The effectiveness of implementation strategies for promoting evidence informed interventions in allied healthcare: a systematic review

Autor: Steve Milanese, Janine Margarita Dizon, Kaat Goorts
Přispěvatelé: Goorts, Kaat, Dizon, Janine, Milanese, Steve
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Evidence-based practice
genetic structures
PROFESSIONALS
Population
Allied Health Personnel
Psychological intervention
behavioral disciplines and activities
THERAPY
Health informatics
allied health
Health administration
evidence based
03 medical and health sciences
0302 clinical medicine
Nursing
Health care
Humans
Medicine
EXPERT RECOMMENDATIONS
030212 general & internal medicine
education
education.field_of_study
Science & Technology
Implementation strategy
business.industry
lcsh:Public aspects of medicine
CLINICAL GUIDELINES
030503 health policy & services
Health Policy
Public health
Nursing research
lcsh:RA1-1270
health care
Health Care Sciences & Services
nervous system
Evidence-Based Practice
grades for recommendation
TRIAL
Health Facilities
PHYSIOTHERAPY
0305 other medical science
business
Life Sciences & Biomedicine
Delivery of Health Care
psychological phenomena and processes
LOW-BACK-PAIN
Research Article
Zdroj: BMC Health Services Research
BMC Health Services Research, Vol 21, Iss 1, Pp 1-11 (2021)
ISSN: 1472-6963
DOI: 10.1186/s12913-021-06190-0
Popis: Background Evidence based practice in health care has become increasingly popular over the last decades. Many guidelines have been developed to improve evidence informed decision making in health care organisations, however it is often overlooked that the actual implementation strategies for these guidelines are as important as the guidelines themselves. The effectiveness of these strategies is rarely ever tested specifically for the allied health therapy group. Methods Cochrane, Medline, Embase and Scopus databases were searched from 2000 to October 2019. Level I and II studies were included if an evidence informed implementation strategy was tested in allied health personnel. The SIGN method was used to evaluate risk of bias. The evidence was synthesised using a narrative synthesis. The National Health and Medical Research Council (NHMRC) model was applied to evaluate the grade for recommendation. Results A total of 490 unique articles were identified, with 6 primary studies meeting the inclusion criteria. Three different implementation strategies and three multi-faceted components strategies were described. We found moderate evidence for educational meetings, local opinion leaders and patient mediated interventions. We found stronger evidence for multi-faceted components strategies. Conclusion Few studies describe the effectiveness of implementation strategies for allied healthcare, but evidence was found for multi-faceted components for implementing research in an allied health therapy group population. When considering implementation of evidence informed interventions in allied health a multi-pronged approach appears to be more successful.
Databáze: OpenAIRE
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