Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations | Davies et al. Implementation Science 2010 5 14 http content 5 1 14 Implementation Science IMPLEMENTATION SCIENCE RESEARCH ARTICLE Open Access A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations Philippa Davies1 Anne E Walker1 Jeremy M Grimshaw 2 Abstract Background There is growing interest in the use of cognitive behavioural and organisational theories in implementation research. However the extent of use of theory in implementation research is uncertain. Methods We conducted a systematic review of use of theory in 235 rigorous evaluations of guideline dissemination and implementation studies published between 1966 and 1998. Use of theory was classified according to type of use explicitly theory based some conceptual basis and theoretical construct used and stage of use choice design of intervention process mediators moderators and post hoc explanation . Results Fifty-three of 235 studies were judged to have employed theories including 14 studies that explicitly used theory. The majority of studies n 42 used only one theory the maximum number of theories employed by any study was three. Twenty-five different theories were used. A small number of theories accounted for the majority of theory use including PRECEDE Predisposing Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation diffusion of innovations information overload and social marketing academic detailing . Conclusions There was poor justification of choice of intervention and use of theory in implementation research in the identified studies until at least 1998. Future research should explicitly identify the justification for the interventions. Greater use of explicit theory to understand barriers design interventions and explore mediating pathways and moderators is needed to advance the science of implementation research. Background
