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Facilitating Implem...
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Seers, K.Univ Warwick, England
(author)
Facilitating Implementation of Research Evidence (FIRE): An international cluster randomised controlled trial to evaluate two models of facilitation informed by the Promoting Action on Research Implementation in Health Services (PARIHS) framework
- Article/chapterEnglish2018
Publisher, publication year, extent ...
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2018-11-16
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Springer Science and Business Media LLC,2018
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LIBRIS-ID:oai:gup.ub.gu.se/274358
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https://gup.ub.gu.se/publication/274358URI
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https://doi.org/10.1186/s13012-018-0831-9DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:139606298URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-29011URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-153164URI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding Agencies|European Union [223646]
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Background: Health care practice needs to be underpinned by high quality research evidence, so that the best possible care can be delivered. However, evidence from research is not always utilised in practice. This study used the Promoting Action on Research Implementation in Health Services (PARIHS) framework as its theoretical underpinning to test whether two different approaches to facilitating implementation could affect the use of research evidence in practice. Methods: A pragmatic clustered randomised controlled trial with embedded process and economic evaluation was used. The study took place in four European countries across 24 long-term nursing care sites, for people aged 60years or more with documented urinary incontinence. In each country, sites were randomly allocated to standard dissemination, or one of two different types of facilitation. The primary outcome was the documented percentage compliance with the continence recommendations, assessed at baseline, then at 6, 12, 18, and 24months after the intervention. Data were analysed using STATA15, multi-level mixed-effects linear regression models were fitted to scores for compliance with the continence recommendations, adjusting for clustering. Results: Quantitative data were obtained from reviews of 2313 records. There were no significant differences in the primary outcome (documented compliance with continence recommendations) between study arms and all study arms improved over time. Conclusions: This was the first cross European randomised controlled trial with embedded process evaluation that sought to test different methods of facilitation. There were no statistically significant differences in compliance with continence recommendations between the groups. It was not possible to identify whether different types and "doses" of facilitation were influential within very diverse contextual conditions. The process evaluation (Rycroft-Malone et al., Implementation Science. doi: 10.1186/s13012-018-0811-0) revealed the models of facilitation used were limited in their ability to overcome the influence of contextual factors. © 2018 The Author(s).
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Rycroft-Malone, J.Bangor Univ, Wales
(author)
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Cox, K.Fontys Univ Appl Sci, Netherlands
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Crichton, N.London South Bank Univ, England
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Edwards, R. T.Bangor Univ, Wales
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Eldh, Ann Catrine,1965-Linköpings universitet,Högskolan Dalarna,Karolinska Institutet,Omvårdnad,Avdelningen för omvårdnad,Medicinska fakulteten,Karolinska Inst, Sweden(Swepub:liu)annel80
(author)
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Estabrooks, C. A.Univ Alberta, Canada
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Harvey, G.Univ Adelaide, Australia
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Hawkes, C.Univ Warwick, England
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Jones, C.Bangor Univ, Wales
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Kitson, A.Flinders Univ S Australia, Australia
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McCormack, B.Queen Margaret Univ, Scotland
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McMullan, C.Univ Birmingham, England
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Mockford, C.Univ Warwick, England
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Niessen, T.Fontys Univ Appl Sci, Netherlands
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Slater, P.Ulster Univ, North Ireland
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Titchen, A.Ulster Univ, North Ireland
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van der Zijpp, T.Fontys Univ Appl Sci, Netherlands
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Wallin, LarsHögskolan Dalarna,Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Omvårdnad,Karolinska institutet; Göteborgs universitet,Karolinska Inst, Sweden; Dalarna Univ, Sweden; Univ Gothenburg, Sweden(Swepub:du)lwa
(author)
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Univ Warwick, EnglandBangor Univ, Wales
(creator_code:org_t)
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In:Implementation Science: Springer Science and Business Media LLC13:11748-5908
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Seers, K.
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Rycroft-Malone, ...
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Cox, K.
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Crichton, N.
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Edwards, R. T.
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Eldh, Ann Catrin ...
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Estabrooks, C. A ...
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Harvey, G.
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Hawkes, C.
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Jones, C.
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Kitson, A.
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McCormack, B.
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McMullan, C.
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Mockford, C.
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Niessen, T.
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Slater, P.
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Titchen, A.
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van der Zijpp, T ...
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Wallin, Lars
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University of Gothenburg
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Karolinska Institutet
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Högskolan Dalarna
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Linköping University