A process for developing an implementation intervention: QUERI Series

Curran, Geoffrey M; Mukherjee, Snigda; Allee, Elise; Owen, Richard R

doi:10.1186/1748-5908-3-17

Cited by 111Health Policy Implementation ScienceClinical practice guidelines implementationHealth Sciences Research and Education

A process for developing an implementation intervention: QUERI Series

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Curran, Geoffrey M, Mukherjee, Snigda, Allee, Elise, Owen, Richard R·2008·Implementation Science

DOI 10.1186/1748-5908-3-17PMC PMC2278163

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Abstract

BACKGROUND: This article describes the process used by the authors in developing an implementation intervention to assist VA substance use disorder clinics in adopting guideline-based practices for treating depression. This article is one in a Series of articles documenting implementation science frameworks and tools developed by the U.S. Department of Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI). METHODS: The process involves two steps: 1) diagnosis of site-specific implementation needs, barriers, and facilitators (i.e., formative evaluation); and 2) the use of multi-disciplinary teams of local staff, implementation experts, and clinical experts to interpret diagnostic data and develop site-specific interventions. In the current project, data were collected via observations of program activities and key informant interviews with clinic staff and patients. The assessment investigated a wide range of macro- and micro-level determinants of organizational and provider behavior. CONCLUSION: The implementation development process described here is presented as an optional method (or series of steps) to consider when designing a small scale, multi-site implementation study. The process grew from an evidence-based quality improvement strategy developed for - and proven efficacious in - primary care settings. The authors are currently studying the efficacy of the process across a spectrum of specialty care treatment settings.

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Eleven of the 15 included papers incorporated other approaches, tools, or resources as a component of the intervention design process.
“Eleven of the 15 papers incorporated other approaches, tools, or resources as a component of the intervention design process [14, 19–28].”
From Methods for designing interventions to change healthcare professionals’ behaviour: a systematic review (2017) · cites this paper as [14]
Across the 15 identified methods papers, the number of design tasks ranged from two to seven, with a median of 5.
“All of the 15 identified papers included a number of tasks required for the design process. These steps ranged from two [14] to seven [28] with a median of 5 tasks.”
From Methods for designing interventions to change healthcare professionals’ behaviour: a systematic review (2017) · cites this paper as [14]
Among the papers that covered barrier identification, the methods used included observations, interviews and/or focus groups, surveys, literature reviews, structured reflection by researchers, job analysis and expert consensus, and predictive studies to identify factors influencing behaviour.
“In the papers where barrier identification was covered, the methods included observations, interviews and/or focus groups [14, 18, 30–32], surveys [32], literature reviews [24], structured reflection by the researchers [32], job analysis and expert consensus [18], and undertaking a predictive study to identify factors influencing the behaviour [28].”
From Methods for designing interventions to change healthcare professionals’ behaviour: a systematic review (2017) · cites this paper as [14]
One of the 15 papers used 'development panels' involving staff, research experts, clinical experts, and local champions in meetings and consultations to link barriers to intervention components.
“One paper used what they termed ‘development panels’ which involved staff, research experts, clinical experts, and local champions participating in a range of meetings and consultations [14].”
From Methods for designing interventions to change healthcare professionals’ behaviour: a systematic review (2017) · cites this paper as [14]
Only one study [14] explicitly targeted change in organisations or systems.
“We found only one study [14] that did this explicitly.”
From Methods for designing interventions to change healthcare professionals’ behaviour: a systematic review (2017) · cites this paper as [14]

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Self-citation

Authors: Curran, G. M., Mukherjee, S., Allee, E., & Owen, R. R.
Affiliations: Central Arkansas Veterans Healthcare System (US)
Corresponding author: Curran, Geoffrey M
ORCID: Curran, Geoffrey M
Owen, Richard R
Venue: Implementation Science
Publisher: Springer Science and Business Media LLC
Published: 2008-03-19
Volume: 3
Issue: 1
Pages: 17-17
ISSN: 1748-5908 (ISSN-L)
DOI: 10.1186/1748-5908-3-17
PMC: PMC2278163
OpenAlex: W2059859514
Cited by: 110
References: 58
Citations by year: 2026: 2 · 2025: 4 · 2024: 5 · 2023: 7 · 2022: 12 · 2021: 9 · 2020: 14 · 2019: 5 · 2018: 2 · 2017: 6 · 2016: 9 · 2015: 3 · 2014: 6 · 2013: 9 · 2012: 5
FWCI: 7.74
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: Implementation Science (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: U.S. Department of Veterans Affairs
Health Services Research and Development
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords: depression treatment, guideline adoption, formative assessment, barriers and facilitators, specialist care, veterans

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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.

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A process for developing an implementation intervention: QUERI Series

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Integrity signals

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