Dissemination and Implementation Science

Beidas, Rinad S.; Mehta, Tara; Atkins, Marc S.; Solomon, Bonnie J.; Merz, Jenna

doi:10.1093/oxfordhb/9780199793549.013.0005

Cited by 10 publications

(9 citation statements)

References 44 publications

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“…First, didactic training is necessary, but not sufficient, for lasting and quality implementation in practice settings. Competency components—including ongoing expert consultation or supervision after initial didactics—are essential for trainees to acquire the skills necessary to administer treatments with fidelity and skill (Beidas, Mehta, Atkins, Solomon, & Merz, 2013; Crits-Christoph et al, 1998; Herschell, McNeil, & McNeil, 2004; McHugh & Barlow, 2010, 2012; Miller, Yahne, Moyers, Martinez, & Pirritano, 2004; Sholomskas, Syracuse-Siewert, Rounsaville, Ball, & Nuro, 2005). Competency components typically entail application of disseminated EBPs or techniques in the trainees’ actual practices (Daleiden et al, 2006; Gleacher et al, 2011), and so training requires a steady flow of patients with the very problems targeted by the disseminated treatments.…”

Section: The Blossoming Of Dissemination and Implementation Sciencementioning

confidence: 99%

The occasional case against broad dissemination and implementation: Retaining a role for specialty care in the delivery of psychological treatments.

Comer¹,

Barlow²

2014

American Psychologist

164

149

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Mental illness imposes a staggering public health burden in the United States. Although the past 40 years have witnessed tremendous advances in the identification of evidence-based practices (EBPs) in psychological treatments, gaps persist between treatment in experimental settings and services available in the community. In response, considerable attention and large financial commitments have focused in recent years on broad dissemination and implementation efforts designed to improve the quality of psychological services delivered by a variety of generalist practitioners across practice settings. Increasingly, under the influence of the Patient Protection and Affordable Care Act, it is envisioned that these generalists will practice in integrated primary care settings. These advances hold enormous potential, and yet, given the tremendous diversity of mental health problems and human suffering, broad dissemination and implementation efforts to generalists alone may not be sufficient to adequately address the burden of mental illness. Some EBPs may prove too complex for universal dissemination, and the time and expense required for quality dissemination and implementation preclude large-scale training in the treatment of low base rate disorders. As dissemination and implementation efforts work to ensure a quality generalist mental health care workforce, herein we highlight the vital need for available specialty care in the delivery of psychological treatments. Given traditional barriers that interfere with the accessibility of specialty care, we propose the transformative potential of a specialty behavioral telehealth care workforce, transacting with the generalist practitioner workforce to collectively ensure the highest quality and timely delivery of needed treatments to affected individuals.

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Section: The Blossoming Of Dissemination and Implementation Sciencementioning

confidence: 99%

The occasional case against broad dissemination and implementation: Retaining a role for specialty care in the delivery of psychological treatments.

Comer¹,

Barlow²

2014

American Psychologist

164

149

View full text Add to dashboard Cite

show abstract

“…L'AC devrait maintenant être systématiquement évaluée dans son application sur le terrain, car il est insuffisant d'établir l'efficacité d'une intervention pour ensuite tenter de simplement la transposer dans le réseau de la santé. C'est pourquoi les études à venir devront reposer sur des protocoles permettant de tester l'efficacité de différentes méthodes de dissémination et d'implantation de l'AC, de manière à clarifier comment favoriser la distribution des informations et du matériel aux cliniciens, ainsi que pour améliorer l'intégration des informations et l'adoption des pratiques dans les milieux cliniques 40 . Évolution sur la mesure de dépression aux 3 temps selon le type de dépression…”

Section: Discussionunclassified

Évaluation des effets de l’activation comportementale de groupe pour le traitement de la dépression sévère en milieu clinique

Blanchet

Provencher

2020

smq

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“…9 10 There has been growing interest recently in evaluating the uptake among healthcare providers of clinical practice guidelines for patient treatment in chronic CAD care, that is, the adherence of healthcare providers to clinical guideline recommendations. [11][12][13][14] Since evidence on guideline adherence in clinical practice contributes to quantifying the quality of care 15 and may be used to stimulate activities that promote a more guideline-adherent use of cardiovascular procedures, 14 it is important to ensure that the concept of guideline adherence is measured accurately and consistently. To the best of our knowledge, there is no available evidence on the accuracy and comparability of the methods used to assess guideline adherence for invasive procedures in the field of chronic CAD care.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Methods for assessing guideline adherence for invasive procedures in the care of chronic coronary artery disease: a scoping review

et al. 2023

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ObjectivesIn the care of coronary artery disease (CAD), evidence questions the adequate application of guidelines for cardiovascular procedures, particularly coronary angiographies (CA) and myocardial revascularisation. This review aims to examine how care providers’ guideline adherence for CA and myocardial revascularisation in the care of chronic CAD was assessed in the literature.DesignScoping review.Data sourcesPubMed and EMBASE were searched through in June 2021 (rerun in September 2022).Eligibility criteriaWe included studies assessing care providers’ adherence to evidence-based guidelines for CA or myocardial revascularisation in the care of chronic CAD. Studies had to list the evaluation of guideline adherence as study objective, describe the evaluation methods used and report the underlying guidelines and recommendations.Data extraction and synthesisTwo independent reviewers used standardised forms to extract study characteristics, methodological aspects such as data sources and variables, definitions of guideline adherence and quantification methods and the extent of guideline adherence. To elucidate the measurement of guideline adherence, the main steps were described.ResultsTwelve studies (311 869 participants) were included, which evaluated guideline adherence by (1) defining guideline adherence, (2) specifying the study population, (3) assigning (classes of) recommendations and (4) quantifying adherence. Thereby, primarily secondary data were used. Studies differed in their definitions of guideline adherence, where six studies each considered only recommendation class I/grade A/strong recommendations as adherent or additionally recommendation classes IIa/IIb. Furthermore, some of the studies reported a priori definitions and allocation rules for the assignment of recommendation classes. Guideline adherence results ranged from 10% for percutaneous coronary intervention with prior heart team discussion to 98% for coronary artery bypass grafting.ConclusionDue to remarkable inconsistencies in the assessment, a cautious interpretation of the guideline adherence results is required. Future efforts should endeavour to establish a consistent understanding of the concept of guideline adherence.

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Dissemination and Implementation Science

Cited by 10 publications

References 44 publications

The occasional case against broad dissemination and implementation: Retaining a role for specialty care in the delivery of psychological treatments.

The occasional case against broad dissemination and implementation: Retaining a role for specialty care in the delivery of psychological treatments.

Évaluation des effets de l’activation comportementale de groupe pour le traitement de la dépression sévère en milieu clinique

Methods for assessing guideline adherence for invasive procedures in the care of chronic coronary artery disease: a scoping review

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