Cited by 368Health Policy Implementation ScienceHealth Sciences Research and EducationClinical practice guidelines implementation

The DOI matches its Crossref record; 42 of the 43 references it cites were found in a registry or an index.

Are multifaceted interventions more effective than single-component interventions in changing health-care professionals' behaviours? An overview of systematic reviews

Open access

Squires, Janet E, Sullivan, Katrina, Eccles, Martin P, Worswick, Julia, Grimshaw, Jeremy M·2014·Implementation Science

DOI 10.1186/s13012-014-0152-6PMC PMC4194373

Open this paper in CoChat — free account Open PDF

Abstract

BACKGROUND: One of the greatest challenges in healthcare is how to best translate research evidence into clinical practice, which includes how to change health-care professionals' behaviours. A commonly held view is that multifaceted interventions are more effective than single-component interventions. The purpose of this study was to conduct an overview of systematic reviews to evaluate the effectiveness of multifaceted interventions in comparison to single-component interventions in changing health-care professionals' behaviour in clinical settings. METHODS: The Rx for Change database, which consists of quality-appraised systematic reviews of interventions to change health-care professional behaviour, was used to identify systematic reviews for the overview. Dual, independent screening and data extraction was conducted. Included reviews used three different approaches (of varying methodological robustness) to evaluate the effectiveness of multifaceted interventions: (1) effect size/dose-response statistical analyses, (2) direct (non-statistical) comparisons of multifaceted to single interventions and (3) indirect comparisons of multifaceted to single interventions. RESULTS: Twenty-five reviews were included in the overview. Three reviews provided effect size/dose-response statistical analyses of the effectiveness of multifaceted interventions; no statistical evidence of a relationship between the number of intervention components and the effect size was found. Eight reviews reported direct (non-statistical) comparisons of multifaceted to single-component interventions; four of these reviews found multifaceted interventions to be generally effective compared to single interventions, while the remaining four reviews found that multifaceted interventions had either mixed effects or were generally ineffective compared to single interventions. Twenty-three reviews indirectly compared the effectiveness of multifaceted to single interventions; nine of which also reported either a statistical (dose-response) analysis (N = 2) or a non-statistical direct comparison (N = 7). The majority (N = 15) of reviews reporting indirect comparisons of multifaceted to single interventions showed similar effectiveness for multifaceted and single interventions when compared to controls. Of the remaining eight reviews, six found single interventions to be generally effective while multifaceted had mixed effectiveness. CONCLUSION: This overview of systematic reviews offers no compelling evidence that multifaceted interventions are more effective than single-component interventions.

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 · 10.1186/s13012-014-0152-6

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Figure 1 Article screening and selection. *Some reviews include more than one level of evidence. Therefore, the cumulative number of reviews is greater than the included number of reviews. N =7 of the reviews reporting indirect comparisons also reported direct comparisons, and N =2 of the reviews reporting indirect comparisons also reported dose-response/effect-based statistical analyses.CC BY · PubMed Central

Figure 2 AMSTAR scores of included reviews ( N =25).CC BY · PubMed Central

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.

1 retracted

Interventions to implement prevention in primary care
Hulscher, M., Wensing, M., van der Weijden, T., & Grol, R. P. T. M. (1997) · doi:10.1002/14651858.cd000362 · Cited by 199
Retracted
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 · cited 5×
“9/23 reviews reported findings consistent with both single-component and multifaceted interventions being generally effective compared to controls [7,8,18,20,22,24,28-30]”
BackgroundResultInfluentialSelf-citation
Clinical Practice Guidelines We Can Trust
Board on Health Care Services (2011) · National Academies Press eBooks · doi:10.17226/13058 · Cited by 3,146
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
Knowledge translation of research findings
Grimshaw, J. M., Eccles, M. P., Lavis, J. N., Hill, S. J., & Squires, J. E. (2012) · Implementation Science · doi:10.1186/1748-5908-7-50 · Cited by 2,407
Self-citation
Interventions to improve antibiotic prescribing practices for hospital inpatients
Davey, P. G., Brown, E. M., Charani, E., Fenelon, L. E., Gould, I. M., Holmes, A. H., Ramsay, C. R., Wiffen, P. J., & Wilcox, M. A. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003543.pub3 · Cited by 1,893
Continuing education meetings and workshops: effects on professional practice and health care outcomes
Forsetlund, L., Bjørndal, A., Rashidian, A., Jamtvedt, G., O'Brien, M. A., Wolf, F. M., Davis, D., Odgaard-Jensen, J., & Oxman, A. D. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003030.pub2 · Cited by 1,849
Changing Physician Performance: A Systematic Review of the Effect of Continuing Medical Education Strategies
Davis, D. A. (1995) · JAMA · doi:10.1001/jama.1995.03530090032018 · Cited by 1,763
Systematic review finds overlapping reviews were not mentioned in every other overview
Pieper, D., Antoine, S.-L., Mathes, T., Neugebauer, E. A. M., & Eikermann, M. (2014) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2013.11.007 · Cited by 1,318
Educational outreach visits: effects on professional practice and health care outcomes
O'Brien, M. A., Rogers, S., Jamtvedt, G., Oxman, A. D., Odgaard-Jensen, J., Kristoffersen, D. T., Forsetlund, L., Bainbridge, D., Freemantle, N., Davis, D., et al. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000409.pub2 · Cited by 1,279

Show all 43 references

Research works printed but not linked: 1

Davies H, Powell A, Rushmer R: Healthcare Professionals' Views on Clinician Engagement in Quality Improvement: a Literature Review. 2007, The Health Foundation, London

Sorted by citations

Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda
Powell, B. J., Fernandez, M. E., Williams, N. J., Aarons, G. A., Beidas, R. S., Lewis, C. C., McHugh, S. M., & Weiner, B. J. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00003 · Cited by 775
Effectiveness of strategies to improve health-care provider practices in low-income and middle-income countries: a systematic review
Rowe, A. K., Rowe, S. Y., Peters, D. H., Holloway, K. A., Chalker, J., & Ross-Degnan, D. (2018) · The Lancet Global Health · doi:10.1016/s2214-109x(18)30398-x · Cited by 482
Levers for addressing medical underuse and overuse: achieving high-value health care
Elshaug, A. G., Rosenthal, M. B., Lavis, J. N., Brownlee, S., Schmidt, H., Nagpal, S., Littlejohns, P., Srivastava, D., Tunis, S., & Saini, V. (2017) · The Lancet · doi:10.1016/s0140-6736(16)32586-7 · Cited by 440
Achieving change in primary care—effectiveness of strategies for improving implementation of complex interventions: systematic review of reviews
Lau, R., Stevenson, F., Ong, B. N., Dziedzic, K., Treweek, S., Eldridge, S., Everitt, H., Kennedy, A., Qureshi, N., Rogers, A., et al. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-009993 · Cited by 254
Continuing education meetings and workshops: effects on professional practice and healthcare outcomes
Forsetlund, L., O’Brien, M. A., Forsén, L., Mwai, L., Reinar, L. M., Okwen, P., Horsley, T., & Rose, C. J. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003030.pub3 · Cited by 325
Implementation strategies for health systems in low-income countries: an overview of systematic reviews
Tomás Pantoja, C., Opiyo, N., Lewin, S. A., Paulsen, E., Ciapponi, A., Wiysonge, C. S., Herrera, C. A., Gabriel Rada, G., Peñaloza, B., Dudley, L., et al. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011086.pub2 · Cited by 272
Trends in guideline implementation: a scoping systematic review
and the members of the Guidelines International Network Implementation Working Group, Gagliardi, A. R., & Alhabib, S. M. (2015) · Implementation Science · doi:10.1186/s13012-015-0247-8 · Cited by 236
Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services
Wolfenden, L., Jones, J. Z., Williams, C. M., Finch, M., Wyse, R., Kingsland, M., Tzelepis, F., Wiggers, J., Williams, A. J., Seward, K., et al. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011779.pub2 · Cited by 220
Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services
Wolfenden, L., Barnes, C., Jones, J. Z., Finch, M., Wyse, R., Kingsland, M., Tzelepis, F., Grady, A., Hodder, R. K., Booth, D., et al. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011779.pub3 · Cited by 195
Nudge strategies to improve healthcare providers’ implementation of evidence-based guidelines, policies and practices: a systematic review of trials included within Cochrane systematic reviews
Yoong, S. L., Hall, A. E., Stacey, F. G., Grady, A., Sutherland, R., Wyse, R., Anderson, A., Nathan, N., & Wolfenden, L. (2020) · Implementation Science · doi:10.1186/s13012-020-01011-0 · Cited by 186
Trends in guideline implementation: an updated scoping review
Peters, S., Sukumar, K., Blanchard, S., Ramasamy, A., Malinowski, J. R., Ginex, P., Senerth, E., Corremans, M., Munn, Z., Kredo, T., et al. (2022) · Implementation Science · doi:10.1186/s13012-022-01223-6 · Cited by 166
The effectiveness of toolkits as knowledge translation strategies for integrating evidence into clinical care: a systematic review
Yamada, J., Shorkey, A., Barwick, M. A., Widger, K. A., & Stevens, B. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-006808 · Cited by 161
What is the extent and quality of documentation and reporting of fidelity to implementation strategies: a scoping review
Slaughter, S. E., Hill, J. N., & Snelgrove‐Clarke, E. (2015) · Implementation Science · doi:10.1186/s13012-015-0320-3 · Cited by 173
Person-centred care: an overview of reviews
Sharma, T., Bamford, M., & Dodman, D. (2015) · Contemporary Nurse · doi:10.1080/10376178.2016.1150192 · Cited by 145
Health Literacy Interventions to Improve Health Outcomes in Low- and Middle-Income Countries
Meherali, S. M., Punjani, N. S., & Mevawala, A. S. (2020) · HLRP Health Literacy Research and Practice · doi:10.3928/24748307-20201118-01 · Cited by 160
Use of theory to plan or evaluate guideline implementation among physicians: a scoping review
Members of the Guidelines International Network Implementation Working Group, Liang, L., Bernhardsson, S., Vernooij, R. W. M., Armstrong, M. J., Bussières, A., Brouwers, M. C., & Gagliardi, A. R. (2017) · Implementation Science · doi:10.1186/s13012-017-0557-0 · Cited by 142
Optimizing Antibiotic Stewardship in Nursing Homes: A Narrative Review and Recommendations for Improvement
Crnich, C. J., Jump, R., Trautner, B. W., Sloane, P. D., & Mody, L. (2015) · Drugs & Aging · doi:10.1007/s40266-015-0292-7 · Cited by 136
An Audit and Feedback Intervention for Reducing Antibiotic Prescribing in General Dental Practice: The RAPiD Cluster Randomised Controlled Trial
Elouafkaoui, P., Young, L. C., Newlands, R. S. N., Duncan, E., Elders, A., Clarkson, J., & Ramsay, C. R. (2016) · PLoS Medicine · doi:10.1371/journal.pmed.1002115 · Cited by 125
Collaborative goal setting with elderly patients with chronic disease or multimorbidity: a systematic review
Vermunt, N. P. C. A., Harmsen, M., Westert, G. P., Rikkert, M. G. M. O., & Faber, M. J. (2017) · BMC Geriatrics · doi:10.1186/s12877-017-0534-0 · Cited by 119
Effects of implementation strategies on nursing practice and patient outcomes: a comprehensive systematic review and meta-analysis
Fontaine, G., Vinette, B., Weight, C., Maheu‐Cadotte, M., Lavallée, A., Deschênes, M., Lapierre, A., Castiglione, S. A., Chicoine, G., Rouleau, G., et al. (2024) · Implementation Science · doi:10.1186/s13012-024-01398-0 · Cited by 142
Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies – is there a simple answer to a complex question?
Harvey, G., & Kitson, A. (2015) · International Journal of Health Policy and Management · doi:10.15171/ijhpm.2015.54 · Cited by 103
Strategies for improving physician documentation in the emergency department: a systematic review
Lorenzetti, D., Quan, H., Lucyk, K., Cunningham, C., Hennessy, D. A., Jiang, J., & Beck, C. A. (2018) · BMC Emergency Medicine · doi:10.1186/s12873-018-0188-z · Cited by 106
The effectiveness of interventions designed to increase the uptake of clinical practice guidelines and best practices among musculoskeletal professionals: a systematic review
Zoubi, F. A., Menon, A., Mayo, N. E., & Bussières, A. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3253-0 · Cited by 97
Patient-mediated knowledge translation (PKT) interventions for clinical encounters: a systematic review
Gagliardi, A. R., Légaré, F., Brouwers, M. C., Webster, F., Badley, E. M., & Straus, S. E. (2015) · Implementation Science · doi:10.1186/s13012-016-0389-3 · Cited by 94
Improving appropriate polypharmacy for older people in primary care: selecting components of an evidence-based intervention to target prescribing and dispensing
Cadogan, C. A., Ryan, C. A., Francis, J., Gormley, G., Passmore, P., Kerse, N. M., & Hughes, C. M. (2015) · Implementation Science · doi:10.1186/s13012-015-0349-3 · Cited by 100
Improving adherence to multiple medications in older people in primary care: Selecting intervention components to address patient‐reported barriers and facilitators
Patton, D., Cadogan, C. A., Ryan, C. A., Francis, J., Gormley, G., Passmore, P., Kerse, N. M., & Hughes, C. M. (2017) · Health Expectations · doi:10.1111/hex.12595 · Cited by 96
From evidence to influence: dissemination and implementation of scientific knowledge for improved pain research and management
Chambers, C. T. (2018) · Pain · doi:10.1097/j.pain.0000000000001327 · Cited by 91
The Cognitive Walkthrough for Implementation Strategies (CWIS): a pragmatic method for assessing implementation strategy usability
Lyon, A. R., Coifman, J., Cook, H., McRee, E., Liu, F. F., Ludwig, K. A., Dorsey, S., Koerner, K., Munson, S. A., & McCauley, E. (2021) · Implementation Science Communications · doi:10.1186/s43058-021-00183-0 · Cited by 94
Effectiveness of multifaceted implementation strategies for the implementation of back and neck pain guidelines in health care: a systematic review
Suman, A., Dikkers, M. F., Schaafsma, F. G., van Tulder, M. W., & Anema, J. R. (2015) · Implementation Science · doi:10.1186/s13012-016-0482-7 · Cited by 87
The barriers and facilitators for the implementation of clinical practice guidelines in healthcare: an umbrella review of qualitative and quantitative literature
Zhou, P., Chen, L., Wu, Z., Wang, E., Yan, Y., Guan, X., Zhai, S., & Yang, K. (2023) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2023.08.017 · Cited by 79
Effectiveness of implementation strategies for clinical guidelines to community pharmacy: a systematic review
Watkins, K., Wood, H. A., Schneider, C. R., & Clifford, R. M. (2015) · Implementation Science · doi:10.1186/s13012-015-0337-7 · Cited by 79
Approaches for synthesising complex mental health interventions in meta-analysis
Caldwell, D. M., & Welton, N. J. (2016) · Evidence-Based Mental Health · doi:10.1136/eb-2015-102275 · Cited by 79
Implementation Strategies to Enhance Youth-Friendly Sexual and Reproductive Health Services in Sub-Saharan Africa: A Systematic Review
Obiezu‐Umeh, C., Nwaozuru, U., Mason, S., Gbaja-Biamila, T. A., Oladele, D. A., Ezechi, O., & Iwelunmor, J. (2021) · Frontiers in Reproductive Health · doi:10.3389/frph.2021.684081 · Cited by 77
Antimicrobial Stewardship Programs in Long‐Term Care Settings: A Meta‐Analysis and Systematic Review
Wu, J. H., Langford, B. J., Daneman, N., Friedrich, J. O., & Garber, G. E. (2018) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15675 · Cited by 69
Harnessing Wise Interventions to Advance the Potency and Reach of Youth Mental Health Services
Schleider, J. L., Mullarkey, M. C., & Chacko, A. (2019) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-019-00301-4 · Cited by 67
Understanding context: A concept analysis
Squires, J. E., Graham, I. D., Bashir, K., Penno, L. N., Lavis, J. N., Francis, J., Curran, J., Grimshaw, J., Brehaut, J., Ivers, N. M., et al. (2019) · Journal of Advanced Nursing · doi:10.1111/jan.14165 · Cited by 63
Self-citation
The effectiveness of interventions to improve laboratory requesting patterns among primary care physicians: a systematic review
Cadogan, S. L., Browne, J. P., Bradley, C., & Cahill, M. R. (2015) · Implementation Science · doi:10.1186/s13012-015-0356-4 · Cited by 66
Effectiveness of Implementation Strategies to Improve Adherence of Physical Therapist Treatment Choices to Clinical Practice Guidelines for Musculoskeletal Conditions: Systematic Review
Zadro, J. R., O’Keeffe, M., Allison, J. L., Lembke, K., Forbes, J., & Maher, C. G. (2020) · Physical Therapy · doi:10.1093/ptj/pzaa101 · Cited by 62
Implementation strategies to enhance management of heavy alcohol consumption in primary health care: a meta‐analysis
Keurhorst, M. N., van de Glind, I., do Amaral-Sabadini, M. B., Anderson, P., Kaner, E., Newbury‐Birch, D., Braspenning, J. C. C., Wensing, M., Heinen, M. M., & Laurant, M. G. H. (2015) · Addiction · doi:10.1111/add.13088 · Cited by 63
Information and Communication Technologies for the Dissemination of Clinical Practice Guidelines to Health Professionals: A Systematic Review
Angelis, G. D., Davies, B., King, J., McEwan, J., Cavallo, S., Loew, L., Wells, G. A., & Brosseau, L. (2016) · JMIR Medical Education · doi:10.2196/mededu.6288 · Cited by 60
Effectiveness of Interventions to Reduce Potentially Inappropriate Medication in Older Patients: A Systematic Review
Rodrigues, D. A., Plácido, A. I., Mateos-Campos, R., Figueiras, A., Herdeiro, M. T., & Roque, F. (2022) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.777655 · Cited by 58
Characterizing patient-oriented tools that could be packaged with guidelines to promote self-management and guideline adoption: a meta-review
the members of the Guidelines International Network Implementation Working Group, Vernooij, R. W. M., Willson, M. L., & Gagliardi, A. R. (2015) · Implementation Science · doi:10.1186/s13012-016-0419-1 · Cited by 58
Barriers to Using Nonpharmacologic Approaches and Reducing Opioid Use in Primary Care
Giannitrapani, K. F., Ahluwalia, S. C., McCaa, M., Pisciotta, M., Dobscha, S. K., & Lorenz, K. (2017) · Pain Medicine · doi:10.1093/pm/pnx220 · Cited by 57
Interventions to Improve Hand Hygiene Compliance in the ICU: A Systematic Review
Lydon, S., Power, M., McSharry, J., Byrne, M., Madden, C., Squires, J. E., & O'Connor, P. E. (2017) · Critical Care Medicine · doi:10.1097/ccm.0000000000002691 · Cited by 56
Self-citation
Implementing deprescribing guidelines into frontline practice: Barriers and facilitators
Conklin, J., Farrell, B. J., & Suleman, S. (2018) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2018.08.012 · Cited by 55
A multifaceted implementation strategy versus passive implementation of low back pain guidelines in general practice: a cluster randomised controlled trial
Riis, A., Jensen, C. E., Bro, F., Maindal, H. T., Petersen, K. D., Bendtsen, M. D., & Jensen, M. B. (2016) · Implementation Science · doi:10.1186/s13012-016-0509-0 · Cited by 55
What works to increase attendance for diabetic retinopathy screening? An evidence synthesis and economic analysis
Lawrenson, J. G., Graham-Rowe, E., Lorencatto, F., Rice, S. J. C., Bunce, C., Francis, J., Burr, J. M., Aluko, P., Vale, L. D., Pető, T., et al. (2018) · Health Technology Assessment · doi:10.3310/hta22290 · Cited by 56
Self-citation
Interventions to improve adherence to cardiovascular disease guidelines: a systematic review
Jeffery, R. A., To, M. J., Hayduk-Costa, G., Cameron, A., Taylor, C., Zoost, C. V., & Hayden, J. A. (2015) · BMC Family Practice · doi:10.1186/s12875-015-0341-7 · Cited by 55
Effectiveness of implementation strategies for the improvement of guideline and protocol adherence in emergency care: a systematic review
Ebben, R. H. A., Siqeca, F., Madsen, U. R., Vloet, L. C. M., & van Achterberg, T. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-017572 · Cited by 58
A systematic review of food waste audit methods in hospital foodservices.
Cook, N., Collins, J., Goodwin, D., & Porter, J. (2021) · Journal of human nutrition and dietetics (Print) · doi:10.1111/jhn.12928 · Cited by 48
Accelerating implementation of shared decision-making in the Netherlands: An exploratory investigation
van Veenendaal, H., van der Weijden, T., Ubbink, D. T., Stiggelbout, A. M., van Mierlo, L. A. J., & Hilders, C. G. J. M. (2018) · Patient Education and Counseling · doi:10.1016/j.pec.2018.06.021 · Cited by 55
Practice-level quality improvement interventions in primary care: a review of systematic reviews
Irwin, R., Stokes, T., & Marshall, T. P. (2015) · Primary Health Care Research & Development · doi:10.1017/s1463423615000274 · Cited by 52
Implementation interventions to promote the uptake of evidence-based practices in stroke rehabilitation
Cahill, L. S., Carey, L. M., Lannin, N. A., Turville, M. L., Neilson, C., Lynch, E. A., McKinstry, C., Han, J. X., & O’Connor, D. A. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012575.pub2 · Cited by 51
Interventions for improving pharmacist-led patient counselling in the community setting: a systematic review
Al-Aqeel, S., Abanmy, N. O., AlShaya, H., & Almeshari, A. (2018) · Systematic Reviews · doi:10.1186/s13643-018-0727-4 · Cited by 51
‘It depends’: what 86 systematic reviews tell us about what strategies to use to support the use of research in clinical practice
Boaz, A., Baeza, J. I., Fraser, A., & Persson, E. S. (2024) · Implementation Science · doi:10.1186/s13012-024-01337-z · Cited by 51
Implementation research in emergency medicine: a systematic scoping review
Tavender, E. J., Bosch, M., Fiander, M., Knott, J. C., Gruen, R. L., & O’Connor, D. A. (2015) · Emergency Medicine Journal · doi:10.1136/emermed-2015-205053 · Cited by 51
Knowledge translation strategies to support the sustainability of evidence-based interventions in healthcare: a scoping review
Flynn, R., Cassidy, C. E., Dobson, L., Al-Rassi, J., Langley, J. E., Swindle, J., Graham, I. D., & Scott, S. D. (2023) · Implementation Science · doi:10.1186/s13012-023-01320-0 · Cited by 55
Promoting Therapists’ Use of Motor Learning Strategies within Virtual Reality-Based Stroke Rehabilitation
Levac, D. E., Glegg, S., Sveistrup, H., Colquhoun, H. L., Miller, P. A., Finestone, H. M., DePaul, V. G., Harris, J. E., & Velikonja, D. (2016) · PLoS ONE · doi:10.1371/journal.pone.0168311 · Cited by 49
Decreasing the Use of Damage Control Laparotomy in Trauma: A Quality Improvement Project
Harvin, J. A., Kao, L. S., Liang, M. K., Adams, S. D., McNutt, M. K., Love, J. D., Moore, L. J., Wade, C. E., Cotton, B. A., & Holcomb, J. B. (2017) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2017.04.010 · Cited by 49
MAGnesium sulphate for fetal neuroprotection to prevent Cerebral Palsy (MAG-CP)—implementation of a national guideline in Canada
MAG-CP, C. A. C. C. G., Silva, D. A. D., Synnes, A. R., von Dadelszen, P., Lee, T., Bone, J. N., & Magee, L. A. (2018) · Implementation Science · doi:10.1186/s13012-017-0702-9 · Cited by 49
The value of four imaging modalities in diagnosing lymph node involvement in rectal cancer: an overview and adjusted indirect comparison
Gao, Y., Ji-pin, L., Ma, X., Wang, J., Wang, B., Tian, J., & Chen, G. (2019) · Clinical and Experimental Medicine · doi:10.1007/s10238-019-00552-z · Cited by 48
Behaviour change interventions to increase physical activity in hospitalised patients: a systematic review, meta-analysis and meta-regression
Taylor, N. F., Harding, K. E., Dennett, A. M., Febrey, S., Warmoth, K., Hall, A., Prendergast, L. A., & Goodwin, V. A. (2021) · Age and Ageing · doi:10.1093/ageing/afab154 · Cited by 48
Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis
Bruno, C., Collier, A., Holyday, M., & Lambert, K. (2021) · Nutrients · doi:10.3390/nu13103640 · Cited by 47
Systematic Review and Meta-analysis of the Effectiveness of Implementation Strategies for Non-communicable Disease Guidelines in Primary Health Care
Kovacs, E., Strobl, R., Phillips, A., Stephan, A., Müller, M., Gensichen, J. S., & Grill, E. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4435-5 · Cited by 49
Evaluation of a targeted, theory-informed implementation intervention designed to increase uptake of emergency management recommendations regarding adult patients with mild traumatic brain injury: results of the NET cluster randomised trial
Bosch, M., McKenzie, J. E., Ponsford, J. L., Turner, S., Chau, M., Tavender, E. J., Knott, J. C., Gruen, R. L., Francis, J., Brennan, S., et al. (2019) · Implementation Science · doi:10.1186/s13012-018-0841-7 · Cited by 47
Self-citation
Multidisciplinary, exercise-based oncology rehabilitation programs improve patient outcomes but their effects on healthcare service-level outcomes remain uncertain: a systematic review
Dennett, A. M., Sarkies, M., Shields, N., Peiris, C. L., Williams, C., & Taylor, N. F. (2021) · Journal of Physiotherapy · doi:10.1016/j.jphys.2020.12.008 · Cited by 44
Investigating strategies to increase general education teachers' adherence to evidence-based social-emotional behavior practices: A meta-analysis of the single-case literature
Merle, J. L., Thayer, A. J., Larson, M. F., Pauling, S., Cook, C. R., Rios, J. A., McGinnis, J. L., & Sullivan, M. M. (2021) · Journal of School Psychology · doi:10.1016/j.jsp.2021.11.005 · Cited by 58
Effect of enhancing audit and feedback on uptake of childhood pneumonia treatment policy in hospitals that are part of a clinical network: a cluster randomized trial
Ayieko, P., Irimu, G., Ogero, M. O., Mwaniki, P., Malla, L., Julius, T., Chepkirui, M., Mbevi, G., Oliwa, J. N., Agweyu, A., et al. (2019) · Implementation Science · doi:10.1186/s13012-019-0868-4 · Cited by 44
Dissemination interventions to improve healthcare workers’ adherence with infection prevention and control guidelines: a systematic review and meta-analysis
Silva, M. T., Galvão, T. F., Chapman, E., da Silva, E. N., & Barreto, J. O. M. (2021) · Implementation Science · doi:10.1186/s13012-021-01164-6 · Cited by 49
Comparative effectiveness of external vs blended facilitation on collaborative care model implementation in slow‐implementer community practices
Smith, S. N., Liebrecht, C., Bauer, M. S., & Kilbourne, A. M. (2020) · Health Services Research · doi:10.1111/1475-6773.13583 · Cited by 44
Implementation of self-management support in cancer care and normalization into routine practice: a systematic scoping literature review protocol
Howell, D., Richardson, A. M., May, C. R., Calman, L. A., Fazelzad, R., Moradian, S., & Foster, C. L. (2019) · Systematic Reviews · doi:10.1186/s13643-019-0952-5 · Cited by 45
Supporting evidence-based practice in speech-language pathology: A review of implementation strategies for promoting health professional behavior change
Campbell, W. N., & Douglas, N. (2017) · Evidence-Based Communication Assessment and Intervention · doi:10.1080/17489539.2017.1370215 · Cited by 40
Development of an Implementation Process Model: a Delphi study
Parker, G., Kastner, M., Born, K. B., & Berta, W. B. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-06501-5 · Cited by 38
Implementation interventions to promote the uptake of evidence-based practices in stroke rehabilitation
Cahill, L. S., Carey, L. M., Lannin, N. A., Turville, M. L., & O’Connor, D. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012575 · Cited by 38
Integrated Multicomponent Interventions for Safety and Health Risks Among Black Female Survivors of Violence: A Systematic Review
Sabri, B., & GIELEN, A. C. (2017) · Trauma Violence & Abuse · doi:10.1177/1524838017730647 · Cited by 38
Antimicrobial Stewardship in General Practice: A Scoping Review of the Component Parts
Hawes, L. A., Buising, K. L., & Mazza, D. (2020) · Antibiotics · doi:10.3390/antibiotics9080498 · Cited by 38
Bereavement interventions to support informal caregivers in the intensive care unit: a systematic review
Moss, S. J., Wollny, K., Poulin, T. G., Cook, D. J., Stelfox, H. T., Ordons, A. R. D., & Fiest, K. M. (2021) · BMC Palliative Care · doi:10.1186/s12904-021-00763-w · Cited by 38
Home care services for sick children: Healthcare professionals’ conceptions of challenges and facilitators
Castor, C., Hallström, I., Hansson, H., & Landgren, K. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.13821 · Cited by 45
The impact of a small-group educational intervention for allied health professionals to enhance evidence-based practice: mixed methods evaluation
Mickan, S. M., Hilder, J., Wenke, R., & Thomas, R. (2019) · BMC Medical Education · doi:10.1186/s12909-019-1567-1 · Cited by 36
Using theories and frameworks to understand how to reduce low-value healthcare: a scoping review
Parker, G., Shahid, N., Rappon, T., Kastner, M., Born, K. B., & Berta, W. B. (2022) · Implementation Science · doi:10.1186/s13012-021-01177-1 · Cited by 36
Effects of a multifaceted implementation intervention to increase utilization of pharmacological treatments for alcohol use disorders in the US Veterans Health Administration
Harris, A. H. S., Brown, R., Dawes, M. A., Dieperink, E. W., Myrick, D. H., Gerould, H., Wagner, T. H., Wisdom, J. P., & Hagedorn, H. (2017) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2017.09.002 · Cited by 35
Evaluating a complex model designed to increase access to high quality primary mental health care for under-served groups: a multi-method study
Dowrick, C. F., Bower, P., Chew-Graham, C. A., Lovell, K., Edwards, S., Lamb, J. N., Bristow, K., Gabbay, M., Burroughs, H., Beatty, S., et al. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1298-5 · Cited by 34
Multicenter, Prospective, Controlled, Before-and-After, Quality Improvement Study (Stroke123) of Acute Stroke Care
Cadilhac, D. A.-M., Grimley, R., Kilkenny, M. F., Andrew, N. E., Lannin, N. A., Hill, K. M., Grabsch, B. E., Levi, C. R., Thrift, A. G., Faux, S. G., et al. (2019) · Stroke · doi:10.1161/strokeaha.118.023075 · Cited by 34
Systematic review of determinants influencing knowledge implementation in occupational therapy
Pellerin, M., Lamontagne, M., Viau‐Guay, A., & Poulin, V. (2019) · Australian Occupational Therapy Journal · doi:10.1111/1440-1630.12612 · Cited by 34
Intervening for sustainable change: Tailoring strategies to align with values and principles of communities
Metz, A. J. R., Kainz, K., & Boaz, A. (2023) · Frontiers in Health Services · doi:10.3389/frhs.2022.959386 · Cited by 36
Systematic review of interventions to increase the delivery of preventive care by primary care nurses and allied health clinicians
McElwaine, K., Freund, M., Campbell, E. M., Bartlem, K. M., Wye, P. M., & Wiggers, J. (2015) · Implementation Science · doi:10.1186/s13012-016-0409-3 · Cited by 37
A Systematic Review of Knowledge Translation (KT) in Pediatric Pain
Gagnon, M. M., Hadjistavropoulos, T., Hampton, A. J. D., & Stinson, J. (2015) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000345 · Cited by 34
Sustaining guideline implementation: A multisite perspective on activities, challenges and supports
Higuchi, K. S., Davies, B., & Ploeg, J. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.13770 · Cited by 33
A complex intervention to improve implementation of World Health Organization guidelines for diagnosis of severe illness in low-income settings: a quasi-experimental study from Uganda
Cummings, M. J., Goldberg, E., Mwaka, S., Kabajaasi, O., Vittinghoff, E., Cattamanchi, A., Katamba, A., Kenya‐Mugisha, N., Jacob, S. T., & Davis, J. L. (2017) · Implementation Science · doi:10.1186/s13012-017-0654-0 · Cited by 33
Use of the behaviour change wheel to improve everyday person-centred conversations on physical activity across healthcare
Reid, H. A. B., Smith, R., Williamson, W., Baldock, J., Caterson, J., Kluzek, S., Jones, N., & Copeland, R. J. (2022) · BMC Public Health · doi:10.1186/s12889-022-14178-6 · Cited by 41
Education-only versus a multifaceted intervention for improving assessment of rehabilitation needs after stroke; a cluster randomised trial
Lynch, E. A., Cadilhac, D. A.-M., Luker, J. A., & Hillier, S. (2015) · Implementation Science · doi:10.1186/s13012-016-0487-2 · Cited by 32
Facilitating the implementation of clinical technology in healthcare: what role does a national agency play?
Harvey, G., Llewellyn, S., Maniatopoulos, G., Boyd, A., & Procter, R. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3176-9 · Cited by 32
To what extent do site-based training, mentoring, and operational research improve district health system management and leadership in low- and middle-income countries: a systematic review protocol
Belrhiti, Z., Booth, A., Marchal, B., & Verstraeten, R. (2016) · Systematic Reviews · doi:10.1186/s13643-016-0239-z · Cited by 30
Preventive healthcare for young children: A systematic review of interventions in primary care
Alexander, K., Brijnath, B., Biezen, R., Hampton, K., & Mazza, D. (2017) · Preventive Medicine · doi:10.1016/j.ypmed.2017.02.024 · Cited by 33
Knowledge Translation Strategies Used by Healthcare Professionals in Child Health Settings: An Updated Systematic Review
Campbell, A., Louie‐Poon, S., Slater, L., & Scott, S. D. (2019) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2019.04.026 · Cited by 31
Fast tracking the design of theory-based KT interventions through a consensus process
Initiative, M. O. T. C. C. G., Bussières, A., Zoubi, F. A., Quon, J. A., Ahmed, S., Thomas, A., Stuber, K. J., Sajko, S. S., & French, S. (2015) · Implementation Science · doi:10.1186/s13012-015-0213-5 · Cited by 34
Effects of computer reminders on complications of peripheral venous catheters and nurses’ adherence to a guideline in paediatric care—a cluster randomised study
Förberg, U., Unbeck, M., Wallin, L., Johansson, E., Petzold, M., Ygge, B., & Ehrenberg, A. (2015) · Implementation Science · doi:10.1186/s13012-016-0375-9 · Cited by 30
Implementation of a reimbursed medication review program: Corporate and pharmacy level strategies
MacKeigan, L. D., Ijaz, N., Bojarski, E. A., & Dolovich, L. R. (2017) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2017.03.057 · Cited by 30
Ways to use interventions to increase participation in mail-out bowel cancer screening: a systematic review and meta-analysis
Myers, L., Goodwin, B., March, S., & Dunn, J. (2020) · Translational Behavioral Medicine · doi:10.1093/tbm/ibz081 · Cited by 31
Implementing guidelines in nursing homes: a systematic review
Diehl, H., Graverholt, B., Espehaug, B., & Lund, H. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1550-z · Cited by 29

Authors: Squires, J. E., Sullivan, K., Eccles, M. P., Worswick, J., & Grimshaw, J. M.
Affiliations: University of Ottawa (CA)
Ottawa Hospital Research Institute (CA)
Newcastle University (GB)
Cochrane Canada (CA)
Corresponding author: Squires, Janet E
ORCID: Squires, Janet E
Sullivan, Katrina
Grimshaw, Jeremy M
Venue: Implementation Science
Publisher: Springer Science and Business Media LLC
Published: 2014-10-06
Volume: 9
Issue: 1
Pages: 152-152
ISSN: 1748-5908 (ISSN-L)
DOI: 10.1186/s13012-014-0152-6
PMC: PMC4194373
OpenAlex: W2140663693
Cited by: 368
References: 43
Citations by year: 2026: 21 · 2025: 24 · 2024: 50 · 2023: 30 · 2022: 33 · 2021: 39 · 2020: 36 · 2019: 26 · 2018: 19 · 2017: 31 · 2016: 20 · 2015: 37 · 2014: 2
FWCI: 5.11
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0 (unspecified)
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)
Newcastle University ePrints (Newcastle Univesity) (cc-by)
Funders: Canadian Institutes of Health Research
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: multicomponent intervention, clinical practice change, evidence-to-practice translation, intervention effectiveness, dose-response relationship, indirect comparison
MeSH terms: Humans, Practice Patterns, Physicians', Research Design, Translational Research, Biomedical

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

Are multifaceted interventions more effective than single-component interventions in changing health-care professionals' behaviours? An overview of systematic reviews

Abstract

Overview

Integrity signals

Figures

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks