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

Authors
  • Goorts, Kaat1
  • Dizon, Janine2
  • Milanese, Steve2
  • 1 Environment and Health, KU Leuven, Leuven, Belgium , Leuven (Belgium)
  • 2 University of South Australia, City East Campus, North Terrace, Adelaide, Australia , Adelaide (Australia)
Type
Published Article
Journal
BMC Health Services Research
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Mar 18, 2021
Volume
21
Issue
1
Identifiers
DOI: 10.1186/s12913-021-06190-0
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundEvidence 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.MethodsCochrane, 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.ResultsA 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.ConclusionFew 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.

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