' health. Improving patient safety in this low-risk environment poses specific challenges, given the high numbers of patients and contacts in general practice. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4681780 Tue, 05 Apr 2011 23:00:00 +0100 4681780 http://www.medworm.com/index.php?rid=4675344&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F34 Conclusions: A paradigm shift involving acknowledgement of the value of clinicians in the context of community research, establishment of a stable infrastructure to support a cohort of clinicians across time and research studies, and realignment of incentives to encourage participation in clinical research is required. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4675344 Sun, 03 Apr 2011 23:00:00 +0100 4675344 http://www.medworm.com/index.php?rid=4675343&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F35 Conclusions: Many types of existing healthcare organizations could provide the technical and intellectual assistance community clinicians need to participate in clinical research. Multiple approaches are possible. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4675343 Sun, 03 Apr 2011 23:00:00 +0100 4675343 http://www.medworm.com/index.php?rid=4675342&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F36 Conclusions: The proposed model is designed to offer a systemic mechanism to address current barriers that prevent clinicians from participation in research. Transparent mechanisms to guarantee the safety of patients and the integrity of the research enterprise paired with efficiencies and economies of scale are maintained by centralizing some of the functions. Assigning other responsibilities to more local levels assures flexibility with respect to the size of the clinician networks and the changing needs of researchers. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4675342 Sun, 03 Apr 2011 23:00:00 +0100 4675342 http://www.medworm.com/index.php?rid=4675345&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F33 Conclusions: Current available evidence does not identify any effective, generalisable strategies to change organisational culture. Healthcare organisations considering implementing interventions aimed at changing culture should seriously consider conducting an evaluation (using a robust design, e.g. ITS) to strengthen the evidence about this topic. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4675345 Sat, 02 Apr 2011 23:00:00 +0100 4675345 http://www.medworm.com/index.php?rid=4662651&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F31 Conclusion: Variable levels of the BSC implementation were observed in this study. Those intending to apply the BSC in other hospital settings need to ensure a participatory culture, clear institutional mandate, appropriate leadership support, proper reward and recognition system and sensitization to BSC benefits.Word count= 326 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4662651 Wed, 30 Mar 2011 23:00:00 +0100 4662651 http://www.medworm.com/index.php?rid=4662650&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F32 The requirement for ethics review of studies submitted to Implementation Science has been unclear. Therefore, in this editorial, we set out our requirements for ethics committee review of experimental and non-experimental studies. For any study that meets the criteria of human subject research (which includes research on healthcare providers), irrespective of study design, we will require proof of either satisfactory ethics committee review or of the granting of an official exemption or waiver. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4662650 Wed, 30 Mar 2011 23:00:00 +0100 4662650 http://www.medworm.com/index.php?rid=4657341&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F30 Conclusions: ED HIV testing is occurring under a range of models that emerge from local realities and are tailored to institutional strengths to optimize implementation and overcome provider barriers. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4657341 Tue, 29 Mar 2011 23:00:00 +0100 4657341 http://www.medworm.com/index.php?rid=4635262&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F28 We describe a cluster randomised controlled trial to examine the effectiveness of tailoring a CHF implementation program to general practices compared to a standardised way of delivering a programme. The study population will consist of 60 general practitioners (GPs) and the CHF patients they include. GPs are randomised in blocks of 4 stratified according to practice size. In the tailored intervention group GPs prioritise the issues that will form the bases of the support for the practice visits.The primary outcome measures are patient's experience of receiving structured primary care for CHF (PACIC, a questionnaire related to the Chronic Care Model), and patients' health-related utilities (EQ-5D). Patients being clustered in practices, multilevel regression analyses will be used to explor... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4635262 Fri, 25 Mar 2011 00:00:00 +0100 4635262 http://www.medworm.com/index.php?rid=4625690&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F27 Conclusions: Our findings provide insight into the relatively low acceptance rate of HCT services among TB patients from the perspective of two health care workforce groups that play an integral role in the delivery of effective health services and programs. Community health workers and program managers emphasized several patient- and delivery-level factors influencing acceptance of HCT services. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4625690 Wed, 23 Mar 2011 00:00:00 +0100 4625690 http://www.medworm.com/index.php?rid=4620723&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F25 Conclusions: The conceptual framework of patient mediated KT options and outcomes could be used by health care providers, managers, educationalists, patient advocates and policy makers, to guide program planning, service delivery and quality improvement, and by us and other researchers to evaluate existing, or develop new interventions. By raising awareness of options for involving patients in improving their own care, outcomes based on using a knowledge translation approach may lead to greater patient centred care delivery and improved health care outcomes. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4620723 Tue, 22 Mar 2011 00:00:00 +0100 4620723 http://www.medworm.com/index.php?rid=4620722&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F26 Conclusions: Numerous opportunities were identified by which guidelines could be modified to support various types of decision making by different users. New governance structures may be required to accommodate development of guidelines with these features. Further research is needed to validate the proposed framework of guideline implementability, develop methods for preparing this information, and evaluate how inclusion of this information influences guideline use. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4620722 Tue, 22 Mar 2011 00:00:00 +0100 4620722 http://www.medworm.com/index.php?rid=4614290&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F24 DiscussionThe systematic and stage-based procedure addressed challenges to PR assessment and generated our robust understanding of complex and heterogeneous PR practices. To date, realist reviews have focussed on evaluations of relatively uniform interventions. In contrast our PR search yielded a wide diversity of partnerships and research topics. We therefore developed tools to achieve conceptual clarity on the PR field, as a beneficial precursor to our theoretically-driven synthesis using realist methods. Findings from the ongoing review will be provided in forthcoming publications. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4614290 Sun, 20 Mar 2011 00:00:00 +0100 4614290 http://www.medworm.com/index.php?rid=4609600&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F23 Conclusions: Substantive challenges exist in harnessing the benefits of integrated CMHT working to deliver continuity of care. Team support should be prioritised in terms of IT provision linked to a review of current models of administrative support. Investment in education and training for role development, leadership, workforce retention and skills to meet service users' complex needs are recommended. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4609600 Fri, 18 Mar 2011 00:00:00 +0100 4609600 http://www.medworm.com/index.php?rid=4604615&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F21 Conclusions: According to this review, nurses' reported use of research is moderate-high and has remained relatively consistent over time until the early 2000's. This finding, however, may paint an overly optimistic picture of the extent to which nurses use research in their practice given the methodological problems inherent in the majority of studies. There is a clear need for the development of standard measures of research use and robust well-designed studies examining nurses' use of research and its impact on patient outcomes. The relatively unchanged self-reports of moderate-high research use by nurses is troubling given that over 40 years have elapsed since the first studies in this review were conducted and the increasing emphasis in the past 15 years on evidence-based practice. Mo... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4604615 Thu, 17 Mar 2011 00:00:00 +0100 4604615 http://www.medworm.com/index.php?rid=4604614&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F22 This study will be the first evaluation of the program and it is expected that improvements will be made prior to a broader-scale implementation. The ultimate aim is to improve the quality of decision making, patients' quality of life, and reduce the duration of their work-related disability by improving the services offered during the rehabilitation process. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4604614 Thu, 17 Mar 2011 00:00:00 +0100 4604614 http://www.medworm.com/index.php?rid=4589250&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F19 DiscussionThrough comparison and contrast across four sites, each involving different organisational innovations, different forms of leadership, and different organisational contexts to contend with, the findings of the study will have wide relevance. The research will produce outputs that are useful for managers and clinicians responsible for organisational innovation, policy makers and senior managers, and academics. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4589250 Mon, 14 Mar 2011 00:00:00 +0100 4589250 http://www.medworm.com/index.php?rid=4589249&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F20 DiscussionConsultation recording has been used in oncology, family medicine and other medicine specialties, and despite affirming evidence and probable applications to a large number of diseases and a variety of clinical contexts, clinical adoption of this intervention has been slow. The proposed study findings will advance our conceptual knowledge of the ways to enhance uptake of consultation recordings in oncology. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4589249 Mon, 14 Mar 2011 00:00:00 +0100 4589249 http://www.medworm.com/index.php?rid=4564657&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F18 Conclusions: It is concluded from this study that the MQC contributed to organisational development and dissemination within participating hospitals. Organisational learning effects were demonstrated. System changes affect the context factors in the theory of organisational readiness: organisational culture, policies and procedures, past experience, organisational resources, and organisational structure. Programme coordinator responses indicate that these factors are utilised to manage spread and sustainability. Further research is needed to assess long-term effects. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4564657 Wed, 09 Mar 2011 00:00:00 +0100 4564657 http://www.medworm.com/index.php?rid=4558459&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F17 DiscussionThis project proposes to give stakeholders a theory-based global instrument to validly and reliably measure the impacts of CPD activities on clinical practice, thus laying the groundwork for more targeted and effective knowledge-translation interventions in the future. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4558459 Mon, 07 Mar 2011 00:00:00 +0100 4558459 http://www.medworm.com/index.php?rid=4530841&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F15 Conclusions: Organizational readiness is arguably a key factor involved in clinicians' initial support for clinical information system initiatives. As healthcare organizations continue to invest in information technologies to improve quality and continuity of care and reduce costs, understanding the factors that influence organizational readiness for change represents an important avenue for future research. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4530841 Mon, 28 Feb 2011 00:00:00 +0100 4530841 http://www.medworm.com/index.php?rid=4516150&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F14 Conclusions: Delivery of healthcare in a large healthcare system such as that of the US Department of Veterans Affairs (VA) can be represented as a complex network. This network consists of highly connected provider nodes that serve as 'hubs' within the network, and demonstrates some 'scale-free' properties. By using currently available tools to explore its topology, we can explore how the underlying connectivity of such a system affects the behavior of providers, and perhaps leverage that understanding to improve quality and outcomes of care. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4516150 Thu, 24 Feb 2011 00:00:00 +0100 4516150 http://www.medworm.com/index.php?rid=4476372&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F13 DiscussionTo improve guideline adherence, the theoretical-domains approach could provide a comprehensive basis for assessing implementation difficulties, as well as designing and evaluating interventions. After having identified implementation difficulties, we will design and test two interventions to enhance TUPAC guideline adherence. Using the cluster randomised controlled design, we aim to provide further evidence on intervention effects, as well as on the validity and feasibility of the theoretical-domain approach. The empirical data collected within this trial will be useful in testing whether this theoretical-domain approach can improve our understanding of the implementation of TUPAC guidelines among dental providers.Trial registration: Current Controlled Trials ISRCTN15427433 (Sour... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4476372 Mon, 14 Feb 2011 00:00:00 +0100 4476372 http://www.medworm.com/index.php?rid=4463398&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F12 This study will use a multiple case study design (minimum of 9 cases over 3 years) to investigate how SHRTN CoPs work and pursue knowledge exchange in different situations. Each case will yield a unique narrative, framed around the three PARIHS dimensions: evidence, context, and facilitation. Together, the cases will shed light on how SHRTN CoPs approach their knowledge exchange initiatives, and how they respond to challenges and achieve their objectives. Data will be collected using interviews, document analysis and ethnographic observation.DiscussionThis research will generate new knowledge about the defining characteristics of CoPs operating in the health system, on leadership roles in CoPs, and on the nature of interaction processes, relationships, and knowledge exchange mechanisms. Ou... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4463398 Fri, 11 Feb 2011 00:00:00 +0100 4463398 http://www.medworm.com/index.php?rid=4458759&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F11 Conclusion: This study documents an important first step in the effort to introduce the ethical framework A4R into district planning processes. This study supports the idea that a greater involvement and accountability among local actors through the A4R process may increase the legitimacy and fairness of priority-setting decisions. Support from researchers in providing a broader and more detailed analysis of health system elements, and the socio-cultural context, could lead to better prediction of the effects of the innovation and pinpoint stakeholders' concerns, thereby illuminating areas that require special attention to promote sustainability. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4458759 Thu, 10 Feb 2011 00:00:00 +0100 4458759 http://www.medworm.com/index.php?rid=4444860&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F10 DiscussionThe development of a reliable method of specifying intervention components aimed at changing behaviour will strengthen the scientific basis for developing, evaluating, and reporting complex interventions. It will improve the precision of evidence syntheses of effectiveness, thus enhancing secondary, as well as primary, research. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4444860 Mon, 07 Feb 2011 00:00:00 +0100 4444860 http://www.medworm.com/index.php?rid=4369488&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F6 Conclusions: Implementers had rich understandings of barriers and facilitators to successful implementation of e-health initiatives, and their views should continue to be sought in future research. NPT can be used to explain observed variations in implementation processes, and may be useful in drawing planners' attention to potential problems with a view to addressing them during implementation planning. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4369488 Wed, 19 Jan 2011 00:00:00 +0100 4369488 http://www.medworm.com/index.php?rid=4369487&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F7 Conclusions: The ESHRE guideline for the diagnosis and treatment of endometriosis could be improved to facilitate its implementation in daily practice. The eGLIA instrument is a helpful tool for identifying obstacles to implementation of a guideline. However, we recommend a concise version of this instrument. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4369487 Wed, 19 Jan 2011 00:00:00 +0100 4369487 http://www.medworm.com/index.php?rid=4369486&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F8 Conclusions: Due to the limitations of the evidence, it is not known which approach, implementation of coordination measures or organisational restructuring (with additional coordination measures), produces the best results in which situation. Therefore, more research is needed. For this research, the use of qualitative methods in addition to quantitative measures is recommended to contribute to a better understanding of preconditions and contingencies for an effective application of approaches to become process-oriented. Hospitals are advised to take the factors for failure described into account and to take suitable actions to counteract these obstacles on their way to become process-oriented organisations. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4369486 Wed, 19 Jan 2011 00:00:00 +0100 4369486 http://www.medworm.com/index.php?rid=4359742&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F5 Conclusions: This trial, while aiming to demonstrate the feasibility and acceptability of conducting a larger study, has identified important opportunities for improving the design of a definitive trial. This pilot trial is informative for researchers and clinicians interested in designing and/or conducting studies with FMGs regarding training of physicians in shared decision-making.Trial Registration. ClinicalTrials.gov NCT00354315 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4359742 Tue, 18 Jan 2011 00:00:00 +0100 4359742 http://www.medworm.com/index.php?rid=4348634&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F4 This study will evaluate a knowledge translation strategy designed to increase the utilization rate of induced hypothermia in survivors of cardiac arrest across a network of 37 hospitals in Southwestern Ontario, Canada. The study is designed as a stepped wedge randomized trial lasting 2 years. Individual hospitals will be randomly assigned to 4 different wedges that will receive the active knowledge translation strategy according to a sequential roll-out over a number of time periods. By the end of the study, all hospitals will have received the intervention. The primary aim is to measure the effectiveness of a multi-faceted knowledge translation plan involving education, reminders, and audit-feedback for improving the use of induced hypothermia in survivors of cardiac arrest presenting to... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4348634 Fri, 14 Jan 2011 00:00:00 +0100 4348634 http://www.medworm.com/index.php?rid=4321580&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F3 The objective of this study is to identify the barriers and facilitators to physicians' participation in DECISION+ with the goal of disseminating DECISION+ on a larger scale.Methods/designThis descriptive study will use mixed methods and retrospective and prospective components. All analyses will be based on an adapted version of the Ottawa Model of Research Use. First, we will use qualitative methods to analyze the following retrospective data from the pilot study: the logbooks of eight research assistants, the transcriptions of 15 training sessions, and 27 participant evaluations of the DECISION+ training sessions. Second, we will collect prospective data in semi-structured focus groups composed of family physicians to identify barriers and facilitators to the dissemination of a future t... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4321580 Fri, 07 Jan 2011 00:00:00 +0100 4321580 http://www.medworm.com/index.php?rid=4317266&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F2 Conclusions: Lay nurse aides can provide effective antenatal counseling in maternal and newborn care in facility-based settings, provided they receive adequate training and support. Efforts are needed to improve management of human resources to ensure that effective mechanisms for regulating and financing task shifting are sustained. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4317266 Thu, 06 Jan 2011 00:00:00 +0100 4317266 http://www.medworm.com/index.php?rid=4312844&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F6%2F1%2F1 Conclusions: This review reinforced conclusions in the previous review with respect to positive relationships between general research utilization and: beliefs and attitudes, and current role. Furthermore, attending conferences/in-services, having a graduate degree in nursing, working in a specialty area, and job satisfaction were also identified as individual characteristics important to research utilization. While these findings hold promise as potential targets of future research utilization interventions, there were methodological problems inherent in many of the studies that necessitate their findings be replicated in further research using more robust study designs and multivariate assessment methods. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4312844 Wed, 05 Jan 2011 00:00:00 +0100 4312844 http://www.medworm.com/index.php?rid=4299953&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F99 Conclusions: In addition to contextual factors, implementation research needs to consider FOI as an important factor in influencing intervention effectiveness. Our proposed methodology offers a systematic means for understanding organizational members' use of distinct intervention components, assessing the reasons for variation in use across components and organizations, and evaluating the impact of FOI on intervention effectiveness. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4299953 Thu, 30 Dec 2010 00:00:00 +0100 4299953 http://www.medworm.com/index.php?rid=4270741&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F98 This study explores how feedback can be improved to increase acceptability and usability in primary care. The trial seeks to determine whether a theory informed worksheet appended to feedback reports can help family physicians improve quality of care for their patients with diabetes and/or ischemic heart disease. Methods: Two-arm cluster trial with participating primary care practices allocated using minimization to simple feedback or enhanced feedback group. The simple feedback group receives performance feedback reports every six months for two years regarding the proportion of their patients with diabetes and/or ischemic heart disease who are meeting quality targets. The enhanced feedback group receives these same reports as well as a theory-informed worksheet designed to facilitate goa... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4270741 Fri, 17 Dec 2010 00:00:00 +0100 4270741 http://www.medworm.com/index.php?rid=4263153&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F97 Secondary stroke prevention is championed by the stroke guidelines; however, it is rarely systematically delivered. We sought to develop a locally tailored, evidence-based secondary stroke prevention program. The purpose of this paper was to apply intervention mapping (IM) to develop our locally tailored stroke prevention program and implementation plan. We completed a needs assessment and the five Steps of IM. The needs assessment included semi-structured interviews of 45 providers; 26 in Indianapolis and 19 in Houston. We queried frontline clinical providers of stroke care using structured interviews on the following topics: current provider practices in secondary stroke risk factor management; barriers and needs to support risk factor management; and suggestions on how to enhance second... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4263153 Wed, 15 Dec 2010 00:00:00 +0100 4263153 http://www.medworm.com/index.php?rid=4211945&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F95 DiscussionOutcomes of this research will be new knowledge about sensemaking patterns of project teams, such as: the antecedents and consequences of the ongoing, evolutionary, social process of implementing HIT; the internal and external factors that influence the project team, including team composition, team member interaction, and interaction between the project team and the larger organization; the ways in which internal and external factors influence project team processes; and the ways in which project team processes facilitate team task accomplishment. These findings will lead to new methods of implementing HIT in hospitals. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4211945 Mon, 29 Nov 2010 00:00:00 +0100 4211945 http://www.medworm.com/index.php?rid=4207016&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F94 Conclusions: At a time of heightened national attention toward diabetes care, our results demonstrate a modest benefit of participation in a multi-institutional quality improvement collaborative focusing on integrated, patient-centered care. The effects persisted for at least 12 months after the intervention was completed.Trial number (http://clinicaltrials.gov) Identifier: NCT 00160017 (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4207016 Sun, 28 Nov 2010 00:00:00 +0100 4207016 http://www.medworm.com/index.php?rid=4205200&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F93 Conclusions: Results suggest that leadership is a skill that should be addressed to increase the ability of school nurses to assume the proposed role. Findings also indicate that public health administrators need to ensure adequate nurse staffing in the schools in order to increase the proportion of nurses willing to play such a role and avoid burnout among these human resources. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4205200 Fri, 26 Nov 2010 00:00:00 +0100 4205200 http://www.medworm.com/index.php?rid=4195458&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F92 Conclusions: KBs positively influenced PTs' self-reported knowledge and self-reported use of the targeted measurement tools. Further research is warranted to investigate whether this is a feasible, cost-effective model that could be used more broadly in a rehabilitation setting to facilitate the uptake of other measurement tools or evidence-based intervention approaches. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4195458 Tue, 23 Nov 2010 00:00:00 +0100 4195458 http://www.medworm.com/index.php?rid=4188777&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F91 Conclusions: There are currently a number of theoretically-informed frameworks available to researchers that can be used to help guide their dissemination planning and activity. Given the current emphasis on enhancing the uptake of knowledge about the effects of interventions into routine practice, funders could consider encouraging researchers to adopt a theoretically-informed approach to their research dissemination. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4188777 Mon, 22 Nov 2010 00:00:00 +0100 4188777 http://www.medworm.com/index.php?rid=4181869&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F89 Conclusions: Rx for Change is a novel database that synthesizes current research evidence about the effects of interventions to improve drug prescribing practices and medicines use. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4181869 Thu, 18 Nov 2010 00:00:00 +0100 4181869 http://www.medworm.com/index.php?rid=4174431&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F88 Conclusions: The current literature on preventable readmissions in the US contains evidence from a variety of patient populations, geographical locations, healthcare settings, study designs, clinical and theoretical perspectives, and conditions. However, definitional variations, clear gaps, and methodological challenges limit translation of this literature into guidance for the operation and management of healthcare organizations. We recommend that those organizations that propose to reward reductions in preventable readmissions invest in additional research across multiple hospitals in order to fill this serious gap in knowledge of great potential value to payers, providers, and patients. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4174431 Wed, 17 Nov 2010 00:00:00 +0100 4174431 http://www.medworm.com/index.php?rid=4131315&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F85 This study will be the first to systematically summarize the barriers and facilitators to implementation of quality colonoscopy services perceived by different groups and to consider the local contexts in order to ensure the applicability of this knowledge to the particular realities of various Canadian jurisdictions. Linkages with strategic partners and decision-makers in the realization of this project will favour the utilization of its results to support strategies for implementing quality colonoscopy services and CRC screening programs in the Canadian health system. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4131315 Tue, 02 Nov 2010 00:00:00 +0100 4131315 http://www.medworm.com/index.php?rid=4115403&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F84 Conclusions: This newly developed instrument seems a promising tool for providing healthcare workers and policy makers with useful information about determinants of success in QICs. The psychometric properties of the instrument are satisfactory and warrant application either as an objective measure or as a checklist. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4115403 Wed, 27 Oct 2010 23:00:00 +0100 4115403 http://www.medworm.com/index.php?rid=4115404&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F83 DiscussionThis project will analyse existing CPD programs and related activities for translating SDM into the practice of primary care. Because this international collaboration will develop and identify various factors influencing SDM, the project could shed new light on how SDM is implemented in primary care. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4115404 Tue, 26 Oct 2010 23:00:00 +0100 4115404 http://www.medworm.com/index.php?rid=4103991&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F82 Conclusions: While we found studies reporting empirical support for PARIHS, the single greatest need for this and other implementation models is rigorous, prospective use of the framework to guide implementation projects. There is also need to better explain derived findings and how interventions or measures are mapped to specific PARIHS elements; greater conceptual discrimination among sub-elements may be necessary first. In general, it may be time for the implementation science community to develop consensus guidelines for reporting the use and usefulness of theoretical frameworks within implementation studies. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4103991 Sun, 24 Oct 2010 23:00:00 +0100 4103991 http://www.medworm.com/index.php?rid=4094546&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F80 Conclusions: All interventions produced positive effects on BMD scanning and osteoporosis treatment rates post-fracture. Despite sizeable increases, investigation and treatment rates remain sub-optimal. Long-term compliance with osteoporosis medications needs to be addressed, as the majority of studies reported treatment rates at six-month follow up only. Studies would be more informative if treatment criteria were defined a priori to facilitate understanding of whether patients were being treated appropriately and integrated economic analyses would be helpful for informing policy implementation decisions. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4094546 Thu, 21 Oct 2010 23:00:00 +0100 4094546 http://www.medworm.com/index.php?rid=4094545&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F81 The objective of this study was to implement and evaluate the effectiveness of an evidence-based electronic care pathway, which incorporates multi-component delirium strategies, among older hip fracture patients. We conducted a pragmatic study using an interrupted time series design in order to evaluate the use and impact of the intervention. The target population was all consenting patients aged 65 years or older admitted with an acute hip fracture to the orthopedic units at two Calgary, Alberta hospitals. The primary outcome was delirium rates. Secondary outcomes included length of hospital stay, in-hospital falls, in-hospital mortality, new discharges to long-term care and readmissions. A Durbin Watson test was conducted to test for serial correlation and, because no correlation was fou... Implementation Science journals http://www.medworm.com/rss/comments.php?id=4094545 Thu, 21 Oct 2010 23:00:00 +0100 4094545 http://www.medworm.com/index.php?rid=4084940&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F79 Conclusions: COR Theory contributes to understanding the role of resources in research use, resistance to research use, and potential strategies to enhance research use. Resources (and a lack of them) may account for the observed disparities in research uptake across health systems. This paper offers a theoretical foundation to guide further examination of the COR-KT ideas and necessary supports for research use in resource challenged environments. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4084940 Tue, 19 Oct 2010 23:00:00 +0100 4084940 http://www.medworm.com/index.php?rid=4071969&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F76 Conclusions: Evaluation results suggest that this participatory research venture was successful in achieving clinician-directed collaboration, but did not produce sustainable interventions due to such implementation problems as lack of resources and administrative support. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4071969 Wed, 13 Oct 2010 23:00:00 +0100 4071969 http://www.medworm.com/index.php?rid=4071968&cid=s_34068_51_f&fid=34068&url=http%3A%2F%2Fwww.implementationscience.com%2Fcontent%2F5%2F1%2F77 Conclusions: A third of therapists rarely use research evidence in clinical decision making. Education in the principles of EBP, EBP self-efficacy, a positive attitude towards research, and involvement in research at work may promote research use in neurological physical therapy practice. Future research is needed to confirm these findings and to determine the type of research participation that may promote research use. (Source: Implementation Science) Implementation Science journals http://www.medworm.com/rss/comments.php?id=4071968 Wed, 13 Oct 2010 23:00:00 +0100 4071968