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Implementation science: understanding the translation of evidence into practice

  • Michele Tansella (a1) and Graham Thornicroft (a2)

Summary

This editorial summarises what is known about accelerating the transfer of discoveries in the health sciences into implementation in routine clinical practice. Three phases are described: adoption in principle, early implementation, and persistence of implementation. Facilitators and barriers to the implementation across these phases are discussed.

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Copyright

Corresponding author

Graham Thornicroft, Health Service and Population Research Department, Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK. Email: g.thornicroft@iop.kcl.ac.uk

Footnotes

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G.T. is supported in relation to a National Institute for Health Research (NIHR) Applied Programme grant awarded to the South London and Maudsley NHS Foundation Trust, and in relation to the NIHR Specialist Mental Health Biomedical Research Centre at the Institute of Psychiatry, King's College London and the South London and Maudsley NHS Foundation Trust.

Declaration of interest

None.

Footnotes

References

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1 Crowley, WF Jr, Sherwood, L, Salber, P, Scheinberg, D, Slavkin, H, Tilson, H, et al. Clinical research in the United States at a crossroads: proposal for a novel public-private partnership to establish a national clinical research enterprise. JAMA 2004; 291: 1120–6.
2 Proctor, EK, Landsverk, J, Aarons, G, Chambers, D, Glisson, C, Mittman, B. Implementation research in mental health services: an emerging science with conceptual, methodological, and training challenges. Adm Policy Ment Health 2009; 36: 2434.
3 Roen, K, Arai, L, Roberts, H, Popay, J. Extending systematic reviews to include evidence on implementation: methodological work on a review of community-based initiatives to prevent injuries. Soc Sci Med 2006; 63: 1060–71.
4 Zazzali, JL, Sherbourne, C, Hoagwood, KE, Greene, D, Bigley, MF, Sexton, TL. The adoption and implementation of an evidence based practice in child and family mental health services organizations: a pilot study of functional family therapy in New York State. Adm Policy Ment Health 2008; 35: 3849.
5 Grimshaw, JM, Eccles, MP, Greener, J, MacLennan, G, Ibbotson, T, Kahan, JP, et al. Is the involvement of opinion leaders in the implementation of research findings a feasible strategy? Implement Sci 2006; 1: 3.
6 Solberg, LI. Recruiting medical groups for research: relationships, reputation, requirements, rewards, reciprocity, resolution, and respect. Implement Sci 2006; 1: 25.
7 Perkins, MB, Jensen, PS, Jaccard, J, Gollwitzer, P, Oettingen, G, Pappadopulos, E, et al. Applying theory-driven approaches to understanding and modifying clinicians' behavior: what do we know? Psychiatr Serv 2007; 58: 342–8.
8 Bowman, CC, Sobo, EJ, Asch, SM, Gifford, AL. Measuring persistence of implementation: QUERI Series. Implement Sci 2008; 3: 21.
9 Glisson, C, Schoenwald, SK, Kelleher, K, Landsverk, J, Hoagwood, KE, Mayberg, S, et al. Therapist turnover and new program sustainability in mental health clinics as a function of organizational culture, climate, and service structure. Adm Policy Ment Health 2008; 35: 124–33.
10 Mendel, P, Meredith, LS, Schoenbaum, M, Sherbourne, CD, Wells, KB. Interventions in organizational and community context: a framework for building evidence on dissemination and implementation in health services research. Adm Policy Ment Health 2008; 35: 2137.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Implementation science: understanding the translation of evidence into practice

  • Michele Tansella (a1) and Graham Thornicroft (a2)
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