Cited by 184Health Policy Implementation ScienceClinical practice guidelines implementationHealth Sciences Research and Education

Tailored Implementation for Chronic Diseases (TICD): a project protocol

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Wensing, Michel, Oxman, Andy, Baker, Richard, Godycki-Cwirko, Maciek, Flottorp, Signe, Szecsenyi, Joachim, Grimshaw, Jeremy, Eccles, Martin·2011·Implementation Science

Abstract

BACKGROUND: The assumption underlying tailoring is that implementation interventions are most helpful if these effectively address the most important determinants of practice for improvement in the targeted setting. The aim of the Tailored Implementation For Chronic Diseases (TICD) project is to develop valid and efficient methods of tailoring implementation interventions to determinants of practice for knowledge implementation in chronic illness care. METHODS: The TICD project has organized the planned empirical research in three work packages that follow the three main steps of tailoring: identification of determinants of healthcare practice, matching implementation interventions to identified determinants of practice, and applying and assessing the tailored implementation interventions. These three key steps of tailored implementation will be applied to targeted chronic conditions in five different healthcare systems: cardiovascular disease in the Netherlands, obesity in England, depression in Norway, chronic obstructive pulmonary disease in Poland, and multimorbidity in Germany. The design and interpretation of empirical research will be informed by systematic reviews of previous research on tailoring implementation interventions. DISCUSSION: The TICD project will provide much needed evidence on the advantages and disadvantages of different methods of identifying important determinants of practice and selecting implementation strategies that take account of those. It will also provide five rigorous evaluations of tailored implementation interventions for five different chronic conditions.

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  • A multi-national program of research undertaken to improve methods of tailoring implementation strategies found that tailored strategies had little impact on primary and secondary outcomes.

    “A multi-national program of research was undertaken to improve the methods of tailoring implementation strategies (43), but tailored strategies had little impact on primary and secondary outcomes (40).”

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Authors
Wensing, M., Oxman, A., Baker, R., Godycki-Cwirko, M., Flottorp, S., Szecsenyi, J., Grimshaw, J., & Eccles, M.
Affiliations
  • Radboud University Medical Center (NL)
  • Nasjonalt Kunnskapssenter for Helsetjenesten (NO)
  • University of Leicester (GB)
  • Ottawa Hospital Research Institute (CA)
  • Newcastle University (GB)
Corresponding author
Wensing, Michel
Venue
Implementation Science
Published
2011-09-07
Volume
6
Issue
1
Pages
103-103
ISSN
1748-5908 (ISSN-L)
OpenAlex
W2113119402
Cited by
184
References
7
Citations by year
2026: 5 · 2025: 4 · 2024: 17 · 2023: 10 · 2022: 22 · 2021: 13 · 2020: 14 · 2019: 9 · 2018: 7 · 2017: 17 · 2016: 9 · 2015: 20 · 2014: 18 · 2013: 14 · 2012: 5
FWCI
21.95
Type
journal article
Language
en
Open access
Locations
  • Implementation Science (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • uO Research (University of Ottawa) (submittedVersion, public-domain)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • Leicester Research Archive (University of Leicester) (submittedVersion, other-oa)
  • Radboud Repository (Radboud University) (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion, other-oa)
Funders
European Commission (258837, 2007–2013, FP7 2007-2013, FP7/2007)
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
chronic care, implementation strategies, cardiovascular disease, obesity, depression, chronic obstructive pulmonary disease, multimorbidity, implementation evaluation, knowledge translation
MeSH terms
Chronic Disease, Clinical Protocols, England, Germany, Humans, Netherlands, Norway, Program Evaluation, Program Development, Empirical Research, Evidence-Based Practice

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