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dc.contributor.authorSeers, Kate
dc.contributor.authorRycroft-Malone, Jo
dc.contributor.authorCox, Karen
dc.contributor.authorCrichton, Nicola J
dc.contributor.authorEdwards, Rhiannon Tudor
dc.contributor.authorEldh, Ann Catrine
dc.contributor.authorEstabrooks, Carole A
dc.contributor.authorHarvey, Gill
dc.contributor.authorHawkes, Claire
dc.contributor.authorJones, Carys
dc.contributor.authorKitson, Alison L
dc.contributor.authorMcCormack, Brendan
dc.contributor.authorMcMullan, Christel
dc.contributor.authorMockford, Carole
dc.contributor.authorNiessen, Theo
dc.contributor.authorSlater, Paul
dc.contributor.authorTitchen, Angie
dc.contributor.authorvan der Zijpp, Teatske
dc.contributor.authorWallin, Lars
dc.date.accessioned2018-11-23T01:24:25Z
dc.date.available2018-11-23T01:24:25Z
dc.date.issued2018-11-16
dc.identifier.citationSeers, K., Rycroft-Malone, J., Cox, K. et al., (2018). Facilitating Implementation of Research Evidence (FIRE): an international cluster randomised controlled trial to evaluate two models of facilitation informed by the Promoting Action on Research Implementation in Health Services (PARIHS) framework. Implementation Science, 13(1):137.en_US
dc.identifier.issn1748-5908
dc.identifier.urihttp://hdl.handle.net/2328/38596
dc.descriptionOpen Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.description.abstractBackground: Health care practice needs to be underpinned by high quality research evidence, so that the best possible care can be delivered. However, evidence from research is not always utilised in practice. This study used the Promoting Action on Research Implementation in Health Services (PARIHS) framework as its theoretical underpinning to test whether two different approaches to facilitating implementation could affect the use of research evidence in practice. Methods: A pragmatic clustered randomised controlled trial with embedded process and economic evaluation was used. The study took place in four European countries across 24 long-term nursing care sites, for people aged 60 years or more with documented urinary incontinence. In each country, sites were randomly allocated to standard dissemination, or one of two different types of facilitation. The primary outcome was the documented percentage compliance with the continence recommendations, assessed at baseline, then at 6, 12, 18, and 24 months after the intervention. Data were analysed using STATA15, multi-level mixed-effects linear regression models were fitted to scores for compliance with the continence recommendations, adjusting for clustering. Results: Quantitative data were obtained from reviews of 2313 records. There were no significant differences in the primary outcome (documented compliance with continence recommendations) between study arms and all study arms improved over time. Conclusions: This was the first cross European randomised controlled trial with embedded process evaluation that sought to test different methods of facilitation. There were no statistically significant differences in compliance with continence recommendations between the groups. It was not possible to identify whether different types and 'doses' of facilitation were influential within very diverse contextual conditions. The process evaluation (Rycroft-Malone et al., Implementation Science. doi: 10.1186/s13012-018-0811-0) revealed the models of facilitation used were limited in their ability to overcome the influence of contextual factors.en_US
dc.description.sponsorshipThe research leading to these results has received funding from the European Union’s Seventh Framework Programme (FP7/2007–2013) under grant agreement no. 223646.en_US
dc.language.isoenen_US
dc.publisherBMCen_US
dc.rights© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.subjectFacilitationen_US
dc.subjectImplementationen_US
dc.subjectPARIHSen_US
dc.subjectUrinary incontinenceen_US
dc.subjectContexten_US
dc.subjectOlder peopleen_US
dc.titleFacilitating Implementation of Research Evidence (FIRE): an international cluster randomised controlled trial to evaluate two models of facilitation informed by the Promoting Action on Research Implementation in Health Services (PARIHS) frameworken_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.1186/s13012-018-0831-9en_US
dc.date.updated2018-11-20T05:33:30Z
dc.language.rfc3066en
dc.rights.holder© The Author(s). 2018en_US
dc.rights.licenseCC-BY
local.contributor.authorOrcidLookupSeers, Kate: https://orcid.org/0000-0001-7921-552Xen_US
local.contributor.authorOrcidLookupKitson, Alison L: https://orcid.org/0000-0002-7690-6226
local.contributor.authorOrcidLookupHarvey, Gill: https://orcid.org/0000-0003-0937-7819


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