Evidence map›Paper›PMID 39695589›Full record

ArticleBMC health services research2024

The co-design of a digitally supported intervention for selecting implementation tools and actions for standards (SITAS).

Yvonne Kelly, Niamh O'Rourke, Josephine Hegarty, Judy Gannon, Rachel Flynn, Laura M Keyes

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yvonne KellyHealth Information and Standards Directorate, Health Information and Quality Authority, Citygate, Mahon, Cork, Ireland. ykelly@hiqa.ie.
Niamh O'RourkeHealth Information and Standards Directorate, Health Information and Quality Authority, George's Court, George's Lane, Dublin 7, Ireland.
Josephine HegartyCatherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, College Road, Cork, Ireland.
Judy GannonHealth Information and Standards Directorate, Health Information and Quality Authority, George's Court, George's Lane, Dublin 7, Ireland.
Rachel FlynnHealth Information and Standards Directorate, Health Information and Quality Authority, Citygate, Mahon, Cork, Ireland.
Laura M KeyesHealth Information and Standards Directorate, Health Information and Quality Authority, Citygate, Mahon, Cork, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth and social care standards are multi-faceted interventions that promote quality and safe care in health systems. There is a need to apply evidence-based, rigorous and transparent methods when selecting strategies to support the implementation of standards. We aimed to develop an evidence- and theory-informed intervention to guide researchers in identifying appropriate implementation strategies and then selecting tailored support tools and actions for use when implementing a set of standards.

methodsOur intervention is a digital tool entitled 'Selecting Implementation Tools and Actions for Standards (SITAS).' The Medical Research Council Framework for Developing and Evaluating Complex Interventions guided the design of SITAS. Co-design of SITAS, using a multi-stage and multi-methods approach included developing programme theory; identifying and prioritising enablers and barriers to implementing standards; identifying the best fit implementation framework using the Theory Comparison and Selection Tool; mapping enablers and barriers to the Consolidated Framework for Implementation Research (CFIR); identifying matching implementation strategies using the CFIR-ERIC (Expert Recommendations for Implementing Change) matching tool; mapping enablers and barriers to the Behaviour Change Wheel (BCW). The enablers and barriers, outputs from the CFIR-ERIC matching tool and the BCW were used to develop a prototype of the content and interactive logic within a digital tool. The prototype was refined following feedback from intended users (n = 7) at three design workshops.

resultsProgramme theory was developed and refined following feedback from intended users of SITAS. Twenty-three enablers and barriers were prioritised. CFIR was identified as the best fit framework with the majority of enablers and barriers (n = 15) mapped to the 'Inner Setting' domain. 'Conduct educational meetings' was the most common strategy retrieved using the CFIR-ERIC matching tool. 'Physical opportunity' was the component of the BCW with the most enablers and barriers (n = 8). A prototype of SITAS was designed in Microsoft Excel based on the aforementioned steps. Workshops with intended users provided key insights about the content, functionality and user experience for SITAS which resulted in refinements to SITAS.

conclusionWe developed a practical intervention enhanced by user involvement. SITAS guides users through the process of selecting and tailoring implementation strategies to specific contexts, using core concepts of implementation science. SITAS will need to undergo formal piloting before spread and scale-up.

Indexed as

Delivery of Health CareHumansCo-designDevelopmentDigital interventionHealth careImplementation scienceImplementation toolsSocial careStandards

Identifiers

PMID39695589
PMCPMC11653654

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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 Socratic graph.