The DOI matches its Crossref record; 59 of the 60 references it cites were found in a registry or an index.
Evidence-Based Strategies for Implementing Guidelines in Obstetrics: A Systematic Review
Abstract
OBJECTIVE: To estimate effective strategies for implementing clinical practice guidelines in obstetric care and to identify specific barriers to behavior change and facilitators in obstetrics. DATA SOURCES: The Cochrane Library, EMBASE, and MEDLINE were consulted from January 1990 to June 2005. Additional studies were identified by screening reference lists from identified studies and experts' suggestions. METHODS OF STUDY SELECTION: Studies of clinical practice guidelines implementation strategies in obstetric care and reviews of such studies were selected. Randomized controlled trials, controlled before-after studies, and interrupted time series studies were evaluated according to Effective Practice and Organization of Care criteria standards. TABULATION, INTEGRATION, AND RESULTS: Studies were reviewed by two investigators to assess the quality and the efficacy of each strategy. Discordances between the two reviewers were resolved by consensus. In obstetrics, educational strategies with medical providers are generally ineffective; educational strategies with paramedical providers, opinion leaders, qualitative improvement, and academic detailing have mixed effects; audit and feedback, reminders, and multifaceted strategies are generally effective. These findings differ from data on the efficacy of clinical practice guidelines implementation strategies in other medical specialties. Specific barriers to behavior change in obstetrics and methods to overcome these barriers could explain these differences. The proportion of effective strategies is significantly higher among the interventions that include a prospective identification of barriers to change compared with standardized interventions. CONCLUSION: Prospective identification of efficient strategies and barriers to change is necessary to achieve a better adaptation of intervention and to improve clinical practice guidelines implementation. In the field of obstetric care, multifaceted strategy based on audit and feedback and facilitated by local opinion leaders is recommended to effectively change behaviors.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
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?
In the citing paper
“Although there are a number of reviews in specific clinical fields (Chaillet 2006; Kroenke 2000), which have discussed the possibility that tailored strategies might be more effective than strategies selected without taking account of determinants, these reviews did not address the effect or costs of tailored interventions specifically.”
From Tailored interventions to address determinants of practice (2015) · cites this paper as Chaillet 2006
Citations
Cites
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
Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations
Grimshaw, J., & Russell, I. T. (1993) · The Lancet · doi:10.1016/0140-6736(93)92244-n · Cited by 2,791
Enabling the implementation of evidence based practice: a conceptual framework.
Kitson, A., Harvey, G., & McCormack, B. (1998) · Quality in Health Care · doi:10.1136/qshc.7.3.149 · Cited by 1,985
Promotion of Breastfeeding Intervention Trial (PROBIT)
Kramer, M. S., CHALMERS, B. E., HODNETT, E. D., Sevkovskaya, Z., Dzikovich, I., Shapiro, S. H., Collet, J., Vanilovich, I., Mezen, I., Ducruet, T., et al. (2001) · JAMA · doi:10.1001/jama.285.4.413 · Cited by 1,536
Do Practice Guidelines Guide Practice?
Lomas, J., Anderson, G. M., Pierre, K. D., Vayda, E., Enkin, M. W., & Hannah, W. J. (1989) · New England Journal of Medicine · doi:10.1056/nejm198911093211906 · Cited by 1,231
(1997) · Europe PMC (PubMed Central) · Cited by 1,226
How can we achieve and maintain high-quality performance of health workers in low-resource settings?
Rowe, A. K., de Savigny, D., Lanata, C. F., & Victora, C. G. (2005) · The Lancet · doi:10.1016/s0140-6736(05)67028-6 · Cited by 1,048
Principles of Educational Outreach ('Academic Detailing') to Improve Clinical Decision Making
Soumerai, S. B. (1990) · JAMA · doi:10.1001/jama.1990.03440040088034 · Cited by 1,045
Opinion Leaders vs Audit and Feedback to Implement Practice Guidelines
Lomas, J. (1991) · JAMA · doi:10.1001/jama.265.17.2202 · Cited by 744
Shortell, S. M., Bennett, C. L., & Byck, G. R. (1998) · Milbank Quarterly · doi:10.1111/1468-0009.00107 · Cited by 646
Research works printed but not linked: 11
- Davis, 1997, CMAJ, 157, 408
- Richens, 2004, Nursing Standard, 18, 33, 10.7748/ns.18.50.33.s52 · DOI
- Ronsmans, 2001, Stud HSO P, 17, 207
- Lomas, 1991, JAMA, 265, 2202, 10.1001/jama.1991.03460170056033 · DOI
- Davies, 2002, CMAJ, 167, 469
- Homer, 2001, BJOG, 108, 16
- Liang, 2004, J Chin Med Assoc, 67, 281
- Mousa, 2000, Acta Obstet Gynecol Scand, 79, 1086
- Taylor, 2000, Health Bull (Edinb), 58, 38
- Iglesias, 1991, CMAJ, 145, 1459
- Poma, 1998, Obstet Gynecol, 91, 1013
Cited by
Sorted by citations
Items 201–232 of 232
Automated Tailoring of Clinical Performance Feedback in Low-Resource Settings
Lewis, L., & Zachary, J. (2014) · D-Scholarship@Pitt (University of Pittsburgh)
Current Resources for Evidence-Based Practice, July/August 2007
Sakala, C. (2007) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2007.00154.x
Gamage, T. G. P. M., & Rupasinghe, S. R. (2010) · Sri Lanka Journal of Child Health · doi:10.4038/sljch.v39i3.2273
Ahlberg, M. (2015) · Figshare
Somers, J. (2015) · uO Research (University of Ottawa) · doi:10.20381/ruor-2729
18 Complexe implementatiestrategieën
Hulscher, M., Wensing, M., & Grol, R. P. T. M. (2015) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-1077-7_18
Middleton, P. (2015) · Adelaide Research & Scholarship (AR&S) (University of Adelaide)
Recomendaciones para la práctica clínica: guías, protocolos y consensos
Jovell, A. J., Rojas, Á., & Palomer, R. M. I. (2014) · Dialnet (Universidad de la Rioja)
Tinzaparin thromboprophylaxis prescribing practice after caesarean delivery 2009–2014
Maguire, P., McGuire, S., Power, K. A., McNicholl, M., Sheehan, S. R., & Turner, M. J. (2017) · Irish Journal of Medical Science (1971 -) · doi:10.1007/s11845-017-1619-7
Satoh, M., Takeuchi, S., Kasai, C., & Kushida, Y. (1988) · PubMed
Clinical and Biochemical Aspects of the Emergency Management of Traumatic Brain Injury
Vedin, T. (2019) · Lund University Publications (Lund University)
Gutierrez, R., Bicocca, M. J., Opara, G., Gupta, M., Bartal, M. F., Chauhan, S. P., & Wagner, S. (2022) · European Journal of Obstetrics & Gynecology and Reproductive Biology X · doi:10.1016/j.eurox.2022.100142
Understanding of anaesthesia and its implications in clinical practice present scenario
Sarkar, M. S. (2022) · Indian Journal of Clinical Anaesthesia · doi:10.18231/j.ijca.2022.034
Complexe implementatiestrategieën
Hulscher, M., Wensing, M., & Grol, R. P. T. M. (2017) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-1732-5_18
Daly, J., Doherty, E. L., Tully, B., Wiggers, J. H., Hollis, J., Licata, M., Foster, M., Tzelepis, F., Lecathelinais, C., & Kingsland, M. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-076725
Farragher, E., Wall, L., Wynne, O., Wiggers, J. H., Hollis, J., Wolfenden, L., Paolucci, F., Daly, J., Mallise, C. A., Attia, J., et al. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-13108-7
Troy, K., Rushan, C., Withiel, T., Felmingham, K. L., & Fisher, C. A. (2025) · Women s Health · doi:10.1177/17455057241305264
Letouzey, M., Outtier, E., Biaggi, T., Rousseau, A., Boileau, P., & Foix-L'Hélias, L. (2025) · Archives de Pédiatrie · doi:10.1016/j.arcped.2025.11.002
Zucco, L., Levy, N., Li, Y., Golen, T. H., Shainker, S. A., Hess, P. E., & Ramachandran, S. K. (2021) · Figshare · doi:10.6084/m9.figshare.15128537
Szewczyk, Z., Reeves, P., Kingsland, M., Doherty, E. L., Elliott, E., Wolfenden, L., Tsang, T. W., Dunlop, A. J., Searles, A., & Wiggers, J. H. (2022) · Figshare · doi:10.6084/m9.figshare.19126380
Doherty, E. L., Kingsland, M., Wiggers, J. H., Wolfenden, L., Hall, A., McCrabb, S., Tremain, D., Hollis, J., Licata, M., Wynne, O., et al. (2022) · Figshare · doi:10.6084/m9.figshare.21622400
Doherty, E., Kingsland, M., Wiggers, J. H., Wolfenden, L., Hall, A., McCrabb, S., Tremain, D., Hollis, J., Licata, M., Wynne, O., et al. (2022) · Figshare · doi:10.6084/m9.figshare.21622403
Doherty, E. L., Kingsland, M., Wiggers, J. H., Wolfenden, L., Hall, A., McCrabb, S., Tremain, D., Hollis, J., Licata, M., Wynne, O., et al. (2022) · Figshare · doi:10.6084/m9.figshare.21622406
Qualité des soins en salle de naissance et perspectives des mères
Gaucher, L. (2020) · theses.fr (ABES) · doi:10.70675/7158ccf4z3a83z405ezab23z392da7bb9532
Rice, M., Arabshahi, S., McIntyre, C., Burns, A., Toohill, J., Warhurst, K., Bousfield, A., Ellwood, D. A., Flenady, V., & Andrews, C. J. (2026) · Implementation Science Communications · doi:10.1186/s43058-026-00921-2
Swain, D., & Venkatesan, L. (2026) · Cureus · doi:10.7759/cureus.108353
Dahlberg, E., Thalén, G., Bogren, M. U., Sengpiel, V., & Elden, H. (2026) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2026.101242
Blair, A. K., Mills, K., Chakraborty, S. P., Homer, C., & Vogel, J. P. (2026) · Research Square · doi:10.21203/rs.3.rs-10148031/v1
Ubom, A. E., Ortiz, E. I., Begum, F., & Orazulike, N. (2026) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.71397
Dev, A., Schaefer, A., Douches, A., Horner‐Johnson, W., Stukel, T. A., Goodman, D. C., & Leyenaar, J. K. (2026) · medRxiv · doi:10.64898/2026.10.25.26366331
Metadata
- Authors
- Chaillet, N., Dubé, E., Dugas, M., Audibert, F., Tourigny, C., Fraser, W. D., & Dumont, A.
- Affiliations
- Centre Hospitalier Universitaire Sainte-Justine (CA)
- Venue
- Obstetrics & Gynecology
- Published
- 2006-11
- Volume
- 108
- Issue
- 5
- Pages
- 1234-1245
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2021456087
- Cited by
- 233
- References
- 60
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 2 · 2023: 5 · 2022: 15 · 2021: 6 · 2020: 11 · 2019: 11 · 2018: 14 · 2017: 14 · 2016: 14 · 2015: 23 · 2014: 16 · 2013: 16 · 2012: 14
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Keywords
- guideline implementation, obstetric care, barriers to behavior change, audit and feedback, opinion leaders, academic detailing, multicomponent intervention, educational intervention, reminders, health care provider behavior
- MeSH terms
- Diffusion of Innovation, Humans, Obstetrics, Professional Practice, Quality of Health Care, Practice Guidelines as Topic, Evidence-Based Medicine, Guideline Adherence, 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
