2015
DOI: 10.15171/ijhpm.2015.54
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Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies – is there a simple answer to a complex question?

Abstract: How best to achieve the translation of research evidence into routine policy and practice remains an enduring challenge in health systems across the world. The complexities associated with changing behaviour at an individual, team, organizational and system level have led many academics to conclude that tailored, multifaceted strategies provide the most effective approach to knowledge translation. However, a recent overview of systematic reviews questions this position and sheds doubt as to whether multi-facet… Show more

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Cited by 79 publications
(74 citation statements)
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References 27 publications
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“…This brings us back to our core question: how single are so-called single component interventions, and what is indeed a multifaceted intervention? Acknowledging the overview of Squires et al 1 and the editorial by Harvey and Kitson, 2 we suggest there is a need for progress in terms of unpacking what the interventions are in implementation science, and whether the dichotomy of single versus multifaceted interventions really is helpful in that enterprise. We wish to see future studies not only positioning themselves as using single or multifaceted interventions but also providing more extensive descriptions of the actions taken.…”
Section: That Considers Single Component and Multifaceted Implementatmentioning
confidence: 92%
See 1 more Smart Citation
“…This brings us back to our core question: how single are so-called single component interventions, and what is indeed a multifaceted intervention? Acknowledging the overview of Squires et al 1 and the editorial by Harvey and Kitson, 2 we suggest there is a need for progress in terms of unpacking what the interventions are in implementation science, and whether the dichotomy of single versus multifaceted interventions really is helpful in that enterprise. We wish to see future studies not only positioning themselves as using single or multifaceted interventions but also providing more extensive descriptions of the actions taken.…”
Section: That Considers Single Component and Multifaceted Implementatmentioning
confidence: 92%
“…To our understanding, this assumption indicates that interventions are primarily focused on individuals (and their behaviours). Harvey and Kitson, 2 we understand, suggest that the more complex the context, the more multifaceted the implementation strategies need to be, to ensure tailored interventions to encompass and address the barriers and facilitating factors. Presumably, one's implementation approach is dependent on whether one believes a single component intervention can achieve any change, or not.…”
Section: That Considers Single Component and Multifaceted Implementatmentioning
confidence: 99%
“…In many cases, the costs of implementation are not accurately described or evaluated, 1 hence it is difficult to make informed judgements about whether the resources invested in implementation provide relative value in terms of the improvements made in patient care, service delivery or population health. However, in a recent paper, 2 we cautioned against a hasty response to a review of systematic reviews which suggested that there was no evidence to indicate that multifaceted implementation strategies were more effective than single strategies. 3 Our argument was that implementation of changes in practice or policy is rarely simple or rational and that it was not particularly helpful to think about a straightforward dichotomy between single versus multi-faceted approaches to implementation.…”
mentioning
confidence: 97%
“…Taking the view that addressing knowledge translation is a process that involves the content of evidence, the context into which the evidence will be implemented and the process by which the changes to practice or policy occur, 1 it becomes clearer where the complexities arise. As a result and as Harvey and Kitson note, 2 translation strategies are becoming more complex to try to address the number of factors involved. The overview of systematic reviews undertaken by Squires and colleagues, 3 that their editorial is based on, seeks to answer some of the questions that arise from interventions to change healthcare professionals' behaviour.…”
mentioning
confidence: 99%