Cited by 1,070Health Policy Implementation ScienceHealth Sciences Research and EducationClinical practice guidelines implementation

The DOI matches its Crossref record; 115 of the 117 references it cites were found in a registry or an index.

Local opinion leaders: effects on professional practice and health care outcomes

Open access

Flodgren, Gerd, Parmelli, Elena, Doumit, Gaby, Gattellari, Melina, O'Brien, Mary Ann, Grimshaw, Jeremy, Eccles, Martin P·2011·Cochrane Database of Systematic Reviews

DOI 10.1002/14651858.cd000125.pub4PMC PMC4172331

Open this paper in CoChat — free account

Abstract

BACKGROUND: Clinical practice is not always evidence-based and, therefore, may not optimise patient outcomes. Opinion leaders disseminating and implementing 'best evidence' is one method that holds promise as a strategy to bridge evidence-practice gaps. OBJECTIVES: To assess the effectiveness of the use of local opinion leaders in improving professional practice and patient outcomes. SEARCH STRATEGY: We searched Cochrane EPOC Group Trials Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, HMIC, Science Citation Index, Social Science Citation Index, ISI Conference Proceedings and World Cat Dissertations up to 5 May 2009. In addition, we searched reference lists of included articles. SELECTION CRITERIA: Studies eligible for inclusion were randomised controlled trials investigating the effectiveness of using opinion leaders to disseminate evidence-based practice and reporting objective measures of professional performance and/or health outcomes. DATA COLLECTION AND ANALYSIS: Two review authors independently extracted data from each study and assessed its risk of bias. For each trial, we calculated the median risk difference (RD) for compliance with desired practice, adjusting for baseline where data were available. We reported the median adjusted RD for each of the main comparisons. MAIN RESULTS: We included 18 studies involving more than 296 hospitals and 318 PCPs. Fifteen studies (18 comparisons) contributed to the calculations of the median adjusted RD for the main comparisons. The effects of interventions varied across the 63 outcomes from 15% decrease in compliance to 72% increase in compliance with desired practice. The median adjusted RD for the main comparisons were: i) Opinion leaders compared to no intervention, +0.09; ii) Opinion leaders alone compared to a single intervention, +0.14; iii) Opinion leaders with one or more additional intervention(s) compared to the one or more additional intervention(s), +0.10; iv) Opinion leaders as part of multiple interventions compared to no intervention, +0.10. Overall, across all 18 studies the median adjusted RD was +0.12 representing a 12% absolute increase in compliance in the intervention group. AUTHORS' CONCLUSIONS: Opinion leaders alone or in combination with other interventions may successfully promote evidence-based practice, but effectiveness varies both within and between studies. These results are based on heterogeneous studies differing in terms of type of intervention, setting, and outcomes measured. In most of the studies the role of the opinion leader was not clearly described, and it is therefore not possible to say what the best way is to optimise the effectiveness of opinion leaders.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1002/14651858.cd000125.pub4

Cites

115 of 115 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Diffusion of Innovations 1
Rogers, E. M., Singhal, A., & Quinlan, M. M. (2019) · Routledge eBooks · doi:10.4324/9780203710753-35 · Cited by 37,670
Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series
(2008) · doi:10.1002/9780470712184 · Cited by 25,048
GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P., & Schünemann, H. J. (2008) · BMJ · doi:10.1136/bmj.39489.470347.ad · Cited by 23,305
Pharmacological interventions for somatoform disorders in adults
Kleinstäuber, M., Witthöft, M., Steffanowski, A., van Marwijk, H., Hiller, W., & Lambert, M. J. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010628.pub2 · Cited by 11,369
Audit and feedback: effects on professional practice and healthcare outcomes
Ivers, N., Jamtvedt, G., Flottorp, S., Young, J. M., Odgaard-Jensen, J., French, S. D., O'Brien, M. A., Johansen, M., Grimshaw, J., & Oxman, A. D. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub3 · Cited by 5,485
Self-citation
Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement
Moher, D., Cook, D. J., Eastwood, S., Olkin, I., Rennie, D., & Stroup, D. F. (1999) · The Lancet · doi:10.1016/s0140-6736(99)04149-5 · Cited by 4,826
Untitled work
(2008) · Cited by 3,790
Assessing Risk of Bias in Included Studies
Higgins, J. P., & Altman, D. G. (2008) · Cochrane Handbook for Systematic Reviews of Interventions · doi:10.1002/9780470712184.ch8 · Cited by 3,396
The answer is 17 years, what is the question: understanding time lags in translational research
Morris, Z. S., Wooding, S., & Grant, J. (2011) · Journal of the Royal Society of Medicine · doi:10.1258/jrsm.2011.110180 · Cited by 3,340
Effectiveness and efficiency of guideline dissemination and implementation strategies
Grimshaw, J., Thomas, R., MacLennan, G., Fraser, C., Ramsay, C., Vale, L., Whitty, P., Eccles, M., Matowe, L., Shirran, L., et al. (2004) · Health Technology Assessment · doi:10.3310/hta8060 · Cited by 3,044
Self-citation

Show all 117 references

Research works printed but not linked: 5

Hodnett, 1994, A strategy to promote research-based nursing care: effects on childbirth outcomes. Final report of project no. 6606-4076-57E
Nicolas, 1996, Cost analysis, consensus conference, medical audit, Journal D'Economie Medicale, 14
Doumit, 2006, Opinion leaders - Effectiveness, Identification, Stability, Specificity, and Mechanism of Action
Hiss RG MacDonald R David WR Identification of physician educational influentials in small community hospitals Washington DC Proceedings of the Seventeenth Annual Conference on Research in Medical Education 1978 283 8
Doumit, 2007, Local opinion leaders: effects on professional practice and heath care outcomes, Cochrane Database of Systematic Reviews, 10.1002/14651858.MR000006.pub3 · DOI · Paper page

Sorted by citations

Items 801–900 of 1,001

Midwife or doctor local opinion leader to implement a national guideline in babies on postnatal wards (DesIGN): protocol of a cluster-randomised, blinded, controlled trial
Alsweiler, J. M., Crowther, C. A., & Harding, J. E. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-017516 · Cited by 4
Tips on implementation
Ritchie, J. A. (2013) · doi:10.1002/9781118413555.ch25 · Cited by 4
Modelling information behaviour: linking information seeking and communication
Robson, A. (2013) · City Research Online (City University London) · Cited by 4
The chronic need to improve the management of pain
Tunks, E. (2003) · Pain Research and Management · doi:10.1155/2003/548943 · Cited by 4
Determinants of Implementation
Wensing, M., & Grol, R. P. T. M. (2020) · Wiley eBooks · doi:10.1002/9781119488620.ch8 · Cited by 5
Educational Implementation Strategies
Wensing, M., Fluit, C. R. M. G., Grimshaw, J., & Grol, R. P. T. M. (2020) · doi:10.1002/9781119488620.ch12 · Cited by 4
Self-citation
Commentary: Improving the Sustainability of Healthcare in Canada through Physician-Engaged Delivery System Reforms
Quinn, A. E., & Manns, B. (2021) · Healthcare policy · doi:10.12927/hcpol.2021.26434 · Cited by 4
Examining the implementation of clinical practice guidelines for the management of adult cancers: A mixed methods study
Urquhart, R., Woodside, H., Kendell, C., & Porter, G. A. (2018) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13073 · Cited by 3
Study protocol for an economic evaluation and budget impact of implementation strategies to support routine provision of antenatal care for gestational weight gain: a stepped-wedge cluster trial
Wynne, O., Szewczyk, Z., Hollis, J., Farragher, E., Doherty, E. L., Tully, B., Paolucci, F., Gillham, K. E., Reeves, P., Wiggers, J. H., et al. (2023) · Implementation Science Communications · doi:10.1186/s43058-023-00420-8 · Cited by 3
Improving stroke Emergency Department nursing care: The Code Stroke 2.0 pre-test/post-test feasibility study
Jones, B., Fasugba, O., Dale, S., Burrows, C., John, M., Doncillo, M., Wright, S., Lueck, C. J., D’Este, C. A., McElduff, B., et al. (2023) · Collegian Journal of the Royal College of Nursing Australia · doi:10.1016/j.colegn.2023.04.002 · Cited by 3
Calling for Multiculturalism-Based Communication Campaign in Early Prevention of Youth Diabetes
Windah, A., Yulianto, Nurhaida, I., Aryanti, N. Y., & Wardhani, A. C. (2023) · International Journal Of Humanities Education and Social Sciences (IJHESS) · doi:10.55227/ijhess.v2i6.536 · Cited by 3
Assessing the fidelity of a behavioural intervention involving academic detailing in general practice: a sub-study of the ‘Implementing work-related Mental health guidelines in general PRacticE’ (IMPRovE) trial
Camões‐Costa, V., Chakraborty, S. P., Mozaffari, F., Collie, A., Kenardy, J. A., Brijnath, B., Mortimer, D., Enticott, J., Kidd, M. R., Trevena, L. J., et al. (2023) · Implementation Science Communications · doi:10.1186/s43058-023-00531-2 · Cited by 3
Insulin: a commonly used high‐risk medicine
Dunning, T., Leach, H., Williams, A., Buckey, J., Jackson, J., Leversha, A., Nation, R., O'Reilly, M., Rokahr, C., Vandevreede, M., et al. (2012) · Practical Diabetes · doi:10.1002/pdi.1662 · Cited by 2
Application of the principles of evidence-based practice in decision making among senior management in Nova Scotia’s addiction services agencies
Murphy, M., MacCarthy, M. J., McAllister, L., & Gilbert, R. W. (2014) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/1747-597x-9-47 · Cited by 3
“Previous research has suggested that individuals working for community-based organizations show a preference for data collected locally because it is perceived as more relevant to the local context than are published research findings [49,50].”
Background
Factors influencing change in clinical practice
Rajasekhar, P. T., Rees, C. J., Nixon, C., East, J. E., & Brown, S. R. (2016) · International Journal of Health Care Quality Assurance · doi:10.1108/ijhcqa-09-2014-0093 · Cited by 3
“Using opinion leaders is a strategy that has been shown to positively influence professional behaviour, which is consistent with our findings (Flodgren et al., 2011).”
Result
Multidisciplinary Cancer Conferences
Hamilton, T. D., Brar, S. S., Hong, N. J. L., McLeod, R. S., & Wright, F. C. (2016) · Springer eBooks · doi:10.1007/978-3-319-26276-5_15 · Cited by 3
Building Legitimacy by Valuing the Expert Opinion in the Conservative Treatment of Thumb Carpometacarpal Joint Osteoarthritis
Cantero‐Téllez, R., Valdes, K. A., O’Brien, V. H., Berjano, P. L., Pedersini, P., & Villafañe, J. H. (2019) · Topics in Geriatric Rehabilitation · doi:10.1097/tgr.0000000000000226 · Cited by 3
Evidence-Based Medicine in the Clinical Learning Environment of Pediatric Hospital Medicine
Kuzma, N. C., Kersten, H. B., & Thompson, E. D. (2019) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2019.03.001 · Cited by 3
A Nurse-Led Initiative to Improve Implementation of HIV Preconception Care Services
Simone, J., Hoyt, M. J., Bogert, L., & Storm, D. S. (2020) · Journal of the Association of Nurses in AIDS Care · doi:10.1097/jnc.0000000000000212 · Cited by 3
Psychological aspects of identifying and studying digital opinion leaders
Kuznetsova, E., & Zinovyeva, E. V. (2020) · World of Science Pedagogy and psychology · doi:10.15862/97psmn520 · Cited by 3
“В западных исследованиях чаще всего указываются следующие характеристики, определяющие лидеров мнений: приятный, достойный доверия, образованный, уверенный в себе [28].”
The Effectiveness and Cost of an Intervention to Increase the Provision of Preventive Care in Community Mental Health Services: Protocol for a Cluster-Randomized Controlled Trial
Fehily, C. M. C., McKeon, E., Stettaford, T., Campbell, E. M., Lodge, S., Dray, J., Bartlem, K. M., Reeves, P., Oldmeadow, C. J., Castle, D. J., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19053119 · Cited by 3
“Cochrane systematic review evidence supports the effectiveness of various implementation strategies in increasing preventive care in general health settings, including leadership and consensus processes [31], enabling systems, training [32], audit and feedback [33], and client activation [34].”
Background
Surmounting Withdrawal to Initiate Fast Treatment with Naltrexone (SWIFT): A stepped wedge hybrid type 1 effectiveness-implementation study
Greiner, M. G., Shulman, M., Opara, O., Potter, K. M., Voronca, D., Tafessu, H. M., Hefner, K. R., Hamilton, A., Scheele, C., Ho, R., et al. (2023) · Contemporary Clinical Trials · doi:10.1016/j.cct.2023.107148 · Cited by 3
Evidence implementation in naturopathy: A cross-sectional study of Australian naturopaths
Leach, M., & Veziari, Y. (2023) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2023.101777 · Cited by 3
Taking the first step: protocol for a cluster randomised implementation trial comparing strategies on access to exercise programmes for people with knee osteoarthritis
Mills, K. A. G., Bowden, J. L., Boland, R. A., Pardey, M. C., Descallar, J., & Naylor, J. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-071045 · Cited by 3
The ACCELERATE Plus (assessment and communication excellence for safe patient outcomes) Trial Protocol: a stepped-wedge cluster randomised trial, cost-benefit analysis, and process evaluation
Liu, M., Whittam, S., Thornton, A., Goncharov, L., Slade, D., McElduff, B., Kelly, P. J., Law, C. K., Walsh, S. K., Pollnow, V., et al. (2023) · BMC Nursing · doi:10.1186/s12912-023-01439-x · Cited by 4
Process evaluation of an implementation intervention to facilitate the use of the Swedish Physical Activity on Prescription in primary healthcare
Gustavsson, C., Nordqvist, M., Bruhn, Å. B., Bröms, K., Jerdén, L., Kallings, L., & Wallin, L. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09974-8 · Cited by 3
“– Local champions [45], support and internal facilitation provided by healthcare professionals at each PHC centre who were appointed as local PAP-S coordinators: two nurses and one physiotherapist at PHC-C1, one nurse, one physician and one physiotherapist at PHC-C2, and one nurse, one physician, one physiotherapist a…”
Background
Employing Dissonance-Based Interventions to Promote Health Equity Utilizing a Community-Based Participatory Research Approach and Social Network Analysis
Bell, S., den Berg, M. V., & Liboro, R. M. (2023) · Social Sciences · doi:10.3390/socsci12100543 · Cited by 3
Willingness, perceived facilitators and barriers to use remote care among healthcare professionals – a cross-sectional study
Thomassen, E. E. K., Berg, I. J., Kristianslund, E. K., Tveter, A. T., & Østerås, N. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-10301-4 · Cited by 3
A Virtual Hospital Model of Care for Low Back Pain, Back@Home: Protocol for a Hybrid Effectiveness-Implementation Type-I Study
Melman, A., Teng, M. J., Coombs, D., Li, Q., Billot, L., Lung, T. W.-C., Rogan, E., Marabani, M., Hutchings, O., Maher, C. G., et al. (2023) · JMIR Research Protocols · doi:10.2196/50146 · Cited by 3
Improving croup management at a pediatric emergency department
Yıldız, L. A., Akça, H., Kurt, F., Hanalıoğlu, D., Çetin, M., Şenel, S., & Karacan, C. D. (2024) · Postgraduate Medicine · doi:10.1080/00325481.2024.2360889 · Cited by 3
“Reasons for inter-provider and inter-hospital variability and the most effective strategies for guideline implementation remain unknown [28,29].”
Background
Knowledge Translation Interventions to Address Gaps in Rectal Cancer Care
Kennedy, E. D., Pooni, A., Schmocker, S., Brown, C. J., MacLean, A. R., Baxter, N. N., Williams, L., Simunovic, M. R. I., Liberman, S. A., Drolet, S., et al. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.61047 · Cited by 3
Evaluation of Midwives’ Practises on Herpetic Infections during Pregnancy: A French Vignette-Based Study
Mrozik, A., Sellier, Y., Lemaitre, D., & Gaucher, L. (2023) · Healthcare · doi:10.3390/healthcare11030364 · Cited by 3
“We could use local opinion leaders to accelerate the successful adoption of new practises [16,17].”
Method
Why A-level evidence does not make it to clinicians' A-list: the case of thromboprophylaxis in medical patients
Douketis, J. D., & Lloyd, N. S. (2008) · BMJ Evidence-Based Medicine · doi:10.1136/ebm.13.5.133 · Cited by 3
The impact of a clinical team assisting the Coroner’s investigation of healthcare-related deaths: Reflections on six-years of service
Ibrahim, J., Cunningham, N., O’Brien, A. J., Charles, A., & Young, C. (2009) · Legal Medicine · doi:10.1016/j.legalmed.2009.10.006 · Cited by 3
“Open Day, Image Capital Project, Coroner’s Health and Medical Advisory Committee and Quality and Risk Management Practitioners) [27]; and educational forums (seminars, conferences) [28].”
Background
Symposium on malaria research.
Lachmajer, J. (1975) · PubMed · Cited by 3
Providing routine chronic disease preventive care in community substance use services: a pilot study of a multistrategic clinical practice change intervention
Tremain, D., Freund, M., Wye, P. M., Bowman, J., Wolfenden, L., Dunlop, A. J., Bartlem, K. M., Lecathelinais, C., & Wiggers, J. H. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020042 · Cited by 3
“Insufficient fruit and/or vegetable consumption 50 (26) 69 (46) 2.”
Background
Knowledge Mobilization in the Canadian Naturopathic Community
Aucoin, M., Newton, G. S., & Cooley, K. (2022) · CAND Journal · doi:10.54434/candj.103 · Cited by 4
Engaging patients and primary care providers in the design of novel opinion leader based interventions for acute asthma in the emergency department: a mixed methods study
Villa‐Roel, C., Ospina, M. B., Majumdar, S. R., Couperthwaite, S., Rawe, E., Nikel, T., & Rowe, B. H. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3587-7 · Cited by 3
Entscheiden bei Unsicherheit
Dittrich, W. H., & Schulz, T. (2020) · FOM-Edition · doi:10.1007/978-3-658-29550-9_13 · Cited by 3
Prevention of fall-related injuries: A clinical research agenda 2009-2014
Quigley, P. (2009) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2009.07.0097 · Cited by 3
Compliance with instructions for writing structured care management tools
Labarère, J., Bos, C., Bedouch, P., Fourny, M., Pavèse, P., Allenet, B., & François, P. (2003) · International Journal of Health Care Quality Assurance · doi:10.1108/09526860310470676 · Cited by 3
Évaluation à distance d'une action de formation médicale continue
Steib, A., Bricard, H., Granry, J., Payen, J., & Scherpereel, P. (2003) · Annales Françaises d Anesthésie et de Réanimation · doi:10.1016/j.annfar.2003.08.002 · Cited by 3
Improving venous blood specimen collection practices Method development and evaluation of an educational intervention program
Bölenius, K. (2014) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 3
Changing the culture on labour ward to increase midwives promotion of birthing pools: an action research study
Russell, K. (2016) · Nottingham ePrints (University of Nottingham) · Cited by 3
Implementation science takes baby steps in infants with bronchiolitis
Cunningham, S., & Pinnock, H. (2018) · Thorax · doi:10.1136/thoraxjnl-2017-211455 · Cited by 3
Dissemination of Innovations
Grol, R. P. T. M., & Wensing, M. (2020) · doi:10.1002/9781119488620.ch11 · Cited by 3
STOPP/START version 3: looks great, fits well, but itches
Hilmer, S. N. (2023) · European Geriatric Medicine · doi:10.1007/s41999-023-00828-4 · Cited by 3
Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework
French, S. D., Green, S. E., O’Connor, D. A., McKenzie, J. E., Francis, J. J., Michie, S., Buchbinder, R., Schattner, P., Spike, N., & Grimshaw, J. M. (2012) · Implementation Science · doi:10.1186/1748-5908-7-38 · Cited by 1,338
“Content:• GP opinion leader/content expert [29] presents information about the guideline key messages.”
Self-citation
Spatial Neglect: An Exploration of Clinical Assessment Behaviour in Stroke Rehabilitation
Fisher, G., de Oliveira, C. Q., Stubbs, P. W., Power, E., Checketts, M., Porter-Armstrong, A. P., & Kennedy, D. S. (2024) · Clinical Rehabilitation · doi:10.1177/02692155241230270 · Cited by 2
“29 Changes to healthcare and education delivery in the COVID-19 pandemic and its associated lockdowns and restrictions mean that many clinicians have adapted to online-only or hybrid formats for both service delivery and ongoing education, and thus the development of open-source, online education…”
Background
The conceptualization of ‘Key Evidence Leaders’ from ‘Opinion Leaders’: A review also applicable in ophthalmology
Fernández, J., Ribeiro, F. J., Dick, H. B., Kohnen, T., Rocha‐de‐Lossada, C., & Rodríguez‐Vallejo, M. (2025) · Archivos de la Sociedad Española de Oftalmología (English Edition) · doi:10.1016/j.oftale.2025.07.016 · Cited by 2
Implementation of a knowledge translation strategy to promote early evidence‐based rehabilitation for children with cerebral palsy
Hanson, J., Majnemer, A., Shikako‐Thomas, K., Dahan‐Oliel, N., Pietrangelo, F., Dickson, L., Steven, E., Iliopoulos, G., & Ogourtsova, T. (2025) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.70056 · Cited by 4
“50 Focus groups with champions from different sites gave insights into the contextual differences between each site and how these differences affected EBP initiatives.”
Prehospital guidelines for use of hypertonic saline are not followed systematically.
Hejselbæk, J., Steinmetz, J., & Rasmussen, L. S. (2012) · PubMed · Cited by 2
“I Know How to Help Trainees but …:”—How to Incorporate Implementation Science in Design and Delivery of a Simulation Program
Hanchanale, V. S., Biyani, C. S., & Sevdalis, N. (2022) · Springer eBooks · doi:10.1007/978-3-030-88789-6_28 · Cited by 2
Cultural Evolution and Population Health Interventions
Alvergne, A. (2023) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780198869252.013.70 · Cited by 2
Keeping up with evidence-based recommendations – a qualitative interview study with general practitioners in Germany on information-seeking behaviour in cardiovascular care
Arnold, C., Hennrich, P., Wensing, M., & Ullrich, C. (2023) · BMC Family Practice · doi:10.1186/s12875-023-02069-7 · Cited by 2
First insights into multidisciplinary and multispecialty long COVID networks—a SWOT analysis from the perspective of ambulatory health care professionals
Stengel, S., Gölz, L., Kolb, J., Tarbet, K., Völler, S., Koetsenruijter, J., Szécsényi, J., & Merle, U. (2023) · Frontiers in Medicine · doi:10.3389/fmed.2023.1251915 · Cited by 2
Evaluation of an implementation support package to increase community mental health clinicians’ routine delivery of preventive care for multiple health behaviours: a non-randomised controlled trial
Regan, C., Bartlem, K. M., Fehily, C. M. C., Campbell, E. M., Lecathelinais, C., Doherty, E. L., Wolfenden, L., Clancy, R., Fogarty, M., Conrad, A. M., et al. (2023) · Implementation Science Communications · doi:10.1186/s43058-023-00509-0 · Cited by 2
N-of-1 Trials of Antimicrobial Stewardship Interventions to Optimize Antibiotic Prescribing for Upper Respiratory Tract Infection in Emergency Departments: Protocol for a Quasi-Experimental Study
Attal, H., Huang, Z., Kuan, W. S., Weng, Y., Tan, H. Y., Seow, E., Peng, L. L., Lim, H. C., & Chow, A. L. (2024) · JMIR Research Protocols · doi:10.2196/50417 · Cited by 2
Reducing administrative burden by implementing a core set of quality indicators in the ICU: a multicentre longitudinal intervention study
Hesselink, G., Verhage, R., Westerhof, B., Verweij, E., Fuchs, M., Janssen, I., van der Meer, C., van der Horst, I. C. C., de Jong, P., van der Hoeven, J. G., et al. (2024) · BMJ Quality & Safety · doi:10.1136/bmjqs-2024-017481 · Cited by 2
Reducing unnecessary preoperative testing through a comprehensive EMR based digital algorithm
Esper, S. A., Holder‐Murray, J., Meister, K., Lin, H. S., Bauer, A. K., Artman, J., Garver, M., Lukanski, A., Zuckerbraun, B. S., Marroquin, O. C., et al. (2024) · EBioMedicine · doi:10.1016/j.ebiom.2024.105509 · Cited by 3
Reducing caesarean section rates in Robson groups 1 and 3: a quality improvement initiative in a private Brazilian hospital
Kondo, M., Leme, V. D. D. T., Carvalho, D. C. D. S., da Cunha, L. B., Galvão, E., Ledo, A. F., Siaulys, M. M., Betrán, A. P., & Torloni, M. R. (2025) · BMJ Open Quality · doi:10.1136/bmjoq-2024-003077 · Cited by 2
Social Media Opinion Leaders’ Self-Presentation and Youth Tourism Impulse Buying: A Mediated SOR Analysis
Fan, Q., & Yang, Y. (2025) · International Journal of Economic Sciences · doi:10.31181/ijes1412025179 · Cited by 2
Timely identification of deteriorating patients from acute respiratory infections at the primary care level in the COVID-19 era: quality improvement collaborative
Barón, F. J., Falaschi, A., Bosio, L., Gibbons, L., Vitar, E., Guglielmino, M., Negri, E., Peralta-Roca, M. B., Rodríguez, A. P., Suárez-Anzorena, I., et al. (2025) · BMJ Open Quality · doi:10.1136/bmjoq-2025-003390 · Cited by 2
Opinion seeking behaviour of healthcare providers in ambulatory cardiovascular care in Germany: a cross-sectional study
Hennrich, P., Arnold, C., Traulsen, P., Peters-Klimm, F., & Wensing, M. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08667-y · Cited by 2
It's the little things that matter: implementation of evidence-based practice in residential aged care
Masso, M. R. (2011) · Research Online (University of Wollongong) · Cited by 2
Vocational Rehabilitation and Occupational Therapy: Impact of a Knowledge Translation Initiative
Lyons, E., & Pettigrew, J. (2013) · Musculoskeletal Care · doi:10.1002/msc.1063 · Cited by 3
Kennis van implementatie programma.
Wensing, M., Ouwens, M. M. M. T. J., Boerboom, L., Bal, R. A., de Bont, A., de Mul, M., Friele, R. D., Heiligers, P. J. M., & van der Niet, A. G. (2010) · Data Archiving and Networked Services (DANS) · Cited by 2
Twitter Connections among Local Health Departments as Potential Pathways for Dissemination
Harris, J. K., Brownson, R. C., Bell, R. A., Maier, R., Cohen, E. L., & Mueller, N. L. (2014) · Hawaii International Conference on System Sciences (HICSS) · doi:10.1109/hicss.2014.204 · Cited by 2
“Specifically, studies have shown that opinion leaders in a network can facilitate successful dissemination of health behavior interventions [18] and evidence-based healthcare strategies [19].”
Background
The effect of a physician-targeted intervention on metoclopramide prescribing practice
Yang, Y., Leonard, Freeman, & Hennessy, S. (2011) · Therapeutics and Clinical Risk Management · doi:10.2147/tcrm.s21547 · Cited by 2
DEVELOPMENT OF A KNOWLEDGE EXCHANGE AND UTILIZATION MODEL FOR EMERGENCY PRACTICE
Curran, J. (2009) · DalSpace (Dalhousie University) · Cited by 2
In Chronic Disease, Nationwide Data Show Poor Adherence by Patients to Medication And by Physicians to Guidelines A widespread approach that incorporates various stakeholders may be necessary to change adherence behavior
Thier, S. L., Yu-Isenberg, K. S., Leas, B. F., Cantrell, C. R., DeBussey, S., Goldfarb, N. I., & Nash, D. B. (2008) · Cited by 2
Development and Use of Clinical Performance Indicators for Ambulance Services and Prehospital Care: A Discussion Paper for a Clinical Quality Improvement Framework for Ambulance Services
Siriwardena, A. N. (2007) · Lincoln Repository (University of Lincoln) · Cited by 2
Evidence Translation in a Youth Mental Health Service
Bailey, A. P., Simmons, M. B., Silva, S. D., Hetrick, S. E., & Parker, A. G. (2016) · SAGE Open · doi:10.1177/2158244016631388 · Cited by 2
“…2012; Scott et al., 2012), with delivery methods such as printed educational materials (Giguère et al., 2012), use of champions or opinion leaders (Flodgren et al., 2011), use of knowledge brokers (Ward, House, & Hamer, 2009), and various other tailored and multifaceted strategies (R. Baker et…”
Continuing medical education: What for? How? And how much is it worth?
Weller, J. M., & Woodward, A. J. (2004) · PubMed · Cited by 2
Improving Rural Geriatric Care Through Education: A Scalable, Collaborative Project
Buck, H. G., Kolanowski, A. M., Fick, D. M., & Baronner, L. (2016) · The Journal of Continuing Education in Nursing · doi:10.3928/00220124-20160616-06 · Cited by 2
The influence of carrying out multicentre trials on surgical practice in general surgery departments
Śmietański, M., & Bigda, J. (2009) · Videosurgery and Other Miniinvasive Techniques · Cited by 2
Selecting and training opinion leaders and best practice collaborators: experience from the Canadian Chiropractic Guideline Initiative.
Bussières, A., Maiers, M., Grondin, D. E., & Brockhusen, S. (2017) · PubMed Central · Cited by 2
Improving treatment of patients with inflammatory bowel diseases: a controlled trial of a multifaceted intervention in two German cities
Preiß, J., Schneidereit, O., Siegmund, B., & Hoffmann, J. (2019) · International Journal of Colorectal Disease · doi:10.1007/s00384-019-03317-y · Cited by 2
The Canadian Partnership Against Cancer Rectal Cancer Project: Protocol for a Pan-Canadian, Multidisciplinary Quality Improvement Initiative to Optimize the Quality of Rectal Cancer Care
Pooni, A., Schmocker, S., Brown, C. J., MacLean, A. R., Williams, L., Baxter, N. N., Simunovic, M. R. I., Liberman, A. S., Drolet, S., Neumann, K., et al. (2020) · JMIR Research Protocols · doi:10.2196/15535 · Cited by 2
Evaluating Effectiveness of Complex System Interventions
Chen, J. (2010) · Springer eBooks · doi:10.1007/978-0-387-92853-1_33 · Cited by 2
Knowledge translation strategies for mobilizing individuals to implement pain evidence to practice
Tutelman, P. R., Chambers, C. T., & Barwick, M. A. (2021) · Oxford University Press eBooks · doi:10.1093/med/9780198818762.003.0058 · Cited by 2
The effectiveness of knowledge translation interventions for promoting evidence-informed decision-making among nurses in tertiary care: a systematic review and meta-analysis
Yost, J., Ganann, R., Thompson, D., Aloweni, F. B. A. B., Newman, K., Hazzan, A. A., McKibbon, A., Dobbins, M., & Ciliska, D. K. (2021) · doi:10.32920/14636286 · Cited by 2
Genomic education and training resources for nursing
Calzone, K., & Tonkin, E. T. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-98383-9.00005-9 · Cited by 2
Mental Health Reform: Design and Implementation of a System to Optimize Outcomes for Veterans and Their Families
Phelps, A. J., Lawrence‐Wood, E., Couineau, A., Hinton, M., Dolan, P., Smith, P., Notarianni, M., Forbes, D., & Hosseiny, F. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191912681 · Cited by 2
Approaches to Assist Policy–Makers’ Use of Research Evidence in Education in Europe
Kenny, C., Gough, D., & Tripney, J. (2014) · SensePublishers eBooks · doi:10.1007/978-94-6209-731-5_8 · Cited by 2
Conflits d’intérêts des leaders d’opinion médicaux : effets sur la confiance du grand public et des médecins généralistes
Chakroun, R., & Milhabet, I. (2011) · Revue d Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2010.12.011 · Cited by 2
Theory-informed approaches to translating pain evidence into practice
Yamada, J., & Hutchinson, A. M. (2013) · doi:10.1093/med/9780199642656.003.0061 · Cited by 2
Editorial
Locock, L., Bucknall, T. K., & Titler, M. G. (2004) · Worldviews on Evidence-Based Nursing · doi:10.1111/j.1524-475x.2004.04080.x · Cited by 2
Optimizing Nutrition Therapy in the Intensive Care Unit Through the Evaluation of Barriers to Enterally Feeding Critically Ill Patients
Cahill, N. E. (2013) · QSpace (Queen's University Library) · Cited by 2
Mental Health Shared Care in Australia 2001
Holmwood, C. B., Groom, G., & Nicholson, S.-A. (2001) · Cited by 2
DOCTORAT EN MEDECINE
de Médecine, F. (2012) · Cited by 2
Le rôle des cadres de santé dans le développement professionnel continu des kinésithérapeutes salariés
Rostagno, S. (2017) · Kinésithérapie la Revue · doi:10.1016/j.kine.2017.11.004 · Cited by 2
Knowledge Translation to Improve Research and Decision-making in Child Health
Hamm, M. P. (2013) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r3330t · Cited by 2
Seeding with Costly Network InformationPreprint
Eckles, D., Esfandiari, H., Mossel, E., & Rahimian, M. A. (2019) · SSRN Electronic Journal · doi:10.2139/ssrn.3386417 · Cited by 2
Physiotherapists as Clinician-Scientists: An Insufficiently Supported Advanced-Practice Physiotherapy Role in Canada
Woznowski‐Vu, A., Ippersiel, P., & Hudon, A. (2021) · Physiotherapy Canada · doi:10.3138/ptc-2020-0133-gee · Cited by 2
From study to scalpel: knowledge translation for research in orthopaedic surgery
Marmura, H., Kothari, A. R., Getgood, A. M. J., Thornton, J. S., & Bryant, D. (2021) · British Journal of Sports Medicine · doi:10.1136/bjsports-2021-104406 · Cited by 2
An Evaluation of Texture Modified Diets Compliant with the International Dysphagia Diet Standardisation Initiative in Aged-Care Facilities Using the Consolidated Framework for Implementation ResearchPreprint
Wu, X. S., Miles, A., & Braakhuis, A. J. (2021) · Research Square · doi:10.21203/rs.3.rs-567321/v1 · Cited by 2
Interventions aimed at improving professional adherence to guidelines for prevention of device-related infections
Conterno, L. D. O., Mayhew, A., & Pereira, C. R. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006559 · Cited by 2
Social networks of oncology clinicians as a means for increasing survivorship clinic referral
Piombo, S. E., Miller, K. A., Freyer, D. R., Milam, J. E., Ritt‐Olson, A., In, G. K., & Valente, T. W. (2022) · Communications Medicine · doi:10.1038/s43856-022-00153-0 · Cited by 1
Effectively Communicating Practice Changes to Frontline Nurses
Tertinek, N., Hole, A., & Inumerables, F. (2024) · Clinical Nurse Specialist · doi:10.1097/nur.0000000000000832 · Cited by 1

Authors: Flodgren, G., Parmelli, E., Doumit, G., Gattellari, M., O'Brien, M. A., Grimshaw, J., & Eccles, M. P.
Affiliations: University of Oxford (GB)
University of Modena and Reggio Emilia (IT)
Cleveland Clinic (US)
UNSW Sydney (AU)
McMaster University; School of Rehabilitation Science, Institute for Applied Health Sciences, Faculty of Health Sciences; 1400 Main Street West Room 403 Hamilton Ontario Canada L8S 1C7
Ottawa Health Research Institute; Clinical Epidemiology Program; 1053 Carling Avenue Ottawa ON Canada K1Y 4E9
Newcastle University (GB)
ORCID: Flodgren, Gerd
Parmelli, Elena
Doumit, Gaby
Gattellari, Melina
Grimshaw, Jeremy
Venue: Cochrane Database of Systematic Reviews
Publisher: Wiley
Published: 2011-08-10
Volume: 6
Issue: 8
Pages: CD000125-CD000125
ISSN: 1361-6137 (ISSN-L)
1465-1858
DOI: 10.1002/14651858.cd000125.pub4
PMC: PMC4172331
OpenAlex: W1656816330
Cited by: 1,070
References: 117
Citations by year: 2026: 4 · 2025: 25 · 2024: 33 · 2023: 57 · 2022: 52 · 2021: 62 · 2020: 59 · 2019: 52 · 2018: 51 · 2017: 57 · 2016: 53 · 2015: 64 · 2014: 71 · 2013: 69 · 2012: 55
FWCI: 13.05
Type: journal article
Language: en
Update notices: new_version (2019-06-24)
Open access: green
www.ncbi.nlm.nih.gov
Locations: Cochrane Database of Systematic Reviews (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
Newcastle University ePrints (Newcastle Univesity)
Funders: National Institute for Health and Care Research (10/4001/03)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords: opinion leaders, evidence-based practice, knowledge-practice gap, professional practice change, health care outcomes, clinical teaching, primary care, hospital care, patient outcomes, evidence dissemination, health professions education, patient safety, quality of care, health professional confidence
MeSH terms: Humans, Leadership, Practice Patterns, Physicians', Policy Making, Professional Practice, Randomized Controlled Trials as Topic, Process Assessment, Health Care, Evidence-Based Medicine, Information Dissemination

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Local opinion leaders: effects on professional practice and health care outcomes

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks