Open AccessModels, Strategies, and Tools
Author(s) -
Sales Anne,
Smith Jeffrey,
Curran Geoffrey,
Kochevar Laura
Publication year - 2006
Publication title -
journal of general internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.746
H-Index - 180
eISSN - 1525-1497
pISSN - 0884-8734
DOI - 10.1111/j.1525-1497.2006.00362.x
Subject(s) - medicine , psychological intervention , intervention (counseling) , theory of change , process management , management science , mental health , quality (philosophy) , schizophrenia (object oriented programming) , antipsychotic , nursing , psychiatry , philosophy , business , management , epistemology , economics
This paper presents a case for careful consideration of theory in planning to implement evidence‐based practices into clinical care. As described, theory should be tightly linked to strategic planning through careful choice or creation of an implementation framework. Strategies should be linked to specific interventions and/or intervention components to be implemented, and the choice of tools should match the interventions and overall strategy, linking back to the original theory and framework. The thesis advanced is that in most studies where there is an attempt to implement planned change in clinical processes, theory is used loosely. An example of linking theory to intervention design is presented from a Mental Health Quality Enhancement Research Initiative effort to increase appropriate use of antipsychotic medication among patients with schizophrenia in the Veterans Health Administration.