A Compilation of Strategies for Implementing Clinical Innovations in Health and Mental Health

Efforts to identify, develop, refine, and test strategies to disseminate and implement evidence-based treatments have been prioritized in order to improve the quality of health and mental health care delivery. However, this task is complicated by an implementation science literature characterized by inconsistent language use and inadequate descriptions of implementation strategies. This article brings more depth and clarity to implementation research and practice by presenting a consolidated compilation of discrete implementation strategies, based on a review of 205 sources published between 1995 and 2011. The resulting compilation includes 68 implementation strategies and definitions, which are grouped according to six key implementation processes: planning, educating, financing, restructuring, managing quality, and attending to the policy context. This consolidated compilation can serve as a reference to stakeholders who wish to implement clinical innovations in health and mental health care and can facilitate the development of multifaceted, multilevel implementation plans that are tailored to local contexts.

[1]  A. Macaulay,et al.  Linkage and exchange interventions , 2013 .

[2]  M. Eccles,et al.  Audit and feedback interventions , 2013 .

[3]  Bryan J Weiner,et al.  The U.S. training institute for dissemination and implementation research in health , 2013, Implementation Science.

[4]  K. Moore,et al.  A community planning process for the implementation of evidence-based practice. , 2011, Evaluation and program planning.

[5]  J. M. Kahn Book Review: Knowledge Translation in Health Care: Moving From Evidence to Practice. Sharon Straus MD FRCPC MSc, Jacqueline Tetroe MA, Ian D Graham PhD, editors. West Sussex: Wiley-Blackwell. 2009. Soft cover, 336 pages, $62.95. , 2010 .

[6]  Anthony L. Hemmelgarn,et al.  Randomized trial of MST and ARC in a two-level evidence-based treatment implementation strategy. , 2010, Journal of consulting and clinical psychology.

[7]  C. Godfrey,et al.  Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice. , 2010, International journal of evidence-based healthcare.

[8]  Borsika A. Rabin,et al.  Dissemination and implementation research on community-based cancer prevention: a systematic review. , 2010, American journal of preventive medicine.

[9]  R Brian Haynes,et al.  A cross-sectional study of the number and frequency of terms used to refer to knowledge translation in a body of health literature in 2006: a Tower of Babel? , 2010, Implementation science : IS.

[10]  David H Barlow,et al.  The dissemination and implementation of evidence-based psychological treatments. A review of current efforts. , 2010, The American psychologist.

[11]  J. Lowery,et al.  Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science , 2009, Implementation science : IS.

[12]  Susan Michie,et al.  Specifying and reporting complex behaviour change interventions: the need for a scientific method , 2009, Implementation science : IS.

[13]  M. Dijkers,et al.  The Value of “Traditional” Reviews in the Era of Systematic Reviewing , 2009, American journal of physical medicine & rehabilitation.

[14]  J. Fisher,et al.  An Agenda for Advancing the Science of Implementation of Evidence-Based HIV Prevention Interventions , 2009, AIDS and Behavior.

[15]  Jo Rycroft-Malone,et al.  An implementation research agenda , 2009, Implementation science : IS.

[16]  M. Titler,et al.  Effect of evidence-based acute pain management practices on inpatient costs. , 2009, Health services research.

[17]  L. Everett,et al.  Translating research into practice intervention improves management of acute pain in older hip fracture patients. , 2009, Health services research.

[18]  Sandy Oliver,et al.  Systematic Reviews in Public Health , 2008 .

[19]  K. Grimmer-Somers,et al.  The effectiveness of clinical guideline implementation strategies--a synthesis of systematic review findings. , 2008, Journal of evaluation in clinical practice.

[20]  S. Shapiro,et al.  Evidence‐Based Practice for Advanced Practice Emergency Nurses, Part III: Planning, Implementing, and Evaluating an Evidence‐Based Small Test of Change , 2008 .

[21]  R. Whitley,et al.  Evidence-based Practice Implementation Strategies: Results of a Qualitative Study , 2008, Community Mental Health Journal.

[22]  B. Mittman,et al.  An organizational framework and strategic implementation for system-level change to enhance research-based practice: QUERI Series , 2008, Implementation science : IS.

[23]  Ross C Brownson,et al.  A glossary for dissemination and implementation research in health. , 2008, Journal of public health management and practice : JPHMP.

[24]  Bryan J. Weiner,et al.  Review: Conceptualization and Measurement of Organizational Readiness for Change , 2008, Medical care research and review : MCRR.

[25]  E. Proctor Implementing Evidence-Based Practice in Social Work Education: Principles, Strategies, and Partnerships , 2007 .

[26]  M. Greenberg,et al.  Toward dissemination of evidence-based family interventions: maintenance of community-based partnership recruitment results and associated factors. , 2007, Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association.

[27]  Moira C McKinnon,et al.  Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 7: Care Coordination) , 2007 .

[28]  P. Christophersen,et al.  Improving Outcomes for Acute Coronary Syndrome Patients in the Hospital Setting: Successful Implementation of the American Heart Association "Get With The Guidelines" Program by Phase I Cardiac Rehabilitation Nurses , 2007, The Journal of cardiovascular nursing.

[29]  B. Druss,et al.  Can psychiatry cross the quality chasm? Improving the quality of health care for mental and substance use conditions. , 2007, The American journal of psychiatry.

[30]  Margarete Sandelowski,et al.  Developing a theory-based taxonomy of methods for implementing change in practice. , 2007, Journal of advanced nursing.

[31]  Jacqueline A Pugh,et al.  Clinical practice guideline implementation strategy patterns in Veterans Affairs primary care clinics. , 2007, Health services research.

[32]  M. Eccles,et al.  Planning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives , 2007, The Milbank quarterly.

[33]  Resilience Engineering: Concepts and Precepts , 2006, Quality and Safety in Health Care.

[34]  A. Dumont,et al.  Evidence-Based Strategies for Implementing Guidelines in Obstetrics: A Systematic Review , 2006, Obstetrics and gynecology.

[35]  John W. Williams,et al.  Dissemination of evidence-based mental health interventions: importance to the trauma field. , 2006, Journal of traumatic stress.

[36]  K. Shojania,et al.  Effects of quality improvement strategies for type 2 diabetes on glycemic control: a meta-regression analysis. , 2006, JAMA.

[37]  Jennifer L. Magnabosco Innovations in mental health services implementation: a report on state-level data from the U.S. Evidence-Based Practices Project , 2006, Implementation science : IS.

[38]  Jill J. Francis,et al.  Designing theoretically-informed implementation interventions , 2006, Implementation science : IS.

[39]  M. Eccles,et al.  Welcome to Implementation Science , 2006, Implementation Science.

[40]  Luke Vale,et al.  Toward evidence-based quality improvement. Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998. , 2006, Journal of general internal medicine.

[41]  Sonja K Schoenwald,et al.  The ARC Organizational and Community Intervention Strategy for Implementing Evidence-Based Children's Mental Health Treatments , 2005, Mental health services research.

[42]  H. Davies,et al.  What works to promote evidence-based practice? A cross-sector review , 2005 .

[43]  John R. Weisz,et al.  Modularity in the design and application of therapeutic interventions , 2005 .

[44]  G. Robert,et al.  Diffusion of innovations in service organizations: systematic review and recommendations. , 2004, The Milbank quarterly.

[45]  S. Shortell Increasing Value: A Research Agenda for Addressing the Managerial and Organizational Challenges Facing Health Care Delivery in the United States , 2004, Medical care research and review : MCRR.

[46]  J M Grimshaw,et al.  Effectiveness and efficiency of guideline dissemination and implementation strategies , 2004, International Journal of Technology Assessment in Health Care.

[47]  R. Aubry,et al.  Implementing evidence-based practice: evaluation of an opinion leader strategy to improve breast-feeding rates. , 2004, American journal of obstetrics and gynecology.

[48]  Kip Jones,et al.  Mission Drift in Qualitative Research, or Moving Toward a Systematic Review of Qualitative Studies, Moving Back to a More Systematic Narrative Review. , 2004 .

[49]  A. Evans,et al.  Strategies for leading the implementation of evidence-based practices. , 2003, The Psychiatric clinics of North America.

[50]  Tom Lane,et al.  Consumers and families as partners in implementing evidence-based practice. , 2003, The Psychiatric clinics of North America.

[51]  B. Rowe,et al.  Systematic reviews in emergency medicine: Part I. Background and general principles for locating and critically appraising reviews. , 2003, CJEM.

[52]  Robert E Drake,et al.  Implementing Evidence-Based Practices for People with Severe Mental Illness , 2003, Behavior modification.

[53]  D. Biegel,et al.  The Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence: Implementation Support for Evidence-Based Practice , 2003 .

[54]  Simon Gilbody,et al.  Educational and organizational interventions to improve the management of depression in primary care: a systematic review. , 2003, JAMA.

[55]  D. Clair,et al.  Brave New Brain: Conquering Mental Illness in the Era of the Genome , 2002, Heredity.

[56]  M. Sanders,et al.  The role of the media and primary care in the dissemination of evidence-based parenting and family support interventions. , 2002 .

[57]  P. Shekelle,et al.  Interventions That Increase Use of Adult Immunization and Cancer Screening Services: A Meta-Analysis of 218 Controlled Studies , 2002 .

[58]  D. Simpson,et al.  Assessing organizational readiness for change. , 2002, Journal of substance abuse treatment.

[59]  S. Carpinello,et al.  Best Practices: New York state's campaign to implement evidence-based practices for people with serious mental disorders. , 2002, Psychiatric services.

[60]  P W Corrigan,et al.  Strategies for disseminating evidence-based practices to staff who treat people with serious mental illness. , 2001, Psychiatric services.

[61]  R. Grol Improving the quality of medical care: building bridges among professional pride, payer profit, and patient satisfaction. , 2001, JAMA.

[62]  P. Solomon,et al.  Implementing Best Practice Models by Using a Consensus-Building Process , 2001, Administration and Policy in Mental Health and Mental Health Services Research.

[63]  Jeremy M. Grimshaw,et al.  Changing Provider Behavior: An Overview of Systematic Reviews of Interventions , 2001, Medical care.

[64]  L. Solberg Guideline implementation: what the literature doesn't tell us. , 2000, The Joint Commission journal on quality improvement.

[65]  S. Curry Organizational interventions to encourage guideline implementation. , 2000, Chest.

[66]  S J Rolnick,et al.  Lessons from experienced guideline implementers: attend to many factors and use multiple strategies. , 2000, The Joint Commission journal on quality improvement.

[67]  C. Silagy,et al.  A framework for effective management of change in clinical practice: dissemination and implementation of clinical practice guidelines. , 1999, Quality in health care : QHC.

[68]  J. Grimshaw,et al.  Getting research findings into practice: Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings , 1998 .

[69]  B. Turnock Applied Epidemiology: Theory to Practice , 1998 .

[70]  R. Grol,et al.  Implementing guidelines and innovations in general practice: which interventions are effective? , 1998, The British journal of general practice : the journal of the Royal College of General Practitioners.

[71]  R. Thompson,et al.  Primary and secondary prevention services in clinical practice. Twenty years' experience in development, implementation, and evaluation. , 1995, JAMA.

[72]  T. Pearson,et al.  Role of a central laboratory in implementing national cholesterol education panel guidelines in rural practices: model system for managed care. , 1995, Clinical chemistry.

[73]  J Lomas,et al.  Diffusion, Dissemination, and Implementation: Who Should Do What? , 1993, Annals of the New York Academy of Sciences.

[74]  R. Brook,et al.  Consensus methods: characteristics and guidelines for use. , 1984, American journal of public health.

[75]  Captain Y. B. Nusfield,et al.  Public Health , 1906, Canadian Medical Association journal.

[76]  Martyn Hammersley,et al.  Systematic or Unsystematic, Is That the Question? Some Reflections on the Science, Art and Politics of Reviewing , 2013 .

[77]  Marije Bosch,et al.  Selecting, Tailoring, and implementing knowledge translation interventions , 2009 .

[78]  R. Cicerone Initial National Priorities for Comparative Effectiveness Research , 2009 .

[79]  David A. Chambers,et al.  Implementation Research in Mental Health Services: an Emerging Science with Conceptual, Methodological, and Training challenges , 2008, Administration and Policy in Mental Health and Mental Health Services Research.

[80]  Greer Sullivan,et al.  Implementation Science BioMed Central Debate , 2008 .

[81]  J. Landsverk,et al.  Cascading implementation of a foster and kinship parent intervention. , 2008, Child welfare.

[82]  D. M. Clark,et al.  Improving access to psychological therapy: initial evaluation of the two demonstration sites , 2008 .

[83]  P. Hovmand,et al.  Implementation of Evidence-Based Practice and Organizational Performance , 2008, The Journal of Behavioral Health Services & Research.

[84]  S. Goldstein,et al.  An Organizational Intervention , 2007 .

[85]  G. Elwyn,et al.  Patient-mediated strategies , 2005 .

[86]  S. Reeves,et al.  Implementation Science BioMed Central Debate , 2005 .

[87]  Karen A. Blase,et al.  Implementation Research: A Synthesis of the , 2005 .

[88]  R. Grol,et al.  Organisational and financial interventions , 2005 .

[89]  B. Stephen,et al.  Research on the Education of Students Placed At Risk , 2003 .

[90]  M. Cabana,et al.  Implementing practice guidelines for depression: applying a new framework to an old problem. , 2002, General hospital psychiatry.

[91]  Ruth Richardson,et al.  A Necessary Inhumanity? , 2000, Medical humanities.

[92]  R. Slavin,et al.  Disseminating Success for All: Lessons for Policy and Practice. Report No. 30. , 1999 .

[93]  G. Kendall Improving the quality of medical care. , 1989, HealthSpan.

[94]  R. Grol,et al.  For Personal Use. Only Reproduce with Permission from the Lancet Publishing Group. from Best Evidence to Best Practice: Effective Implementation of Change in Patients' Care , 2022 .

[95]  Designing theoretically-informed implementation interventions The Improved Clinical Effectiveness through Behavioural Research Group ( ICEBeRG ) * , 2022 .