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Comment
. 2015 Jul 13;4(10):685-6.
doi: 10.15171/ijhpm.2015.127.

"Horses for Courses": Comment on "Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies - Is There a Simple Answer to a Complex Question?"

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Comment

"Horses for Courses": Comment on "Translating Evidence Into Healthcare Policy and Practice: Single Versus Multi-Faceted Implementation Strategies - Is There a Simple Answer to a Complex Question?"

Joyce E Wilkinson et al. Int J Health Policy Manag. .

Abstract

This commentary considers the vexed question of whether or not we should be spending time and resources on using multifaceted interventions to undertake implementation of evidence in healthcare. A review of systematic reviews has suggested that simple interventions may be just as effective as those taking a multifaceted approach. Taking cognisance of the Promoting Action on Research Implementation in Health Services (PARIHS) framework this commentary takes account of the evidence, context and facilitation factors in undertaking implementation. It concludes that a 'horses for courses' approach is necessary meaning that the specific implementation approach should be selected to fit the implementation task in hand whether it be a single or multifaceted approach and reviewed on an individual basis.

Keywords: Context; Evidence; Facilitation; Implementation; Multifaceted Interventions.

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References

    1. Pettigrew AM. The Awakening Giant: Continuity and Change in Imperial Chemical Industries. Chichester: Wiley Blackwell; 1985.
    1. Harvey G, Kitson A. Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies – is there a simple answer to a complex question? Int J Health Policy Manag. 2015;4:123–126. doi: 10.15171/ijhpm.2015.54. - DOI - PMC - PubMed
    1. Squires J, Sullivan K, Eccles M, Worswick J, Grimshaw J. Are multifaceted interventions more effective than single- component interventions in changing health-care professionals’ behaviours? Implement Sci. 2014;9:152. doi: 10.1186/s13012-014-0152-6. - DOI - PMC - PubMed
    1. Hoffmann TC, Glasziou PP, Boutron I. et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687. doi: 10.1136/bmj.g1687. - DOI - PubMed
    1. Petticrew M. Time to rethink the systematic review catechism? Moving from ‘what works’ to ‘what happens’. Syst Rev. 2015;4:36. doi: 10.1186/s13643-015-0027-1. - DOI - PMC - PubMed

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