Interventions for sustained healthcare professional behaviour change: A protocol for an overview of reviews

被引：16

作者：

Dombrowski S.U. ^{[1
]}

Campbell P. ^{[2
]}

Frost H. ^{[3
,4
]}

Pollock A. ^{[2
]}

McLellan J. ^{[1
]}

MacGillivray S. ^{[5
]}

Gavine A. ^{[5
]}

Maxwell M. ^{[3
]}

O'Carroll R. ^{[1
]}

Cheyne H. ^{[3
]}

Presseau J. ^{[6
]}

Williams B. ^{[3
]}

机构：

[1] Stirling University, Division of Psychology, Cottrell Building, Stirling

[2] Glasgow Caledonian University, Nursing, Midwifery and Allied Health Professions Research Unit (NMAHP RU), Glasgow

[3] University of Stirling, Scottish Improvement Science Collaborating Centre, Nursing, Midwifery and Allied Health Professions Research Unit (NMAHP RU), Stirling

[4] University of Stirling, School of Health Sciences, Stirling

[5] University of Dundee, Evidence Synthesis Training and Research Group, Scotland

[6] Ottawa Hospital Research Institute, Centre for Practice-Changing Research, Ottawa

来源：

Systematic Reviews | / 5卷 / 1期

关键词：

Healthcare; Interventions; Overview; Professional behaviour change; Sustainability;

D O I：

10.1186/s13643-016-0355-9

中图分类号：

学科分类号：

摘要：

Background: Failure to successfully implement and sustain change over the long term continues to be a major problem in health and social care. Translating evidence into routine clinical practice is notoriously complex, and it is recognised that to implement new evidence-based interventions and sustain them over time, professional behaviour needs to change accordingly. A number of theories and frameworks have been developed to support behaviour change among health and social care professionals, and models of sustainability are emerging, but few have translated into valid and reliable interventions. The long-term success of healthcare professional behavioural change interventions is variable, and the characteristics of successful interventions unclear. Previous reviews have synthesised the evidence for behaviour change, but none have focused on sustainability. In addition, multiple overlapping reviews have reported inconsistent results, which do not aid translation of evidence into practice. Overviews of reviews can provide accessible succinct summaries of evidence and address barriers to evidence-based practice. We aim to compile an overview of reviews, identifying, appraising and synthesising evidence relating to sustained social and healthcare professional behaviour change. Methods: We will conduct a systematic review of Cochrane reviews (an Overview). We plan to systematically search the Cochrane Database of Systematic Reviews. We will include all systematic reviews of randomised controlled trials comparing a healthcare professional targeted behaviour change intervention to a standard care or no intervention control group. Two reviewers will independently assess the eligibility of the reviews and the methodological quality of included reviews using the ROBIS tool. The quality of evidence within each comparison in each review will be judged based on the GRADE criteria. Disagreements will be resolved through discussion. Effects of interventions will be systematically tabulated and the quality of evidence used to determine implications for clinical practice and make recommendations for future research. Discussion: This overview will bring together the best available evidence relating to the sustainability of health professional behaviour change, thus supporting policy makers with decision-making in this field. © 2016 The Author(s).

引用

共 30 条

[1]

Effective Practice and Organisation of Care, EPOC taxonomy, (2015)

[2]

Powell B.J., Waltz T.J., Chinman M.J., Damschroder L.J., Smith J.L., Matthieu M.M., Et al., A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project, Implement Sci, 10, (2015)

[3]

Michie S., Stralen M.M., West R., The behaviour change wheel: a new method for characterising and designing behaviour change interventions, Implement Sci, 6, (2011)

[4]

Ivers N., Jamtvedt G., Flottorp S., Young J.M., Odgaard-Jensen J., French S.D., Et al., Audit and feedback: effects on professional practice and healthcare outcomes, Cochrane Database Syst Rev, 6, (2012)

[5]

Flodgren G., Deane K., Dickinson H.O., Kirk S., Alberti H., Beyer F.R., Et al., Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in overweight and obese people, Cochrane Database Syst Rev, 3, (2010)

[6]

Flodgren G., Eccles M.P., Shepperd S., Scott A., Parmelli E., Beyer F.R., An overview of reviews evaluating the effectiveness of financial incentives in changing healthcare professional behaviours and patient outcomes, Cochrane Database Syst Rev, 7, (2011)

[7]

Arnold S.R., Straus S.E., Interventions to improve antibiotic prescribing practices in ambulatory care, Cochrane Database Syst Rev, 4, (2005)

[8]

Davey P., Brown E., Charani E., Fenelon L., Gould I.M., Holmes A., Et al., Interventions to improve antibiotic prescribing practices for hospital inpatients, Cochrane Database Syst Rev, 4, (2013)

[9]

Zwarenstein M., Goldman J., Reeves S., Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes, Cochrane Database Syst Rev, 3, (2009)

[10]

O'Brien M.A., Rogers S., Jamtvedt G., Oxman A.D., Odgaard-Jensen J., Kristoffersen D.T., Et al., Educational outreach visits: effects on professional practice and health care outcomes, Cochrane Database Syst Rev, 4, (2007)

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