Developing and selecting interventions for translating knowledge to action
Canadian Medical Association JournalPublished 21 December 2009Open access
Michel Wensing, Maurice Bosch, R.P.T.M. Grol
Citations199
SJR quartileQ1
SJR score0.92
SNIP1.00
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
This article provides an approach to selecting interventions for knowledge and the barriers to and facilitators of use of knowledge have been identified.
Abstract
\n Contains fulltext :\n 88473.pdf (Publisher’s version ) (Closed access)\n
Keywords
Medicine
Journal of Continuing Education in the Health ProfessionsLost in knowledge translation: Time for a map?
4,739 Citations2006Ian D. Graham, Jo Logan +5 more
The implications of knowledge translation for continuing education in the health professions include the need to base continuing education on the best available knowledge, the use of educational and other transfer strategies that are known to be effective, and the value of learning about planned‐action theories to be better able to understand and influence change in practice settings.
The LancetFrom best evidence to best practice: effective implementation of change in patients' care
4,473 Citations2003Richard Grol, Jeremy Grimshaw
Academy of Management ReviewA Theory of Goal Setting and Task PerformanceA Theory of Goal Setting and Task Performance, by LockeEdwin A. and LathamGary P.. Englewood Cliffs, NJ: Prentice-Hall, 1990.
4,182 Citations1991Henry L. Tosi
Health Technology AssessmentEffectiveness and efficiency of guideline dissemination and implementation strategies
3,054 Citations2004Jeremy Grimshaw, Ruth Thomas +11 more
A systematic review of the effectiveness and costs of different guideline development, dissemination, and implementation strategies was taken and a framework for deciding when it is efficient to develop and introduce clinical guidelines was developed.
Canadian Medical Association JournalDefining knowledge translation
997 Citations2009Sharon E. Straus, Jacqueline Tetroe +1 more
The authors cannot pick up a magazine or surf the Internet without facing reminders of the challenges to health care and the "sorry state” of health systems.
Cochrane Database of Systematic ReviewsTailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes
987 Citations2010Richard Baker, Janette Camosso‐Stefinovic +5 more
Interventions tailored to prospectively identified barriers are more likely to improve professional practice than no intervention or dissemination of guidelines, however, the methods used to identify barriers and tailor interventions to address them need further development.
Milbank QuarterlyPlanning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives
977 Citations2007Richard Grol, Marije Bosch +3 more
It is demonstrated how different theories can be used to generate testable hypotheses regarding factors that influence the implementation of change, and it shows how different theoretical assumptions lead to different quality-improvement strategies.
Journal of Clinical EpidemiologyChanging the behavior of healthcare professionals: the use of theory in promoting the uptake of research findings
914 Citations2005Martin Eccles, Jeremy Grimshaw +3 more
This research offers a framework for those who would seek to use the results of research studies in routine healthcare settings to design and conduct interventions aimed at improving the use of research findings by individual healthcare professionals or teams.
Improving Patient Care: The Implementation of Change in Clinical Practice
553 Citations2005R. Grol, Michel Wensing +3 more
The LancetManagement of heart failure in primary care (the IMPROVEMENT of Heart Failure Programme): an international survey
536 Citations2002JGF Cleland, Alain Cohen‐Solal +13 more
The inconsistencies between physicians' knowledge and the treatment that they deliver suggests that improved organisation of care for heart failure is required, and there are substantial variations in practice between countries.
PubMedImplementing guidelines and innovations in general practice: which interventions are effective?
418 Citations1998Michel Wensing, Trudy van der Weijden +1 more
Some, but not all, multifaceted interventions are effective in inducing change in general practice, and social influence and management support can improve the effectiveness of information transfer, but information linked to performance does not necessarily do so.
Canadian Medical Association JournalAdapting clinical practice guidelines to local context and assessing barriers to their use
410 Citations2009M B Harrison, France Légaré +2 more
The knowledge-to-action cycle represents a framework for the implementation of knowledge and the action phases were derived from a review of 31 theories of planned action.
Milbank QuarterlyHealth Research Funding Agencies' Support and Promotion of Knowledge Translation: An International Study
325 Citations2008Jacqueline Tetroe, Ian D. Graham +12 more
Funding agencies need to think about both their conceptual framework and their operational definition of KT, so that it is clear what is and what is not considered to be KT, and adjust their funding opportunities and activities accordingly.
Academic Emergency MedicineSome Theoretical Underpinnings of Knowledge Translation
294 Citations2007Ian D. Graham, Jacqueline Tetroe
The authors conducted a focused literature search, developed inclusion criteria to identify planned action theories, and extracted data from each theory to determine the origins, examine the meaning, judge the logical consistency, and define the degree of generalizability, parsimony, and testability.
Journal of Evaluation in Clinical PracticeTailoring quality improvement interventions to identified barriers: a multiple case analysis
274 Citations2006Marije Bosch, Trudy van der Weijden +2 more
The design of quality improvement interventions appears to still be in its infancy, with results suggesting there is often a mismatch between the level of identified barriers and the type of interventions selected for use.
Journal of General Internal MedicineModels, Strategies, and Tools.
145 Citations2006Anne Sales, Jeffrey L. Smith +2 more
In most studies where there is an attempt to implement planned change in clinical processes, theory is used loosely and the choice of tools should match the interventions and overall strategy, linking back to the original theory and framework.
BMJOn the trail of quality and safety in health care
133 Citations2008Richard Grol, Donald M. Berwick +1 more
It is called for steps to encourage a new generation of researchers to investigate how to speed up progress in patient care.
BMC Health Services ResearchThe relationship between organisational characteristics and the effects of clinical guidelines on medical performance in hospitals, a meta-analysis
130 Citations2006Rob Dijkstra, Michel Wensing +5 more
Both single and multifaceted interventions seemed to be effective in hospitalsettings, and evidence for the effects of organisational determinants remained limited.
Canadian Medical Association JournalThe knowledge-to-action cycle: identifying the gaps
118 Citations2009Alison Kitson, Sharon E. Straus
In a large study in the United States, 20% of people with type 2 diabetes mellitus had poor control of blood glucose and half had low-density lipoprotein cholesterol.
Canadian Medical Association JournalKnowledge creation: synthesis, tools and products
114 Citations2009Melissa Brouwers, Dawn Stacey +1 more
The foundation for any activity related to knowledge translation is knowledge; it’s hard to do KT without the “K”; the knowledge-to-action cycle provides a framework for strategies in knowledge translation.
SpineImplementation of the Dutch Low Back Pain Guideline for General Practitioners
109 Citations2005Arno J Engers, Michel Wensing +5 more
The multifaceted intervention strategy modestly improved implementation (for parts of the recommendations in) the Dutch low back pain guideline by general practitioners and produced small concomitant changes in patient management.
PubMedRandomised controlled trial of tailored strategies to implement guidelines for the management of patients with depression in general practice.
105 Citations2001Richard Baker, Sue Reddish +3 more
In the group of GPs receiving tailored implementation, there were increases in the proportions of patients assessed for suicide risk and the proportion of patients with BDI scores less than 11 at 16 weeks increased in the intervention group.
Alimentary Pharmacology & TherapeuticsPatient‐directed strategy to reduce prescribing for patients with dyspepsia in general practice: a randomized trial
79 Citations2004N. Krol, Michel Wensing +6 more
The percentage of patients receiving long‐term treatment with acid suppressive drugs, mainly proton pump inhibitors, is higher than the prevalence of diseases that are commonly accepted as the proper indication for long-term proton pumps inhibitor use.
European Journal of Cardiovascular Prevention & RehabilitationQuality indicators for the prevention and management of cardiovascular disease in primary care in nine European countries
78 Citations2008Stephen Campbell, Sabine Ludt +6 more
Indicators for the management of established cardiovascular disease have been developed, which can be used to measure the quality of cardiovascular care across a wide range of countries.
Patient Education and CounselingSupporting adherence and healthy lifestyles in leg ulcer patients: Systematic development of the Lively Legs program for dermatology outpatient clinics
66 Citations2005Maud Heinen, L. Kay Bartholomew +3 more
Intervention mapping helped to succeed in developing a lifestyle program with clear goals and methods, operational strategies and materials and clear procedures for leg ulcer patients at outpatient clinics for dermatology.
European Journal of Heart FailureThe Relevance of Comorbidities for Heart Failure Treatment in Primary Care: A European Survey
32 Citations2005Heidrun Sturm, Flora M. Haaijer‐Ruskamp +4 more
To assess the impact of comorbidities on chronic heart failure (CHF) therapy, a large number of patients with known or suspected heart problems are randomly assigned to receive CHF therapy or receive a dummy pill.
BMC Family PracticePerceived barriers for treatment of chronic heart failure in general practice; are they affecting performance?
26 Citations2005Willeke N. Kasje, Petra Denig +2 more
Variation between GPs in prescribing ACE-I for CHF cannot be explained by differences in the barriers they perceive, and tailor-made interventions targeting only those doctors that perceive a specific barrier will not be an efficient approach to improve quality of care.
BMC Family PracticeManagement of children's urinary tract infections in Dutch family practice: a cohort study
23 Citations2007Mirjam Harmsen, Michel Wensing +4 more
Treatment of childhood UTIs in Dutch family practice should be improved with respect to prescription, follow-up, and referral, to address the low incidence of urinary tract infections in children in family practice.
BMC Health Services ResearchHeart failure guidelines and prescribing in primary care across Europe
13 Citations2005Heidrun Sturm, Wiek H. van Gilst +3 more
Differences in guideline recommendations are not sufficient to explain variation of prescribing among countries, thus other factors must be considered.
Data Archiving and Networked Services (DANS)Management of dyspepsia in general practice: an observational study.
5 Citations2003N. Krol
Many patients with dyspepsia received acid suppressive drugs and the most relevant predictor of prescribing these was earlier use of the same drugs.
