It’s More Complicated than That; Comment on “Translating Evidence into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies – Is There a Simple Answer to a Complex Question?”

Document Type : Commentary

Author

School of Healthcare Sciences, Bangor University, Bangor, Gwynedd, UK

Abstract

In this commentary the findings from a systematic review that concluded there is no compelling evidence to suggest that implementing complicated, multi-faceted interventions is more effective than simple, single component interventions to changing healthcare professional’s behaviour are considered through the lens of Harvey and Kitson’s editorial. Whilst an appealing conclusion, it is one that hides a myriad of complexities. These include issues concerning how best to tailor interventions and how best to evaluate such efforts. These are complex issues that do not have simple solutions.

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References

  1. Harvey G, Kitson A. Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies – is there a simple answer to a complex question? Int J Health Policy Manag 2015; 4: 123-6. doi: 10.15171/ijhpm.2015.54
  2. Squires J, Sullivan K, Eccles M, Worswick J, Grimshaw J. Are multifaceted interventions more effective than single-component interventions in changing health-care professionals' behaviours? An overview of systematic reviews. Implement Sci 2014; 9: 152. doi: 10.1186/s13012-014-0152-6
  3. Kitson A, Harvey G, McCormack B. Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care 1998; 7: 149-59. doi: 10.1136/qshc.7.3.149
  4. Rycroft-Malone J, Kitson A, Harvey G, McCormack B, Seers K, Titchen A, et al. Ingredients for change: revisiting a conceptual framework. Qual Saf Health Care  2002; 11: 174-80.  doi: 10.1136/qhc.11.2.174
  5. Kitson A, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A. Evaluating the successful implementation of evidence into practice using the PARIHS framework: theoretical and practical challenges (2008). Implement Sci 2008; 3: 1. doi: 10.1186/1748-5908-3-1
  6. Baker R, Camosso-Stefinovic J, Gillies C, Shaw EJ, Cheater F, Flottorp S, Robertson N. Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2010; (3): CD005470. doi: 10.1002/14651858.CD005470.pub2
  7. Carlile PR. Transferring, Translating, and Transforming: An Integrative Framework for Managing Knowledge Across Boundaries. Organ Sci 2004; 15: 555-68. doi: 10.1287/orsc.1040.0094
  8. Graham I, Logan J, Harrison M, Straus S, Tetroe J, Caswell W, Robinson N. Lost in knowledge translation: time for a map? J Contin Educ Health Prof  2006; 26: 13-24. doi: 10.1002/chp.47
  9. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009; 4: 50. doi: 10.1186/1748-5908-4-50
  10. Harvey G, Loftus-Hills A, Rycroft-Malone J, Titchen A, Kitson A, McCormack B, et al. Getting evidence into practice: the role and function of facilitation. J Adv Nurs  2002; 37: 577-88. doi: 10.1046/j.1365-2648.2002.02126.x
  11. Masterson-Algar P, Burton CR, Rycroft-Malone J, Sackley CM, Walker MF. Towards a programme theory for fidelity in the evaluation of complex interventions. J Eval Clin Pract 2014; 20: 445-52. doi: 10.1111/jep.12174

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History

  • Receive Date: 03 March 2015
  • Revise Date: 13 March 2015
  • Accept Date: 14 March 2015
  • First Publish Date: 01 July 2015

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