ArticleImplementation science : IS2010
Supported local implementation of clinical guidelines in psychiatry: a two-year follow-up.
Article in Implementation science : IS, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sustainability of professionals' adherence to clinical practice guidelines in medical care: a systematic review.BMJ open · 2015Pooled it
- The impact of a digital guideline version on schizophrenia guideline knowledge: results from a multicenter cluster-randomized controlled trial.BMC medicine · 2024Trial
- Implementation of evidence-based guidance for dementia palliative care using participatory action research: examining implementation through the Consolidated Framework for Implementation Research (CFIR).Implementation science communications · 2021Article
- Towards local implementation of Dutch health policy guidelines: a concept-mapping approach.Health promotion international · 2018Article
- Tracking implementation strategies: a description of a practical approach and early findings.Health research policy and systems · 2017Observational
- Sustainability of evidence-based healthcare: research agenda, methodological advances, and infrastructure support.Implementation science : IS · 2015Article
- A Systematic Review of Strategies for Implementing Empirically Supported Mental Health Interventions.Research on social work practice · 2014Article
- Implementation strategies: recommendations for specifying and reporting.Implementation science : IS · 2013Article
- Between and within-site variation in qualitative implementation research.Implementation science : IS · 2013Article
- Implementing clinical guidelines in psychiatry: a qualitative study of perceived facilitators and barriers.BMC psychiatry · 2010Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe gap between evidence-based guidelines for clinical care and their use in medical settings is well recognized and widespread. Only a few implementation studies of psychiatric guidelines have been carried out, and there is a lack of studies on their long-term effects.The aim of this study was to measure compliance to clinical guidelines for treatment of patients with depression and patients with suicidal behaviours, two years after an actively supported implementation.
methodsSix psychiatric clinics in Stockholm, Sweden, participated in an implementation of the guidelines. The guidelines were actively implemented at four of them, and the other two only received the guidelines and served as controls. The implementation activities included local implementation teams, seminars, regular feedback, and academic outreach visits. Compliance to guidelines was measured using quality indicators derived from the guidelines. At baseline, measurements of quality indicators, part of the guidelines, were abstracted from medical records in order to analyze the gap between clinical guidelines and current practice. On the basis of this, a series of seminars was conducted to introduce the guidelines according to local needs. Local multidisciplinary teams were established to monitor the process. Data collection took place after 6, 12, and 24 months and a total of 2,165 patient records were included in the study.
resultsThe documentation of the quality indicators improved from baseline in the four clinics with an active implementation, whereas there were no changes, or a decline, in the two control clinics. The increase was recorded at six months, and persisted over 12 and 24 months.
conclusionsCompliance to the guidelines increased after active implementation and was sustained over the two-year follow-up. These results indicate that active local implementation of clinical guidelines involving clinicians can change behaviour and maintain compliance.
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