Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Implementation Science
Published in: Implementation Science 1/2015

Open Access 01-12-2015 | Systematic review

Strategies for disseminating recommendations or guidelines to patients: a systematic review

Authors: K. Schipper, M. Bakker, M. De Wit, J. C. F. Ket, T. A. Abma

Published in: Implementation Science | Issue 1/2015

Login to get access

Abstract

Background

The aim of this systematic literature review was to assess what dissemination strategies are feasible to inform and educate patients about recommendations (also known as guidelines).

Methods

The search was performed in February 2016 in PubMed, Ebsco/PsycINFO, Ebsco/CINAHL and Embase. Studies evaluating dissemination strategies, involving patients and/or reaching patients, were included. A hand search and a search in the grey literature, also done in February 2016, were added. Searches were not restricted by language or publication type.
Publications that referred to (1) guideline(s) or recommendation(s), (2) dissemination, (3) dissemination with patients/patient organisations and (4) dissemination to patients/patient organisations were included in this article. Criteria 1 AND 2 were mandatory together with criteria 3 OR 4.

Results

The initial search revealed 3753 unique publications. Forty-seven articles met the inclusion criteria and were selected for detailed review. The hand search and grey literature resulted in four relevant articles. After reading the full text of the 47 articles, 21 were relevant for answering our research question. Most publications had low levels of evidence, 3 or 4 of the Oxford levels of evidence. One article had a level of evidence of 2(b).
This article gives an overview of tools and strategies to disseminate recommendations to patients. Key factors of success were a dissemination plan, written at the start of the recommendation development process, involvement of patients in this development process and the use of a combination of traditional and innovative dissemination tools. The lack of strong evidence calls for more research of the effectiveness of different dissemination strategies as well as the barriers for implementing a strategic approach of dissemination.

Conclusion

Our findings provide the first systematic overview of tools and strategies to disseminate recommendations to patients and patient organisations. Participation of patients in the whole process is one of the most important findings. These findings are relevant to develop, implement and evaluate more (effective) dissemination strategies which can improve health care.
Appendix
Available only for authorised users
Literature
1.
Kiltz U, van der Heijde D, Mielants H, Feldtkeller E, Braun J. ASAS/EULAR recommendations for the management of ankylosing spondylitis: the patient version. Ann Rheum Dis. 2009;68(9):1381–6.CrossRefPubMed
2.
Légaré F, Boivin A, van der Weijden T, Pakenham C, Burgers J, Legare J, et al. Patient and public involvement in clinical practice guidelines: a knowledge synthesis of existing programs. Med Decis Making. 2011;31:E45–74.CrossRefPubMed
3.
Légaré F, Ratté S, Gravel K, Graham ID. Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals’ perceptions. Patient Educ Couns. 2008;73(3):526–35.CrossRefPubMed
4.
Stacey D, Légaré F, Col NF, Bennett CL, Barry MJ, Eden KB, et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2014;28(1):CD001431. doi:10.​1002/​14651858.​CD001431.​pub4.
5.
Elwyn G, Frosch D, Thomson R, Joseph-Williams N, Lloyd A, Kinndersly P, et al. Shared decision making: a model for clinical practice. Gen Intern Med. 2012;27(10):1361–7.CrossRef
6.
Boulet LP, Becker A, Bowie D, Hernandez P, McIvor A, Rouleau M, et al. Implementing practice guidelines: a workshop on guidelines dissemination and implementation with a focus on asthma and COPD. Can Respir J. 2006;13(Suppl A):5A–47.CrossRefPubMedCentral
7.
8.
Hakkennes S, Dodd K. Guideline implementation in allied health professions: a systematic review of the literature. Qual Saf Health Care. 2008;17(4):296–300.CrossRefPubMed
9.
10.
Knapp JF, Simon SD, Sharma V. Does active dissemination of evidence result in faster knowledge transfer than passive diffusion? An analysis of trends of the management of pediatric asthma and croup in US Emergency Departments from 1995 to 2009. Pediatr Emerg Care. 2015;31(3):190–6.CrossRefPubMed
11.
12.
Jensen JL, Blanchard IE, Bigham BL, Carter A, Brown R, Socha D, et al. The Canadian National EMS Research Agenda: impact and feasibility of implementation of previously generated recommendations. CJEM. 2015;17(5):484–90.CrossRefPubMed
13.
14.
Eular report. EULAR standardised operating procedures for the elaboration, evaluation, dissemination, and implementation of recommendations endorsed by the EULAR standing committees. Ann Rheum Dis. 2004;63:1172–6. doi:10.​1136/​ard.​2004.​023697.CrossRef
15.
16.
17.
18.
Eby LT, Casper WJ, Lockwood A, Bordeaux C, Brinley A. Monograph—work and family research in IO/OB: content analysis and review of the literature (1980–2002). J Vocat Behav. 2005;66:124–97.CrossRef
19.
20.
21.
Omar Allu S, Bellerive J, Walker RL, Campbell NRC. Hypertension: Are you and your patients up to date? Can J Cardiol. 2010;26(5):261–4.CrossRef
22.
Eccles MP, Grimshaw JM, Shekelle P, Schünemann HJ, Woolf S. Developing clinical practice guidelines: target audiences, identifying topics for guidelines, guideline group composition and functioning and conflicts of interest. Implement Sci. 2012;7:60.CrossRefPubMedPubMedCentral
23.
van Tulder MW, Croft P, van Splunteren P, Miedema HS, Underwood MR, Hendriks HJM, et al. Disseminating and implementing the results of back pain research in primary care. SPINE. 2002;27(5):E121–7.CrossRefPubMed
24.
McGuire DB, Johnson J, Migliorati C. Promulgation of guidelines for mucositis management: educating health care professionals and patients. Support Care Cancer. 2006;14:548–57.CrossRefPubMed
25.
Snyman M. Using the printed medium to disseminate information about psychiatric disorders. South African Psychiatry Review. 2004;7(4):15–20.
26.
Azevedo P, Correia-de-Sousa J, Bousquet J, Bugalho-Almeida A, del Giacco SR, Demoly P, et al. Control of Allergic Rhinitis and Asthma Test (CARAT): dissemination and applications in primary care. Prim Care Respir. 2013;22(1):112–6.CrossRef
27.
Drouin D. Dissemination and implementation of recommendations on hypertension: the Canadian experience. Allergy, sthma Clin Immunol. 2010;6 Suppl 4:A10.
28.
29.
Gainforth HL, Latimer-Cheung AE, Athanasopoulos P, Martin Ginis KA. Examining the effectiveness of a knowledge mobilization initiative for disseminating the physical activity guidelines for people with spinal cord injury. Disabil Health. 2013;6(3):260–5.CrossRef
30.
Vandvik PO, Brandt L, Alonso-Coello P, Treweek S, Akl EA, Kristiansen A, et al. Creating clinical practice guidelines we can trust, use, and share: a new era is imminent. Chest. 2013;144(2):381–9.CrossRefPubMed
31.
Ke CH, Casey CG, Yu CH. Disseminating the Canadian diabetes association 2013 clinical practice guidelines: Guidelines. Diabetes.ca in action. Can J Diabetes. 2014;38:S72–3.CrossRef
32.
Hoens AM, Reid WD, Camp PG. Knowledge brokering: an innovative model for supporting evidence-informed practice in respiratory care. Can Respir J. 2013;20(4):271–4.CrossRefPubMedPubMedCentral
33.
34.
Jae Jeong H, Pham JC, Kim M, Engineer C, Pronovost P. Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. BMJ Qual Saf. 2012;21:612–5.CrossRef
35.
Guyatt GH, Oxman AD, Schunemann HJ, Tugwell P, Knottnerus A. GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. J Clin Epidemiol. 2011;64(4):380–2.CrossRefPubMed
36.
Appiah B, Hong Y, Ory MG, Helduser JW, Begaye D, Bollin JN, et al. Challenges and opportunities for implementing diabetes self-management guidelines. JABFM. 2013;26(1):90–2.CrossRefPubMed
37.
38.
G-I-N Public Toolkit. Patient and public involvement in guidelines.
39.
Sharpe PA, Brandt HM, McCree DH, Owl-Myers E, Taylor B, Mullins G. Development of culturally tailored educational brochures on HPV and Pap tests for American Indian women. J Transcult Nurs. 2013;24(3):282–90.CrossRefPubMed
40.
Van Eijk-Hustings Y, Buss B, Fayet F, Moretti A, Ndosi M, Ryan S, et al. Dissemination and evaluation of the EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis. Results of a multinational survey among nurses rheumatologists and patients. Rheumatology. 2014;53(8):1491–6.
41.
Gagliardi AR, Marshall C, Huckson S, James R, Moore V. Developing a checklist for guideline implementation planning: review and synthesis of guideline development and implementation advice. Implement Sci. 2015;10(1):205. doi:10.​1186/​s13012-015-0205-5. Epub 2015 Feb 12.
42.
De Wit M. Patient participation in rheumatology research. A four level responsive evaluation. Thesis VU University Amsterdam. 2013
43.
44.
Grimshaw JM, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, et al. Changing provider behavior: an overview of systematic reviews of interventions. Med Care. 2001;39(8 Suppl 2):II2–45.PubMed
45.
de Wit MP, Berlo SE, Aanerud GJ, Aletaha D, Bijlsma JW, Croucher L, et al. European League Against Rheumatism recommendations for the inclusion of patient representatives in scientific projects. Ann Rheum Dis. 2011;70(5):722–6.CrossRefPubMed
46.
van de Bovenkamp HM. The limits of patient power. Thesis. 2010.
47.
Caron-Flinterman JF. Patient partnership in decision-making on biomedical research: changing the network. Sci Technol Hum Values. 2007;32:339–68.CrossRef
48.
Schipper K, Abma TA, van Zadelhoff E, van de Griendt J, Nierse C, Widdershoven GAM. What does it mean to be a patient research partner? An ethnodrama. Qual Inq. 2010;16(6):501–10.CrossRef
49.
Abma TA, Nierse C, Widdershoven GAM. Patients as research partners in responsive research. Methodological notions for collaborations in research agenda setting. Qual Health Res. 2009;19(3):401–15.CrossRefPubMed
50.
51.
De Wit M, Elberse JE, Broerse JE, Abma TA. Do not forget the professional—the value of the FIRST model for guiding the structural involvement of patients in rheumatology research. Health Expect 2013; 2013/02/01 doi: 10.​1111/​hex.​12048.
Metadata
Title
Strategies for disseminating recommendations or guidelines to patients: a systematic review
Authors
K. Schipper
M. Bakker
M. De Wit
J. C. F. Ket
T. A. Abma
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2015
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/s13012-016-0447-x

Other articles of this Issue 1/2015

Implementation Science 1/2015 Go to the issue

Research

Process evaluation of five tailored programs to improve the implementation of evidence-based recommendations for chronic conditions in primary care

Methodology

A review of methods and tools to assess the implementation of government policies to create healthy food environments for preventing obesity and diet-related non-communicable diseases

Methodology

Automatic classification of communication logs into implementation stages via text analysis

Study protocol

Improving mental health care transitions for children and youth: a protocol to implement and evaluate an emergency department clinical pathway

Study protocol

Can preventive care activities in general practice be sustained when financial incentives and external audit plus feedback are removed? ACCEPt-able: a cluster randomised controlled trial protocol

Systematic review

A systematic review of the use of the Consolidated Framework for Implementation Research