Abstract
BackgroundThe assumption underlying tailoring is that implementation interventions are most helpful if these effectively address the most important determinants of practice for improvement in the targeted setting. The aim of the Tailored Implementation For Chronic Diseases (TICD) project is to develop valid and efficient methods of tailoring implementation interventions to determinants of practice for knowledge implementation in chronic illness care.MethodsThe TICD project has organized the planned empirical research in three work packages that follow the three main steps of tailoring: identification of determinants of healthcare practice, matching implementation interventions to identified determinants of practice, and applying and assessing the tailored implementation interventions. These three key steps of tailored implementation will be applied to targeted chronic conditions in five different healthcare systems: cardiovascular disease in the Netherlands, obesity in England, depression in Norway, chronic obstructive pulmonary disease in Poland, and multimorbidity in Germany. The design and interpretation of empirical research will be informed by systematic reviews of previous research on tailoring implementation interventions.DiscussionThe TICD project will provide much needed evidence on the advantages and disadvantages of different methods of identifying important determinants of practice and selecting implementation strategies that take account of those. It will also provide five rigorous evaluations of tailored implementation interventions for five different chronic conditions.
Highlights
Tailored implementation interventions are strategies that are designed to achieve desired changes in healthcare practice based on an assessment of determinants of healthcare practice [1]
Systematic tailoring entails three key steps: identification of the determinants of healthcare practice, designing implementation interventions appropriate to the determinants, and application and assessment of implementation interventions that are tailored to the identified determinants
The assumption underlying tailoring is that implementation interventions are most helpful if these effectively address the most important determinants of practice for improvement in the targeted setting
Summary
Tailored implementation interventions are strategies that are designed to achieve desired changes in healthcare practice based on an assessment of determinants of healthcare practice [1]. Determinants of healthcare practice are factors that might prevent or enable improvements. Such factors are sometimes referred to as barriers and enablers, barriers and facilitators, problems and incentives, or as moderators and mediators. These include factors that can be modified (e.g., knowledge of health professionals) and non-modifiable factors that can be used to target interventions (e.g., wider organizational structures). Healthcare improvements include improvements in any healthcare setting (including primary and secondary care) and improvements in public health services as well as clinical services
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