Table 1 Implementation Methods Programme priority areas, number of applications and projects funded in each area
From: Lessons from the evaluation of the UK's NHS R&D Implementation Methods Programme
Ist Commissioning Round | Â |
|---|---|
IMP 1 Influence of source and presentation of evidence on its uptake by health care professionals and others (20 applications, 1 funded) | Â |
IMP 1–11 Study of GP reasons for changing/not changing prescribing behaviour | Qualitative |
IMP 2 The principal sources of information on health care effectiveness used by clinicians (11 applications, 1 funded) | Â |
IMP 2–11 Nurses' use of research evidence in decision-making | Qualitative |
IMP 3 The management of uncertainty and communication of risk by clinicians (21 applications, 4 funded) | Â |
IMP 3–5 Communicating risk reduction to patients and clinicians in the secondary prevention of ischaemic heart disease | Qualitative & RCT |
IMP 3–10 Investigation of Doctors' ability to understand and use clinical prognostic models when different metrics are used to describe model performance | Qualitative |
IMP 3–12 Self-medication and the communication of risk: The case of deregulated medicines | Qualitative |
IMP 3–16 Systematic review of risk communication – improving effective clinical practice and research in primary care | SR |
IMP 4 Roles for health service users in implementing research (26 applications, 3 funded) | Â |
IMP 4–13 Availability of information material to promote evidence-based patient choice | Qualitative |
IMP 4–16 Evaluating improvements in the ability of health information services to provide information on clinical effectiveness | Qualitative |
IMP 4–21 Effective communication – an evaluation of touchscreen displays providing information on prenatal diagnosis | RCT |
IMP 5 Why some clinicians but not others change their practice in response to research findings (45 applications, 3 funded) | Â |
IMP 5–23 Understanding the reasons for change, or not, in clinical practice – the case for dilatation and curettage | Qualitative |
IMP 5–40 Uptake of effective practices in maternity units | Qualitative |
IMP 5–41 Social networks and the use of research in clinical practice | Qualitative |
IMP 6 The role of commissioning in securing change in clinical practice (16 applications, 0 funded) | Â |
IMP 7 Professional, managerial, organisational and commercial factors associated with securing change in clinical practice, with a particular focus on trusts and primary care providers (35 applications, 0 funded) | Â |
IMP 8 Interventions directed at clinical and medical directors and directors of nursing in trusts to promote evidence-based care (9 applications, 0 funded) | Â |
IMP 9 Local research implementation and development projects (such as GRiPP) (17 applications, 0 funded) | Â |
IMP 10 Effectiveness and cost-effectiveness of audit and feedback to promote implementation of research findings (16 applications, 2 funded) | Â |
IMP 10–11 Evidence based secondary prevention of heart disease in primary care: an RCT of three methods of implementation | RCT |
IMP 10–16 Effectiveness and costs of guidelines, prioritised audit criteria, and feedback in implementing change | RCT |
IMP 11 Educational strategies for continuing professional development to promote the implementation of research findings (34 applications, 3 funded) | Â |
IMP 11–10 Effectiveness of education & implementation strategies and the adoption of evidence based developments in primary care | RCT |
IMP 11–26 Using informal learning in the implementation of research findings | Qualitative |
IMP 11–29 Effectiveness of contin. education conferences and workshops to improve practice of health professionals | SR |
IMP 12 Effectiveness and cost-effectiveness of teaching critical appraisal skills to clinicians, patients/users, purchasers and providers to promote uptake of research findings (18 applications, 2 funded) | Â |
IMP 12-8 Systematic review of studies of effectiveness of teaching critical appraisal | SR |
IMP 12-9 RCT of the effectiveness of critical appraisal skill workshops on health service decision makers in SW region | RCT |
IMP 13 The role of undergraduate (pre-qualification) training in promoting the uptake of research findings (19 applications, 0 funded) | Â |
IMP 14 The impact of clinical practice guidelines in disciplines other than medicine (33 applications, 1 funded) | Â |
IMP 14–32 Review of the effectiveness of guidelines in professions allied to medicine | SR |
IMP 15 Effectiveness and cost-effectiveness of reminder and decision support systems to implement research findings (22 applications, 7 funded) | Â |
IMP 15-4 RCT of a simple prompting system re appropriate management of iron deficiency anaemia and its influence on clinical outcome | RCT |
IMP 15-8 Effectiveness of computerised advice on drug dosage in improving prescribing practice | SR |
IMP 15-9 Evaluation of computerised guidelines for the management of two chronic conditions | RCT |
IMP 15-11 Cochrane SR of effects of paper & computer-based reminders and decision support on clinical practices & patient outcomes | SR |
IMP 15-12 Comparing patient held prompt & reminder card to a doctor held prompt & reminder card to improve epilepsy care in the community | RCT |
IMP 15–19 Maternity Guidelines Implemented on Computer (MaGIC) | Pilot study |
IMP 15–21 Review of economic studies of reminders and decision support systems | SR |
IMP 16 The role of the media in promoting uptake of research findings (20 applications, 2 funded) | Â |
IMP 16–18 Systematic review of the impact of mass media campaigns on health services utilisation and health care outcomes. | SR |
IMP 16–19 The role of the media in public and professional understandings of breast cancer | Qualitative |
IMP 17 Impact of professional and managerial change agents (including educational outreach visits and local opinion leaders) in implementing research findings (16 applications, 2 funded) | Â |
IMP 17-12 Is the involvement of opinion leaders in the implementation of research findings a feasible strategy? | Qualitative |
IMP 17-13 Prevention of deep vein thrombosis: A feasibility study for a randomised trial of three different strategies to implement evidence based guidelines | Pilot study |
IMP 18 Effect on evidence – based practice of general health policy measures (3 applications, 0 funded) |  |
IMP 19 The impact of national guidance to promote clinical effectiveness (16 applications, 1 funded) | Â |
IMP 19-15 The injecting drug taker and the community pharmacist: impact of new department of health guidelines and obstacles to a broader service-providing base | Qualitative |
IMP 20 Analysis of use of research-based evidence by policy makers (7 applications, 0 funded) | Â |
Joint DoH funded project (under IMP 4) | Â |
Evaluation of informed choice leaflets in maternity care | RCT |
2nd Commissioning Round | Â |
Evaluation of the effectiveness of interventions to improve the uptake of research findings in practice | Â |
IMP R2-25 Evaluation of effectiveness and cost-effectiveness of audit, feedback and educational outreach in improving nursing practice and health care outcomes | RCT |
IMP R2-34 Development and preliminary evaluation of decision interventions decision | Pilot study |
IMP R2-64 RCT of dissemination & implementation strategies for guidelines for extraction of third molar teeth | RCT |