An implementation research agenda

Eccles, Martin; Armstrong, David; Baker, Richard; Cleary, Kevin; Davies, Huw; Davies, Stephen; Glasziou, Paul; Ilott, Irene; Kinmonth, Ann‐Louise; Leng, Gillian; Logan, Stuart; Marteau, Theresa M.; Michie, Susan; Rogers, Hugh; Rycroft‐Malone, Jo; Sibbald, Bonnie

doi:10.1186/1748-5908-4-18

Cited by 384 publications

(345 citation statements)

References 9 publications

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“…(Werner, 2005). Eccles et al (2009) have argued that we need to see greater use of theoretical approaches in research focused on implementation, on the basis that this will offer (i) generalisable frameworks that can be applied across different settings and individuals, (ii) opportunity for the incremental accumulation of knowledge and (iii) an explicit framework for analysis. Similarly Nutbeam (2004) outlined the need to invest in research that improves our understanding of how effective interventions should be implemented.…”

Section: Progressing Community Participation In Pcts In Ireland -Implmentioning

confidence: 99%

“…Its findings would inform HSE activities around the specific issue of community participation in PCTs. Moreover, there is scope for such a theoretically informed analysis to generate insights and transferable lessons for the implementation, integration and embedding of service user involvement in other HSE settings and contexts (May et al, 2007;Eccles et al, 2009).…”

Section: Progressing Community Participation In Pcts In Ireland -Implmentioning

confidence: 99%

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Community participation in primary care in Ireland: the need for implementation research

McEvoy

MacFarlane

2012

Prim Health Care Res Dev

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There are now several decades of history of community participation in health, with significant international evidence to suggest that there is much to be gained by primary health services and disadvantaged communities working in partnership. In this paper we provide an overview of community participation in primary care, establishing the policy context in which a recent 'Joint Initiative on Community Participation in Primary Health Care' was developed in Ireland. This Initiative was designed to support the involvement of disadvantaged communities and groups in the development of primary health care services at local level. An independent formative evaluation of the Joint Initiative took place between September 2009 and April 2010. We present a summary of key findings from this evaluation. We pay particular attention to the issue of sustaining community participation in newly developed Primary Care Teams (PCTs) in the current and changing economic climate, an issue considered crucial if the documented positive impacts of the Joint Initiative are to be maintained and the potential for health gains in the longer term are to be realised. We then argue that the Joint Initiative referred to in this paper clearly provides a strong prototype for community participation in PCTs in Ireland. We also ask whether it can be replicated across all PCTs in the country and embedded as a core part of thinking and everyday health care. We highlight the need for research to build knowledge about the ways in which innovations such as this can be embedded into ongoing, routine healthcare practice. This research agenda will have relevance for policy makers, practitioners and evaluators in Ireland and other healthcare jurisdictions.

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Section: Progressing Community Participation In Pcts In Ireland -Implmentioning

confidence: 99%

Section: Progressing Community Participation In Pcts In Ireland -Implmentioning

confidence: 99%

Community participation in primary care in Ireland: the need for implementation research

McEvoy

MacFarlane

2012

Prim Health Care Res Dev

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“…We have also gained an understanding through our research and that of others that efficacy in a trial setting is not enough to determine whether a self-management intervention will be successful or not (Kennedy et al, 2013;McKenna, Jones, Glenfield, & Lennon, 2013;Jones et al, 2016). We have more recently drawn on implementation science to understand how stroke rehabilitation teams can successfully normalise self-management support into their everyday practice and sustain this way of working (Damschroder et al, 2009;Eccles et al, 2009). We end this paper by using exemplars to illustrate how Bridges has been used in stroke rehabilitation not just post hospital but in the most biomedical of environments, an acute stroke unit.…”

Section: Introductionmentioning

confidence: 99%

Building Bridges between healthcare professionals, patients and families: A coproduced and integrated approach to self-management support in stroke

Jones

Pöstges

Brimicombe

2016

NRE

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Abstract. BACKGROUND:Programmes providing self-management support for patients and families are gaining attention and have shown promising outcomes with regards to reducing long-term unmet needs post stroke. However, notions of what good selfmanagement support looks like can differ depending on professional opinion, individual preferences, skills and experiences of patients and their families as well as on how care and rehabilitation is organised in a particular healthcare setting. This resonates with the perspective of patient-centred care, according to which the meaning of good care is not universal, but rather jointly shaped between healthcare professionals and patients in everyday interactions. While self-management support is continuously co-produced in care and rehabilitation practices, most self-management programmes are typically provided as an 'add-on' to existing statutory care. OBJECTIVE: This paper aims to deepen the understanding of how self-management support can be made an integral part of everyday care and rehabilitation using Bridges methodology. METHODS:The authors provide a self-reflective account on 'Bridges' an integrated approach to self-management support, which is used by healthcare professionals within acute and community stroke rehabilitation across the UK, and in some parts of New Zealand and Australia. RESULTS: Bridges is based on self-efficacy principles, but has a central aim of professionals sharing decision-making and expertise with patients and families in every healthcare interaction. Methodologically, the co-production of a Bridges support package with local healthcare professionals and patients is critical. The authors present the values articulated by the support package and how it engages professionals, patients and Bridges training facilitators in a continuous process of adjusting and re-adjusting situated self-management support practices. CONCLUSIONS: Our reflections reveal the need to consider development and implementation of self-management support as one and the same on-going process, if we are to facilitate successful engagement and interest from healthcare professionals as well as their patients and families.

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“…33 . It overlaps with disciplines, such as Implementation Science 27,34,35,36 and Translational Research 35,37,38 .…”

Section: Introductionmentioning

confidence: 99%

Improvement Science: conceptual and theoretical foundations for its application to healthcare quality improvement

et al. 2016

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The development and study of healthcare quality improvement interventions have been reshaped, moving from more intuitive approaches, dominated by biomedical vision and premised on easy transferability, to gradually acknowledge the need for more planning and systematization, with greater incorporation of the social sciences and enhancement of the role of context. Improvement Science has been established, with a conceptual and methodological framework for such studies. Considering the incipient of the debate and scientific production on Improvement Science in Brazil, this article aims to expound its principal conceptual and theoretical fundamentals, focusing on three central themes: the linkage of different disciplines; recognition of the role of context; and the theoretical basis for the design, implementation, and evaluation of interventions.

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An implementation research agenda

Cited by 384 publications

References 9 publications

Community participation in primary care in Ireland: the need for implementation research

Community participation in primary care in Ireland: the need for implementation research

Building Bridges between healthcare professionals, patients and families: A coproduced and integrated approach to self-management support in stroke

Improvement Science: conceptual and theoretical foundations for its application to healthcare quality improvement

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