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Related Experiment Video

Updated: Apr 14, 2026

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Trends in guideline implementation: a scoping systematic review.

Anna R Gagliardi1, Samia Alhabib2,

  • 1Toronto General Research Institute, University Health Network, Toronto, Canada. anna.gagliardi@uhnresearch.ca.

Implementation Science : IS
|April 22, 2015
PubMed
Summary
This summary is machine-generated.

Choosing effective guideline implementation strategies remains challenging. This review found that educational materials and professional/patient education were common, but strategy choice was rarely justified, highlighting research gaps.

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Area of Science:

  • Healthcare Implementation Science
  • Clinical Practice Guidelines
  • Health Services Research

Background:

  • Selecting appropriate guideline implementation strategies to overcome specific barriers is not well-established.
  • This study aimed to analyze trends in guideline implementation strategies over a decade.

Purpose of the Study:

  • To explore how implementation strategies are used and whether they are tailored to address differing barriers across various clinical topics.
  • To identify trends and gaps in the application of guideline implementation strategies.

Main Methods:

  • A scoping systematic review of MEDLINE and EMBASE (2004-2013) was conducted.
  • Studies evaluating guideline implementation for arthritis, diabetes, colorectal cancer, and heart failure were included.
  • Data on strategies, rationale, and impact were extracted and mapped to a taxonomy of implementation strategies.

Main Results:

  • 32 studies were eligible; most focused on quality improvement (78%) and used educational meetings or print materials.
  • Strategy choice was rarely rationalized (18.8%), and few organizational or financial strategies were employed.
  • Common strategies included professional education and patient education/counseling; most studies reported positive impact.

Conclusions:

  • Few studies provided insight into choosing strategies for specific barriers, but education and print materials are frequently used.
  • Gaps in guideline implementation strategies were identified, suggesting areas for future research.
  • The published taxonomy of implementation strategies was expanded based on findings.