The Tailored Implementation in Chronic Diseases (TICD) project: introduction and main findings
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BACKGROUND: The Tailored Implementation in Chronic Diseases (TICD) project aims to contribute knowledge on how to improve healthcare for patients with chronic diseases and, at the same time, knowledge on concepts and methods of tailoring interventions to local conditions. In this contribution, the project is briefly introduced and its main findings are discussed. DISCUSSION: The tailored implementation programs in the TICD project had little impact, for which we provide a range of potential explanations. Structured group interviews with informed stakeholders, such as clinicians and researchers, were used to generate perceived determinants of practice and suggestions for tailored implementation strategies. They were productive and valid, yet incomplete, if compared to perceptions of healthcare providers who received the tailored implementation programs. Ongoing monitoring of determinants of practice during intervention delivery seems required to adapt the interventions to emerging needs and opportunities.
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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).”
From Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda (2019) · cites this paper as [40]
The evidence regarding the superiority of multifaceted and tailored implementation strategies to single-component strategies has been mixed.
“While the use of multifaceted and tailored implementation strategies is intuitive and has considerable face validity (29), the evidence regarding their superiority to single-component strategies has been mixed (37, 39, 40).”
From Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda (2019) · cites this paper as [40]
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The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change
Chambers, D. A., Glasgow, R. E., & Stange, K. C. (2013) · Implementation Science · doi:10.1186/1748-5908-8-117 · Cited by 1,724 · see citing works
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Self-citationTailored interventions to address determinants of practice
Baker, R., Camosso-Stefinovic, J., Gillies, C., Shaw, E. J., Cheater, F., Flottorp, S., Robertson, N., Wensing, M., Fiander, M., Eccles, M. P., et al. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005470.pub3 · Cited by 711 · see citing works
Self-citationAarons, G. A., Ehrhart, M. G., Farahnak, L. R., & Sklar, M. (2014) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-032013-182447 · Cited by 474 · see citing works
Tailoring quality improvement interventions to identified barriers: a multiple case analysis
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Self-citationDeveloping and selecting interventions for translating knowledge to action
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Self-citationTailored Implementation for Chronic Diseases (TICD): a project protocol
Wensing, M., Oxman, A., Baker, R., Godycki-Cwirko, M., Flottorp, S., Szecsenyi, J., Grimshaw, J., & Eccles, M. (2011) · Implementation Science · doi:10.1186/1748-5908-6-103 · Cited by 184 · see citing works
Self-citationMetrics for Assessing Improvements in Primary Health Care
Stange, K. C., Etz, R., Gullett, H., Sweeney, S. A., Miller, W. L., Jaén, C. R., Crabtree, B. F., Nutting, P. A., & Glasgow, R. E. (2014) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-032013-182438 · Cited by 83 · see citing works
Tailored implementation of evidence-based practice for patients with chronic diseases
Wensing, M., Huntink, E., van Lieshout, J., Godycki-Cwirko, M., Kowalczyk, A., Jäger, C., Steinhäuser, J., Aakhus, E., Flottorp, S., Eccles, M., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0101981 · Cited by 74 · see citing works
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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 · see citing works
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- Authors
- Wensing, M.
- Affiliations
- Radboud University Nijmegen (NL)
- Corresponding author
- Wensing, Michel
- ORCID
- Wensing, Michel
- Venue
- Implementation Science
- Published
- 2017-01-10
- Volume
- 12
- Issue
- 1
- Pages
- 5-5
- ISSN
- 1748-5908 (ISSN-L)
- PMC
- PMC5223579
- OpenAlex
- W2569930299
- Cited by
- 111
- References
- 10
- Citations by year
- 2026: 10 · 2025: 7 · 2024: 18 · 2023: 15 · 2022: 17 · 2021: 21 · 2020: 7 · 2019: 10 · 2018: 3 · 2017: 3
- FWCI
- 10.20
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Implementation Science (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- heiDOK (Heidelberg University) (acceptedVersion, other-oa)
- Radboud Repository (Radboud University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Funders
- European Commission (258837)
- ZonMw (200310011)
- 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
- tailored implementation, chronic disease, implementation program, stakeholder interviews, healthcare workers, intervention adaptation, implementation monitoring, healthcare quality improvement
- MeSH terms
- Chronic Disease, Delivery of Health Care, Diffusion of Innovation, Humans, Primary Health Care, Evidence-Based Medicine
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