Table 1 Implementation of change model – adapted from Grol et al . [16]

1

Development of a concrete proposal and targets for improvement or change

• Systematic development

• Involvement of target group

• Good ‘product’

• Accessible and attractive form

• Opportunity for local adaptions

2

Analysis of performance, target group and setting

• Stakeholders

• Current practice

• Barriers and incentives

• Readiness to change of subgroups

3

Development or selection of strategies and measures to change practice

• Tailored to target group and/or setting

• Cost-effective mixture of techniques of proven value

• Strategies for implementation

4

Development, testing and execution of implementation plan

5

Evaluate and, where necessary, adapt plan