ArticleBMC primary care2022
Sustainability of healthcare professionals' adherence to clinical practice guidelines in primary care.
Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Nurses' Adherence to Double-Checking: A Systematic Review of Influencing Factors, Improvement Strategies, and Their Effectiveness.International nursing review · 2026Pooled it
- Quality appraisal and descriptive analysis of clinical practice guidelines for self-managed non-pharmacological interventions of cardiovascular diseases: a systematic review.Journal of translational medicine · 2024Pooled it
- Sustainability of implementation of health-promotion practice in primary healthcare: a non-randomized parallel group study.BMC health services research · 2026Trial
- What influences the decision by primary care doctors to recommend cancer screening? A qualitative evidence synthesis.BMJ open · 2026Review
- Community-driven type 2 diabetes prevention in primary healthcare: a mixed-methods pre-post intervention study in Thailand.BMC primary care · 2026Article
- Identifying the training needs of Australian primary health professionals to support early childhood obesity prevention: a mixed methods study.Primary health care research & development · 2026Article
- Limited Australian clinical guidelines for pain assessment in hospitalized older adults with cognitive impairment: implications for safe and quality care.Frontiers in pain research (Lausanne, Switzerland) · 2026Review
- Engagement in Evidence-Based Practice Activities and Thinking by Rehabilitation Therapists: Predictive Factors.Archives of rehabilitation research and clinical translation · 2025Article
- Initial Treatment and Referral Patterns for Acute Facial Palsy: Insights From Emergency Department Practices.The Laryngoscope · 2025Article
- Adherence to the Colombian guideline on congenital toxoplasmosisBiomedica : revista del Instituto Nacional de Salud · 2025Article
- Article
- Revolutionizing healthcare in KSA: A deep dive into clinical practice guideline development and implementation.Journal of Taibah University Medical Sciences · 2024Article
- Best practice for the selection, design and implementation of UK Kidney Association guidelines: a modified Delphi consensus approach.BMJ open · 2024Article
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSustainability of adherence to clinical practice guidelines (CPGs) represents an important indicator of the successful implementation in the primary care setting.
aimTo explore the sustainability of primary care providers' adherence to CPGs after receiving planned guideline implementation strategies, activities, or programmes.
methodsCochrane Central Register of Controlled Trials (CENTRAL); Cumulative Index to Nursing and Allied Health Literature (CINAHL); EMBase; Joanna Briggs Institute; Journals@Ovid; Medline; PsycoINFO; PubMed, and Web of Science were searched from January 2000 through May 2021 to identify relevant studies. Studies evaluating the sustainability of primary care providers' (PCPs') adherence to CPGs in primary care after any planned guideline implementation strategies, activities, or programmes were included. Two reviewers extracted data from the included studies and assessed methodological quality independently. Narrative synthesis of the findings was conducted.
resultsEleven studies were included. These studies evaluated the sustainability of adherence to CPGs related to drug prescribing, disease management, cancer screening, and hand hygiene in primary care. Educational outreach visits, teaching sessions, reminders, audit and feedback, and printed materials were utilized in the included studies as guideline implementation strategies. None of the included studies utilized purpose-designed measurements to evaluate the extent of sustainability. Three studies showed positive sustainability results, three studies showed mixed sustainability results, and four studies reported no significant changes in the sustainability of adherence to CPGs. Overall, it was difficult to quantify the extent to which CPG-based healthcare behaviours were fully sustained based on the variety of results reported in the included studies.
conclusionCurrent guideline implementation strategies may potentially improve the sustainability of PCPs' adherence to CPGs. However, the literature reveals a limited body of evidence for any given guideline implementation strategy. Further research, including the development of a validated purpose-designed sustainability tool, is required to address this important clinical issue.
trial registrationThe study protocol has been registered at PROSPERO (No. CRD42021259748 ).
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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.