ArticleBMC medical education2015
Improving occupational physicians' adherence to a practice guideline: feasibility and impact of a tailored implementation strategy.
Article in BMC medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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The trial behind it
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Who cites it
23 citing papers in PubMed, 43 citations in OpenAlex.
- Effectiveness of a tailored implementation strategy to improve adherence to a guideline on mental health problems in occupational health care.BMC health services research · 2019Trial
- Effectiveness of an Intervention to Enhance Occupational Physicians' Guideline Adherence on Sickness Absence Duration in Workers with Common Mental Disorders: A Cluster-Randomized Controlled Trial.Journal of occupational rehabilitation · 2017Trial
- Barriers to Protocol Adherence in Emergency Departments and Evidence-Based Strategies for Successful Implementation: A Scoping Review.Journal of clinical medicine · 2026Review
- A continuity of midwifery care research mission, vision and agenda.BMC health services research · 2026Article
- Improving Work Participation Outcomes Among Unemployed People with Mental Health Issues/Mental Illness: Feasibility of a Stigma Awareness Intervention.Journal of occupational rehabilitation · 2024Article
- Implementation strategies to promote measurement-based care in schools: evidence from mental health experts across the USA.Implementation science communications · 2022Article
- Barriers and Facilitators for Return to Work from the Perspective of Workers with Common Mental Disorders with Short, Medium and Long-Term Sickness Absence: A Longitudinal Qualitative Study.Journal of occupational rehabilitation · 2022Article
- Management of acute uncomplicated diverticulitis without antibiotics: compliance and outcomes -a retrospective cohort study.BMC emergency medicine · 2022Article
- Comparison of Content and Quality of Caribbean, International, and High-Income Country-Specific Clinical Guidelines for Managing Type 2 Diabetes Mellitus.International journal of environmental research and public health · 2021Review
- Active surveillance for thyroid Cancer: a qualitative study of barriers and facilitators to implementation.BMC cancer · 2021Article
- Usability and consistency in findings of the work support needs assessment tool.Work (Reading, Mass.) · 2021Article
- Impact of ED Organization with a Holding Area and a Dedicated Team on the Adherence to International Guidelines for Patients with Acute Pulmonary Embolism: Experience of an Emergency Department Organized in Areas of Intensity of Care.Medicines (Basel, Switzerland) · 2020Article
- Implementing clinical guidelines to promote integration of mental health services in primary health care: a qualitative study of a systems policy intervention in Uganda.International journal of mental health systems · 2019Article
- Quality and utilization of the Finnish clinical practice guideline in schizophrenia: evaluation using AGREE II and the vignette approach.Neuropsychiatric disease and treatment · 2019Article
- Barriers and Facilitators of Intensivists' Adherence to Hyperinsulinemia-Euglycemia Therapy in the Treatment of Calcium Channel Blocker Poisoning.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2018Article
- A training programme facilitating guideline use of occupational health professionals: a feasibility study.BMC medical education · 2018Article
- Article
- General practitioners' views and preferences about quality improvement feedback in preventive care: a cross-sectional study in Switzerland and France.Implementation science : IS · 2017Article
- Effective implementation of the UNCRPD by Thailand State Party: challenges and potential remedies.BMC international health and human rights · 2017Article
- Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators.International archives of occupational and environmental health · 2017Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough practice guidelines are important tools to improve quality of care, implementation remains challenging. To improve adherence to an evidence-based guideline for the management of mental health problems, we developed a tailored implementation strategy targeting barriers perceived by occupational physicians (OPs). Feasibility and impact on OPs' barriers were evaluated.
methodsOPs received 8 training-sessions in small peer-learning groups, aimed at discussing the content of the guideline and their perceived barriers to adhere to guideline recommendations; finding solutions to overcome these barriers; and implementing solutions in practice. The training had a plan-do-check-act (PDCA) structure and was guided by a trainer. Protocol compliance and OPs' experiences were qualitatively and quantitatively assessed. Using a questionnaire, impact on knowledge, attitude, and external barriers to guideline adherence was investigated before and after the training.
resultsThe training protocol was successfully conducted; guideline recommendations and related barriers were discussed with peers, (innovative) solutions were found and implemented in practice. The participating 32 OPs were divided into 6 groups and all OPs attended 8 sessions. Of the OPs, 90% agreed that the peer-learning groups and the meetings spread over one year were highly effective training components. Significant improvements (p < .05) were found in knowledge, self-efficacy, motivation to use the guideline and its applicability to individual patients. After the training, OPs did not perceive any barriers related to knowledge and self-efficacy. Perceived adherence increased from 48.8% to 96.8% (p < .01).
conclusionsThe results imply that an implementation strategy focusing on perceived barriers and tailor-made implementation interventions is a feasible method to enhance guideline adherence. Moreover, the strategy contributed to OPs' knowledge, attitudes, and skills in using the guideline. As a generic approach to overcome barriers perceived in specific situations, this strategy provides a useful method to guideline implementation for other health care professionals too.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.