About the Implementation Working Group
The primary purpose of the Implementation Working Group (IWG) is to build capacity for guideline implementation. To do so, the IWG will:
- Progress the science of guideline implementation by generating knowledge and associated outputs/products on how to plan, undertake, enable and evaluate guideline implementation
- Promote the practice of guideline implementation by sharing knowledge and tools, and organising and offering training opportunities.
Recently Completed Projects
- Gagliardi AR, Alhabib S and the Guidelines International Network Implementation Working Group. Trends in guideline implementation: A scoping systematic review. Implement Sci 2015; 10: 54.
- 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: 19
Resources to support guideline implementation
We developed the following items to support guideline implementation planning:
- Framework for a Guideline Implementation Needs Assessment
- Guideline Implementation Planning Checklist
- Guidance for Developing Guideline Implementation tools
- Guidance for Developing Patient-Oriented Guideline Implementation Tools
- Revised Taxonomy of Guideline Implementation Strategies
Guideline Implementation Speed Networking at G-I-N 2015 Annual Meeting
In contrast to previous G-I-N meetings that featured a one-day pre-conference implementation training session, this year the Implementation Working Group offered tailored implementation guidance in the form of ‘speed dating’. Four implementation coaches provided 10 to 15 minutes of one-on-one guidance to participants on a first come-first serve basis, along with an information package of implementation planning steps, considerations and references that were referred to during the coaching sessions, and could be perused by participants after the coaching session as needed. Ten coaching sessions took place. Click here to see a summary of participants, implementation discussions, evaluation and implications.
Characteristics of questionnaires used to assess barriers of guideline implementation:
We conducted a systematic review of questionnaires used to assess awareness, knowledge, attitudes/beliefs, barriers and use/intended use of guidelines. A total of 2,242 unique articles were identified of which 1,655 were excluded based on screening of titles and abstracts, leaving 587 full-text articles to be screened and, following exclusions, 223 were eligible for review. They are being analysed to summarise country, clinical topic, setting/respondents, mode of administration, response options, whether based on a theory/framework or validated, and what was assessed (attitudes/beliefs, awareness, knowledge, skills, barriers/facilitators, or self-reported/intended use. This will serve as an inventory for others who wish to draw on existing surveys to conduct their own baseline needs assessments. Thanks to Melina Willson and Robin Vernooij!
Implementing self-management tools in guidelines: a realist meta-review:
We have nearly completed a systematic review on self-management information/tools that could accompany guidelines to support their implementation. A total of 1,001 unique articles were identified by search strategies across all sources of which 787 were excluded based on screening of titles and abstracts, leaving 103 full-text articles to be screened. Of these, 43 were excluded leaving 60 studies eligible for review. They are being analyzed to categorise the nature of provider and patient self-management support used. The manuscript is nearly complete and we will soon send it to you for review prior to journal submission. Thanks to Robin Vernooij and Melina Willson!
Collaboration with G-I-N PUBLIC:
We developed a toolkit/directory that offers information/links to existing quintessential resources (academic publications, web sites, guides) on how to develop patient-oriented resources that can accompany guidelines to support implementation.
Guidance on Using Theory in Implementation Planning/Evaluation:
We are about to launch a project that will collate existing resources and generate additional guidance to help guideline developers and implementers understand how to choose and apply theories when planning, undertaking or evaluating guideline implementation.