Tailored implementation for chronic diseases (TICD): A project protocol

Abstract

BackgroundThe assumption underlying tailoring is that implementation interventions are most helpful if these effectively address the most important determinants of practice for improvement in the targeted setting. The aim of the Tailored Implementation For Chronic Diseases (TICD) project is to develop valid and efficient methods of tailoring implementation interventions to determinants of practice for knowledge implementation in chronic illness care.MethodsThe TICD project has organized the planned empirical research in three work packages that follow the three main steps of tailoring: identification of determinants of healthcare practice, matching implementation interventions to identified determinants of practice, and applying and assessing the tailored implementation interventions. These three key steps of tailored implementation will be applied to targeted chronic conditions in five different healthcare systems: cardiovascular disease in the Netherlands, obesity in England, depression in Norway, chronic obstructive pulmonary disease in Poland, and multimorbidity in Germany. The design and interpretation of empirical research will be informed by systematic reviews of previous research on tailoring implementation interventions.DiscussionThe TICD project will provide much needed evidence on the advantages and disadvantages of different methods of identifying important determinants of practice and selecting implementation strategies that take account of those. It will also provide five rigorous evaluations of tailored implementation interventions for five different chronic conditions.

Entwicklung einer maßgeschneiderten Intervention (Tailoring) am Beispiel der Implementierung von Empfehlungen zur Polypharmakotherapie bei multimorbiden Patienten (PomP)

“…Da Please cite this article in press as: Jäger • Wiederholung der Information durch Apotheker es bisher keine gesicherten Erkenntnisse dazu gibt, welche Methoden sich hierzu am besten eignen [12], wurden mehrere Erhebungsmethoden (Brainstorming, Fokusgruppen, Einzelinterviews und Fragebögen) parallel angewendet. Damit erhöht sich zum einen die Wahrscheinlichkeit, dass alle relevanten Determinanten erfasst wurden.…”

Methods to Improve the Selection and Tailoring of Implementation Strategies

“…4,33–35 The first step in selecting and tailoring implementation strategies is to conduct an assessment of factors that influence implementation processes and outcomes, 34 such as the characteristics of the innovation, 23,36 characteristics of the setting in which it will be implemented, the characteristics and preferences of involved stakeholders, and other potential barriers and facilitators. 37 Numerous resources can guide the assessment of these factors.…”

Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies – is there a simple answer to a complex question?

“…This is due to factors such as the contestable nature of evidence, the multiple influences on decision-making and the effect of contextual variables at a micro, meso and macro level (3,4). Consequently translation strategies that attempt to recognize and manage the multiplicity of factors are proposed, often comprising a number of inter-related elements that can be tailored according to the particular setting and target audience (5). As such, common practice typically favours multifaceted approaches to translation (6).…”