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} }
Multi-method evaluation and high quality reporting are essentialÂ
25 Citations
Developing and evaluating a complex intervention in stroke : using very early mobilisation as an example
- Medicine
- 2013
Patients who underwent VEM were 3-times more likely to be independent at 3 months than were standard care (SC) patients and the incremental cost-effectiveness ratio associated with VEM in comparison to SC indicated VEM to be potentially cost-effective from a societal perspective.
Are emergency department clinical pathway interventions adequately described, and are they delivered as intended? A systematic review
- Medicine, Psychology
- 2017
The underreporting of intervention elements may present a barrier to both the evaluation and accurate replication of clinical pathway interventions.
Implementing a Complex Intervention to Support Personal Recovery: A Qualitative Study Nested within a Cluster Randomised Controlled Trial
- Medicine, PsychologyPloS one
- 2014
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.
An empirical study series to investigate the research synthesis of complex health care interventions and related methodological issues
- Psychology, Medicine
- 2012
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.
- MedicineThe Permanente journal
- 2010
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.
- Medicine, PsychologyThe British journal of general practice : the journal of the Royal College of General Practitioners
- 2011
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
- MedicineBMJ : British Medical Journal
- 2009
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
- MedicineJ. Am. Medical Informatics Assoc.
- 2012
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
- Medicine
- 2009
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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