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Related Experiment Video

Updated: May 19, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

A pragmatic cluster randomised trial evaluating three implementation interventions.

Jo Rycroft-Malone1, Kate Seers, Nicola Crichton

  • 1Centre for Health Related Research, School of Healthcare Sciences, Bangor University, Ffriddoedd Road, Bangor, UK. j.rycroft-malone@bangor.ac.uk

Implementation Science : IS
|September 1, 2012
PubMed
Summary
This summary is machine-generated.

Implementation research aimed to shorten peri-operative fasting times. Three strategies were tested, but none significantly reduced fasting duration, highlighting practical implementation challenges in healthcare settings.

Related Experiment Videos

Last Updated: May 19, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Area of Science:

  • Implementation science
  • Healthcare delivery research
  • Clinical practice improvement

Background:

  • Evidence suggests shorter peri-operative fasting times are safe and beneficial.
  • Current patient fasting durations often exceed guideline recommendations.
  • Implementation research seeks to bridge the gap between evidence and practice.

Purpose of the Study:

  • To evaluate the effectiveness of three strategies for implementing evidence-based peri-operative fasting guidelines.
  • To assess the impact of standard dissemination, web-based resources, and plan-do-study-act (PDSA) on fasting times.

Main Methods:

  • Pragmatic cluster randomised trial (2006-2009) with 19 UK hospitals.
  • Interventions included standard dissemination (SD), SD plus opinion leader web resource, and SD plus PDSA.
  • Primary outcome: duration of fluid fast; secondary outcomes: food fast duration, patient/stakeholder experiences. ANOVA used for analysis.

Main Results:

  • No significant reduction in fluid or food fasting times observed across interventions.
  • Effect sizes for web-based and PDSA interventions were modest (0.33 and 0.12, respectively) compared to SD.
  • Process evaluation revealed practice, policy, and attitude changes, alongside implementation challenges like inter-professional tensions.

Conclusions:

  • Despite accepted evidence, practical implementation challenges hindered significant changes in peri-operative fasting times.
  • Findings highlight the complexity of translating evidence into routine practice in acute care.
  • The study proposes theoretically transferable propositions for future implementation efforts globally.