Implementation of effective practices in health facilities: a systematic review of cluster randomised trials Article Swipe
Emma Allanson
,
Özge Tunçalp
,
Joshua P. Vogel
,
Dina N. Khan
,
Olufemi T. Oladapo
,
Qian Long
,
A. Metin Gülmezoĝlu
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1136/bmjgh-2016-000266
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1136/bmjgh-2016-000266
Background The capacity for health systems to support the translation of research in to clinical practice may be limited. The cluster randomised controlled trial (cluster RCT) design is often employed in evaluating the effectiveness of implementation of evidence-based practices. We aimed to systematically review available evidence to identify and evaluate the components in the implementation process at the facility level using cluster RCT designs. Methods All cluster RCTs where the healthcare facility was the unit of randomisation, published or written from 1990 to 2014, were assessed. Included studies were analysed for the components of implementation interventions employed in each. Through iterative mapping and analysis, we synthesised a master list of components used and summarised the effects of different combinations of interventions on practices. Results Forty-six studies met the inclusion criteria and covered the specialty groups of obstetrics and gynaecology (n=9), paediatrics and neonatology (n=4), intensive care (n=4), internal medicine (n=20), and anaesthetics and surgery (n=3). Six studies included interventions that were delivered across specialties. Nine components of multifaceted implementation interventions were identified: leadership, barrier identification, tailoring to the context, patient involvement, communication, education, supportive supervision, provision of resources, and audit and feedback. The four main components that were most commonly used were education (n=42, 91%), audit and feedback (n=26, 57%), provision of resources (n=23, 50%) and leadership (n=21, 46%). Conclusions Future implementation research should focus on better reporting of multifaceted approaches, incorporating sets of components that facilitate the translation of research into practice, and should employ rigorous monitoring and evaluation.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjgh-2016-000266
- https://gh.bmj.com/content/bmjgh/2/2/e000266.full.pdf
- OA Status
- gold
- Cited By
- 24
- References
- 92
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2738399155
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2738399155Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/bmjgh-2016-000266Digital Object Identifier
- Title
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Implementation of effective practices in health facilities: a systematic review of cluster randomised trialsWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2017Year of publication
- Publication date
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2017-07-20Full publication date if available
- Authors
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Emma Allanson, Özge Tunçalp, Joshua P. Vogel, Dina N. Khan, Olufemi T. Oladapo, Qian Long, A. Metin GülmezoĝluList of authors in order
- Landing page
-
https://doi.org/10.1136/bmjgh-2016-000266Publisher landing page
- PDF URL
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https://gh.bmj.com/content/bmjgh/2/2/e000266.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://gh.bmj.com/content/bmjgh/2/2/e000266.full.pdfDirect OA link when available
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Cluster (spacecraft), Cluster randomised controlled trial, Medicine, Public health, Family medicine, Environmental health, Randomized controlled trial, Nursing, Computer science, Internal medicine, Programming languageTop concepts (fields/topics) attached by OpenAlex
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24Total citation count in OpenAlex
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2025: 2, 2022: 4, 2021: 8, 2020: 5, 2019: 4Per-year citation counts (last 5 years)
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92Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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