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

Stephan U. Dombrowski (Lead / Corresponding author), Pauline Campbell, Helen Frost, Alex Pollock, Julie McLellan, Steve MacGillivray, Anna Gavine, Margaret Maxwell, Ronan O'Carroll, Helen Cheyne, Justin Presseau, Brian Williams

Research output: Contribution to journalArticle

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Abstract

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.

Original languageEnglish
Article number173
Pages (from-to)1-6
Number of pages6
JournalSystematic Reviews
Volume5
DOIs
Publication statusPublished - 13 Oct 2016

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Delivery of Health Care
Evidence-Based Practice
Administrative Personnel
Decision Making
Randomized Controlled Trials
Databases
Control Groups
Health

Keywords

  • Overview
  • Sustainability
  • Professional behaviour change
  • Interventions
  • Healthcare

Cite this

Dombrowski, Stephan U. ; Campbell, Pauline ; Frost, Helen ; Pollock, Alex ; McLellan, Julie ; MacGillivray, Steve ; Gavine, Anna ; Maxwell, Margaret ; O'Carroll, Ronan ; Cheyne, Helen ; Presseau, Justin ; Williams, Brian. / Interventions for sustained healthcare professional behaviour change : a protocol for an overview of reviews. In: Systematic Reviews. 2016 ; Vol. 5. pp. 1-6.
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title = "Interventions for sustained healthcare professional behaviour change: a protocol for an overview of reviews",
abstract = "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.",
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Dombrowski, SU, Campbell, P, Frost, H, Pollock, A, McLellan, J, MacGillivray, S, Gavine, A, Maxwell, M, O'Carroll, R, Cheyne, H, Presseau, J & Williams, B 2016, 'Interventions for sustained healthcare professional behaviour change: a protocol for an overview of reviews', Systematic Reviews, vol. 5, 173, pp. 1-6. https://doi.org/10.1186/s13643-016-0355-9

Interventions for sustained healthcare professional behaviour change : a protocol for an overview of reviews. / Dombrowski, Stephan U. (Lead / Corresponding author); Campbell, Pauline; Frost, Helen; Pollock, Alex; McLellan, Julie; MacGillivray, Steve; Gavine, Anna; Maxwell, Margaret; O'Carroll, Ronan; Cheyne, Helen; Presseau, Justin; Williams, Brian.

In: Systematic Reviews, Vol. 5, 173, 13.10.2016, p. 1-6.

Research output: Contribution to journalArticle

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T1 - Interventions for sustained healthcare professional behaviour change

T2 - a protocol for an overview of reviews

AU - Dombrowski, Stephan U.

AU - Campbell, Pauline

AU - Frost, Helen

AU - Pollock, Alex

AU - McLellan, Julie

AU - MacGillivray, Steve

AU - Gavine, Anna

AU - Maxwell, Margaret

AU - O'Carroll, Ronan

AU - Cheyne, Helen

AU - Presseau, Justin

AU - Williams, Brian

N1 - The Scottish Improvement Science Collaborating Centre (SISCC) is funded by the Scottish Funding Council, Chief Scientist’s Office, NHS Education for Scotland and The Health Foundation with substantial additional investment from partner organisations.

PY - 2016/10/13

Y1 - 2016/10/13

N2 - 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.

AB - 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.

KW - Overview

KW - Sustainability

KW - Professional behaviour change

KW - Interventions

KW - Healthcare

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JO - Systematic Reviews

JF - Systematic Reviews

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