Evidence based implementation of complex interventions

@article{Thomson2009EvidenceBI,
  title={Evidence based implementation of complex interventions},
  author={Richard G. Thomson},
  journal={BMJ : British Medical Journal},
  year={2009},
  volume={339}
}
  • R. Thomson
  • Published 12 August 2009
  • Medicine
  • BMJ : British Medical Journal
Multi-method evaluation and high quality reporting are essential 
View on BMJ
ncbi.nlm.nih.gov
24 Citations
Background Citations
7

24 Citations

Citation Type

Citation Type

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The underreporting of intervention elements may present a barrier to both the evaluation and accurate replication of clinical pathway interventions.
Personalized modeling for medical decision support
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Implementing a Complex Intervention to Support Personal Recovery: A Qualitative Study Nested within a Cluster Randomised Controlled Trial
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This study highlighted the importance of targeting the transition from practitioners' intent to implement to actual implementation behaviour, using experiential learning and target setting, and recommended the use of organisational readiness tools as an inclusion criteria for selecting both organisations and teams in cluster RCTs.
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Results suggested that many of the techniques used in psycho-educational interventions appear to be well matched with patients’ experiences of successful interventions, and questions remain about how to distinguish characteristics of an effective intervention.
Evidence-based medicine and the physician-patient dyad.
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It is argued that EBM must be closely evaluated and critically appraised because it is subject to its own set of defects and would be best implemented in a context that maintains sensitivity to individuality and to physician–patient interactions.
Impact of the QOF and the NICE guideline in the diagnosis and management of depression: a qualitative study.
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Organisational barriers to the implementation of the NICE guideline and the limited scope of the QOF highlight the need for policy makers to work more effectively with the complex realities of general practice in order to systematically improve the quality and delivery of 'managed' care for depression.
The myth of complexity
Thompson’s comment on Bessen and colleagues’ attempt to encourage uptake of the Ottawa ankle rules perpetuates the ubiquitous misuse of the term complex.1 2 Referring to the clinical decision tool as…
Standards for reporting randomized controlled trials in medical informatics: a systematic review of CONSORT adherence in RCTs on clinical decision support
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The overall quality of reporting RCTs was low and there is a need to develop standards for reporting R CTs in medical informatics.
Medication and symptom management in persons living with HIV. perceptions and collaboration of persons living with HIV, their close support persons and healthcare providers
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This review summarizes the evidence resulting of randomised controlled trials which were conducted to enhance medication adherence to antiretroviral therapy and shows that effective programs need to c ombine several methods.
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