A theory-based cross-sectional survey demonstrated the important role of awareness in guideline implementation

Rutten, Geert M.; Kremers, Stef; Rutten, Steven; Harting, Janneke

doi:10.1016/j.jclinepi.2008.04.004

Cited by 35 publications

(35 citation statements)

References 52 publications

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“…The proportion of physiotherapists who reported frequent use of guidelines (47%), was similar to what has been reported in other countries (40% to 61%) [39,109,158]. The rate of guideline use can be viewed from several perspectives.…”

Section: Guideline Usesupporting

confidence: 77%

Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

Bernhardsson¹

2015

Linköping University Medical Dissertations

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Section: Guideline Usesupporting

confidence: 77%

Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

Bernhardsson¹

2015

Linköping University Medical Dissertations

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“…4, blue parts). 26 In the present study, Rogers' theory informed both the focus group meetings and the analysis of the interviews. This report concentrates on the 5 consecutive stages of the diffusion process, as described above and depicted in Figure 4.…”

Section: Use Of Diffusion Of Innovations Theory To Examine Determinanmentioning

confidence: 92%

“…4). 26 The first 2 are mental stages and are referred to as the "dissemination process." The first dissemination stage, the "knowledge stage," requires that the potential users become acquainted with the innovation and develop an adequate understanding of it.…”

Section: Use Of Diffusion Of Innovations Theory To Examine Determinanmentioning

confidence: 99%

“…First, potential adopters have to decide whether to adopt or reject the inno- Theoretical framework based on Rogers' Innovation Decision Process. 23,26 Use of Diffusion of Innovations Theory to Examine Determinants of Guideline Adherence vation. Activities in this "decision stage" include gathering further information, trying out the innovation to a limited degree, and trial by others.…”

Section: Use Of Diffusion Of Innovations Theory To Examine Determinanmentioning

confidence: 99%

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A Qualitative Application of the Diffusion of Innovations Theory to Examine Determinants of Guideline Adherence Among Physical Therapists

Harting¹,

Rutten²,

Rutten³

et al. 2009

Physical Therapy

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Background. Evidence-based practice has become a major issue in physical therapy. Many evidence-based guidelines, however, are not used extensively after dissemination, and interventions aimed at increasing guideline adherence often have limited effects.Objective. As a prerequisite for changing this situation, the aims of this study were to gain an in-depth understanding of the determinants of guideline adherence among physical therapists in the Netherlands and to evaluate the opportunities of a theoretical framework in this respect. Design and Methods.This observational study consisted of 3 focus group interviews (nϭ12, 10, and 8) between November 2002 and January 2003. Physical therapists were asked to discuss their opinions about and experiences with the Dutch guidelines for low back pain. Data were analyzed qualitatively using a directed approach to content analysis. Both the interview route and the analysis of the interviews were informed by Rogers' Diffusion of Innovations Theory.Results. Our study yielded in-depth insights into the various determinants of guideline adherence. Overall, the participants had rather unfavorable opinions about issues related to the dissemination of the guidelines (first phase of the diffusion process) and provided relatively little information on the subsequent adoption process (second phase of the diffusion process). The theoretical framework appeared to be a useful tool to properly structure the focus group interviews, to systematically analyze the data collected, and to determine that supplementary interviews would be necessary to cover the entire diffusion process. Conclusions.Our findings indicated that the diffusion process of guidelines among physical therapists was not yet completed. The use of theory can provide added value to guideline implementation studies.

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“…To gauge the use of conceptual frameworks for KT PT, we conducted a literature review in January 2014 using CINAHL, MEDLINE, and Embase databases, and keywords pertaining to KT and PT. We identified 8 PT KT studies 16,[24][25][26][27][28][29][30] that employed an explicit conceptual framework. This observation is consistent with previous reviews that documented infrequent use of conceptual frameworks in PT KT implementation studies 31,32 .…”

Section: The Contributions Of Conceptual Framework In Pt Kt Intervenmentioning

confidence: 99%

The contribution of conceptual frameworks to knowledge translation interventions in physical therapy

2015

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A theory-based cross-sectional survey demonstrated the important role of awareness in guideline implementation

Cited by 35 publications

References 52 publications

Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

Advancing evidence-based practice in primary care physiotherapy : Guideline implementation, clinical practice, and patient preferences

A Qualitative Application of the Diffusion of Innovations Theory to Examine Determinants of Guideline Adherence Among Physical Therapists

The contribution of conceptual frameworks to knowledge translation interventions in physical therapy

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