Cornelia Jäger1, Joachim Szecsenyi2, Tobias Freund2, Johanna Katharina Reichel2, Christina Kuhlmey2, Michel Wensing3, Jost Steinhäuser2. 1. Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg. Electronic address: Cornelia.jaeger@med.uni-heidelberg.de. 2. Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg. 3. Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Abstract
INTRODUCTION: Implementation research deals with the question of how to ensure that evidence-based knowledge is put into practice. One approach is the development of "tailored interventions (TI)". These are designed to address previously identified barriers and enablers. A common definition or methodological concept for TI has not yet been established. In this paper, a concept for TI is introduced. We describe the stepwise development of an implementation intervention for GP settings where recommendations based on current evidence are provided for the treatment of multimorbid patients receiving polypharmacy. Each step will be explained and illustrated by original data. METHODS/ RESULTS: A stepwise approach was used to develop a TI: problem analysis, identification and prioritisation of determinants, identification and prioritisation of strategies and the design of a complex intervention and its underlying logic model. DISCUSSION: The stepwise exemplary description of this tailoring strategy may support other researchers in this field when designing a TI.
INTRODUCTION: Implementation research deals with the question of how to ensure that evidence-based knowledge is put into practice. One approach is the development of "tailored interventions (TI)". These are designed to address previously identified barriers and enablers. A common definition or methodological concept for TI has not yet been established. In this paper, a concept for TI is introduced. We describe the stepwise development of an implementation intervention for GP settings where recommendations based on current evidence are provided for the treatment of multimorbid patients receiving polypharmacy. Each step will be explained and illustrated by original data. METHODS/ RESULTS: A stepwise approach was used to develop a TI: problem analysis, identification and prioritisation of determinants, identification and prioritisation of strategies and the design of a complex intervention and its underlying logic model. DISCUSSION: The stepwise exemplary description of this tailoring strategy may support other researchers in this field when designing a TI.
Authors: Cornelia Jäger; Tobias Freund; Jost Steinhäuser; Christian Stock; Johannes Krisam; Petra Kaufmann-Kolle; Michel Wensing; Joachim Szecsenyi Journal: Implement Sci Date: 2017-01-13 Impact factor: 7.327
Authors: Sven Karstens; Stefanie Joos; Jonathan C Hill; Katja Krug; Joachim Szecsenyi; Jost Steinhäuser Journal: PLoS One Date: 2015-08-31 Impact factor: 3.240