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Implementation of evidence-based, non-pharmacological interventions addressing behavior and psychological symptoms of dementia: a systematic review focused on implementation strategies

Published online by Cambridge University Press:  16 November 2020

Sally Bennett Open the ORCID record for Sally Bennett [Opens in a new window] ,
Kate Laver ,
Margaret MacAndrew ,
Elizabeth Beattie ,
Lindy Clemson ,
Catherine Runge  and
Laura Richardson
Sally Bennett*
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia
Kate Laver
Affiliation:
Department of Rehabilitation Aged and Extended Care, Flinders University, Adelaide, South Australia
Margaret MacAndrew
Affiliation:
School of Nursing and Dementia Centre for Research Collaboration, Queensland University of Technology – QUT, Brisbane, Queensland, Australia
Elizabeth Beattie
Affiliation:
School of Nursing and Dementia Centre for Research Collaboration, Queensland University of Technology – QUT, Brisbane, Queensland, Australia
Lindy Clemson
Affiliation:
Faculty of Health Sciences, The University of Sydney, Cumberland Campus, Lidcombe, Sydney, New South Wales, Australia
Catherine Runge
Affiliation:
Faculty of Medicine, The University of Queensland, BrisbaneQueensland, Australia
Laura Richardson
Affiliation:
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia
*
Correspondence should be addressed to: Sally Bennett, School of Health and Rehabilitation Sciences, The University of Queensland, Queensland4072, Australia. Phone: +61 7 33653451; Fax: +61 7 3365 1622. Email: sally.bennett@uq.edu.au.
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Abstract

Objective

This study aimed to identify the nature and effects of implementation strategies to increase the use of evidence-based, non-pharmacological interventions designed to reduce the frequency and/or severity of behavioral and psychological symptoms associated with dementia, for people living in the community.

Design

This was a systematic review of implementation studies. We searched six databases (in January 2019) and hand-searched reference lists of reports. Studies were included if they used quantitative methods evaluating the use of implementation strategies to increase the use of non-pharmacological interventions. These interventions had to have been tested in a randomized controlled trial (RCT) and found to reduce behavioral and psychological symptoms of dementia, for those living in the community. Studies needed to report the effect of the implementation on clinical practice, for example, a change in practice or the adoption of the intervention in community settings.

Results

Twelve studies were included: 11 one-group pre-post design studies and 1 cluster RCT. All studies reported practice change – the majority implementing a new intervention, with six different types of interventions implemented. All studies reported including using partnerships, new funding, educational strategies, and ongoing support and consultation. Seven implementation studies reported positive outcomes for clients on some aspect of behavior or depression for the person with dementia.

Conclusions

Implementation studies using multiple implementation strategies to increase the use of non-pharmacological interventions have demonstrated improvements in behavioral and psychological symptoms common in people with dementia, when provided by clinicians as part of their everyday work routines.

Keywords

dementiaimplementationtranslatetranslationnon-pharmacologicalcommunitybehavior
Type
Review Article
Information
International Psychogeriatrics , Volume 33 , Special Issue 9: Issue Theme: Implementation Science II , September 2021 , pp. 947 - 975
Copyright
© International Psychogeriatric Association 2020

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References

Altpeter, M., Gwyther, L. P., Kennedy, S. R., Patterson, T. R. and Derence, K. (2015). From evidence to practice: using the RE-AIM framework to adapt the REACH II caregiver intervention to the community. Dementia, 14, 104–113. Doi: 10.1177/1471301213494499.CrossRefGoogle ScholarPubMed
Belle, S. H. et al. (2006). Enhancing the quality of life of dementia caregivers from different ethnic or racial Groups: a randomized, controlled trial enhancing the quality of life of dementia caregivers. Annals of Internal Medicine, 145, 727–738. doi: 10.7326/0003-4819-145-10-200611210-00005.CrossRefGoogle ScholarPubMed
Bennett, S. et al. (2019). Implementing the Tailored Activity Program - Australia for people with dementia and their carers living at home: perspectives of occupational therapists and their managers. Occupational Therapy Australia National OT Aged Care Symposium, 22-23 February.Google Scholar
Boersma, P., Van Weert, J. C. M., Lakerveld, J. and Dröes, R. M. (2015). The art of successful implementation of psychosocial interventions in residential dementia care: A systematic review of the literature based on the RE-AIM framework. International Psychogeriatrics, 27, 19–35. doi: 10.1017/S1041610214001409.CrossRefGoogle ScholarPubMed
Burgio, L. D., Collins, I. B., Schmid, B., Wharton, T., McCallum, D. and DeCoster, J. (2009). Translating the REACH caregiver intervention for use by area agency on aging personnel: the REACH OUT program. The Gerontologist, 49, 103–116. doi: 10.1093/geront/gnp012.CrossRefGoogle ScholarPubMed
Cahill, L. S., Carey, L. M., Lannin, N. A., Turville, M. and O’Connor, D. (2017). Implementation interventions to promote the uptake of evidence-based practices in stroke rehabilitation. Cochrane Database of Systematic Reviews, 3, CD012575. doi: 10.1002/14651858.Cd012575.Google Scholar
Cerejeira, J., Lagarto, L. and Mukaetova-Ladinska, E. B. (2012). Behavioral and psychological symptoms of dementia. Frontiers in Neurology, 3, 73. doi: 10.3389/fneur.2012.00073.CrossRefGoogle ScholarPubMed
Chan, D. C., Kasper, J. D., Black, B. S. and Rabins, P. V. (2003). Presence of behavioral and psychological symptoms predicts nursing home placement in community-dwelling elders with cognitive impairment in univariate but not multivariate analysis. The Journals of Gerontology: Series A, 58, M548–M554. doi: 10.1093/gerona/58.6.M548.CrossRefGoogle Scholar
Cheung, K. S. L. et al. (2015). Multicomponent intervention on enhancing dementia caregiver well-being and reducing behavioral problems among Hong Kong Chinese: a translational study based on REACH II. International Journal of Geriatric Psychiatry, 30, 460–469. doi: 10.1002/gps.4160.CrossRefGoogle ScholarPubMed
Clemson, L. et al. (2018). Implementation of an evidence-based intervention to improve the wellbeing of people with dementia and their carers: study protocol for ‘Care of People with dementia in their Environments (COPE)’ in the Australian context. BMC Geriatrics, 18, 108. doi: 10.1186/s12877-018-0790-7.CrossRefGoogle Scholar
Cochrane Effective Practice and Organisation of Care Review Group. (2002). Data collection checklist: Cochrane Effective Practice and Organisation of Care. https://methods.cochrane.org/sites/methods.cochrane.org.bias/files/public/uploads/EPOC%20Data%20Collection%20Checklist.pdf; last accessed 14 August 2019.Google Scholar
Cochrane Effective Practice and Organisation of Care (EPOC). (2017). EPOC Resources for review authors: Suggested risk of bias criteria for EPOC reviews. https://epoc.cochrane.org/sites/epoc.cochrane.org/files/public/uploads/Resources-for-authors2017/suggested_risk_of_bias_criteria_for_epoc_reviews.pdf; last accessed 14 August 2019.Google Scholar
Curran, G. M., Bauer, M., Mittman, B., Pyne, J. M. and Stetler, C. (2012). Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Medical Care, 50, 217–226. doi: 10.1097/MLR.0b013e3182408812.CrossRefGoogle ScholarPubMed
Czaja, S. J. et al. (2018). Community REACH: an implementation of an evidence-based caregiver program. The Gerontologist, 58, e130–e137. doi: 10.1093/geront/gny001.CrossRefGoogle ScholarPubMed
Döpp, C. M. et al. (2011). A new combined strategy to implement a community occupational therapy intervention: designing a cluster randomized controlled trial. BMC Geriatrics, 11, 13. doi: 10.1186/1471-2318-11-13.CrossRefGoogle ScholarPubMed
Döpp, C. M., Graff, M. J., Teerenstra, S., Nijhuis-van der Sanden, M. W., Olde Rikkert, M. G. and Vernooij-Dassen, M. J. (2013a). Effectiveness of a multifaceted implementation strategy on physicians’ referral behavior to an evidence-based psychosocial intervention in dementia: a cluster randomized controlled trial. BMC Family Practice, 14, 70. doi: 10.1186/1471-2296-14-70.CrossRefGoogle Scholar
Döpp, C. M., Graff, M., Olde Rikkert, M. G., Nijhuis-van der Sanden, M. W. and Vernooij-Dassen, M. J. (2013b). Determinants for the effectiveness of implementing an occupational therapy intervention in routine dementia care. Implementation Science, 8, 131. doi: 10.1186/1748-5908-8-131.CrossRefGoogle ScholarPubMed
Döpp, C. M., Graff, M. J., Teerenstra, S., Olde Rikkert, M. G., Nijhuis-van der Sanden, M. W. and Vernooij-Dassen, M. J. (2015). Effectiveness of a training package for implementing a community-based occupational therapy program in dementia: a cluster randomized controlled trial. Clinical Rehabilitation, 29, 974–986. doi: 10.1177/0269215514564699.CrossRefGoogle ScholarPubMed
Eldh, A. C. et al. (2017). Clinical interventions, implementation interventions, and the potential greyness in between - a discussion paper. BMC Health Services Research, 17, 16. doi: 10.1186/s12913-016-1958-5.CrossRefGoogle ScholarPubMed
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M. and Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa: National Implementation Research Network.Google Scholar
Fortinsky, R. H. et al. (2016). Translation of the Care of Persons with Dementia in their Environments (COPE) intervention in a publicly-funded home care context: rationale and research design. Contemporary Clinical Trials, 49, 155–165. doi: 10.1016/j.cct.2016.07.006.CrossRefGoogle Scholar
Gaglio, B., Shoup, J. A. and Glasgow, R. E. (2013). The RE-AIM framework: a systematic review of use over time. American Journal of Public Health, 103, e33–e46. doi: 10.2105/AJPH.2013.301299.CrossRefGoogle ScholarPubMed
Gitlin, L. N., Hauck, W. W., Dennis, M. P. and Winter, L. (2005). Maintenance of effects of the home environmental skill-building program for family caregivers and individuals with Alzheimer’s disease and related disorders. J Gerontol A Biol Sci Med Sci. 60(3), 368-74.CrossRefGoogle ScholarPubMed
Gitlin, L. N., Jacobs, M. and Earland, T. V. (2010). Translation of a dementia caregiver intervention for delivery in homecare as a reimbursable Medicare service: outcomes and lessons learned. Gerontologist, 50, 847–854. doi: 10.1093/geront/gnq057.CrossRefGoogle ScholarPubMed
Gitlin, L. et al. (2003). Effects of the home environmental skill-building program on caregiver-care recipient dyad: 6-month outcomes from the Philadelphia REACH Initiative. The Gerontologist, 43, 532–546.CrossRefGoogle ScholarPubMed
Glasgow, R. E. (2011). A model pogram for a devastating disease: important content and methods issues in translating research into practice: comment on “Translation of a Dementia Caregiver Support Program in a Health Care System—REACH VA”. Archives of Internal Medicine, 171, 360–361. doi: 10.1001/archinternmed.2011.11.CrossRefGoogle Scholar
Glasgow, R. E., Vinson, C., Chambers, D., Khoury, M. J., Kaplan, R. M. and Hunter, C. (2012). National Institutes of Health Approaches to Dissemination and Implementation Science: Current and Future Directions, American Journal of Public Health, 102 (7), 1274–1281.CrossRefGoogle ScholarPubMed
Glasgow, R. E. and Estabrooks, P. E. (2018). Pragmatic applications of RE-AIM for health care initiatives in community and clinical settings. Preventing Chronic Disease, 15, E02, doi: 10.5888/pcd15.170271.CrossRefGoogle ScholarPubMed
Glasgow, R. E., Vogt, T. M. and Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: the RE-AIM framework. American Journal of Public Health, 89, 1322–1327. doi: 10.2105/AJPH.89.9.1322.CrossRefGoogle ScholarPubMed
Graff, M. J. L., Vernooij-Dassen, M. J. M., Thijssen, M., Dekker, J., Hoefnagels, W. H. L. and Olde Rikkert, M. G. M. (2006). Community based occupational therapy for patients with dementia and their care givers: randomised controlled trial. BMJ, 333, 1196. doi: 10.1136/bmj.39001.688843.BE.CrossRefGoogle ScholarPubMed
Graff, M. J. L., Vernooij-Dassen, M. J. M., Thijssen, M., Dekker, J., Hoefnagels, W. H. L. and Olde Rikkert, M. G. M. (2007). Effects of community occupational therapy on quality of life, mood, and health status in dementia patients and their caregivers: a randomized controlled trial. The Journals of Gerontology: Series A: Biological Sciences and Medical Sciences, 62, 1002–1009. doi: 10.1093/gerona/62.9.1002.CrossRefGoogle ScholarPubMed
Graham, I. D. et al. (2006). Lost in knowledge translation: time for a map? Journal of Continuing Education in the Health Professions, 26, 13–24. doi: 10.1002/chp.47.CrossRefGoogle ScholarPubMed
Grol, R. and Wensing, M. (2005). Effective implementation: A model. In Grol, R., Wensing, M. and Eccles, M. (eds.) Improving Patient Care. The Implementation of Change in Clinical Practice (pp. 41–57). Edinburgh: Elsevier.Google Scholar
Guideline Adaptation Committee (2016). Clinical Practice Guidelines and Principles of Care for People with Dementia. Sydney: Guideline Adaptation Committee.Google Scholar
Hepburn, K., Lewis, M., Tornatore, J., Sherman, C. W. and Bremer, K. L. (2007). The Savvy Caregiver Program: the demonstrated effectiveness of a transportable dementia caregiver psychoeducation program. Journal of Gerontological Nursing, 33, 30–36. doi: 10.1093/geront/43.6.908.Google ScholarPubMed
Higgins, J., Savović, J., Page, M. and Sterne, J. (2019). Revised Cochrane risk-of-bias tool for randomized trials (RoB 2). https://drive.google.com/file/d/1pbkUAco17D0lVziiVeUTuvaBME7dACmD/view; last accessed 14 August 2019.Google Scholar
Lepore, M., Ferrell, A. and Wiener, J. M. (2017). Living arrangements of people with Alzheimer’s disease and related dementias: implications for services and supports. Issue brief for Office of the Assistant Secretary for Planning and Evaluation Disability, Aging, and Long-Term Care Policy. https://aspe.hhs.gov/system/files/pdf/257966/LivingArran.pdf; last accessed 14 August 2019.Google Scholar
Lourida, I. et al. (2017). Dissemination and implementation research in dementia care: a systematic scoping review and evidence map. BMC Geriatrics, 17, 147. doi: 10.1186/s12877-017-0528-y.CrossRefGoogle ScholarPubMed
McCurry, S. M. et al. (2017). Adopting evidence-based caregiver training programs in the real world: outcomes and lessons learned from the STAR-C Oregon translation study. Journal of Applied Gerontology, 36, 519–536. doi: 10.1177/0733464815581483.CrossRefGoogle ScholarPubMed
McKibbon, K. A. and Fridsma, D. B. (2006). Effectiveness of clinician-selected electronic information resources for answering primary care physicians’ information needs. Journal of American Medical Informatics Association, 13, 653–659. doi: 10.1197/jamia.M2087.CrossRefGoogle ScholarPubMed
McKibbon, K. A. et al. (2010). A cross-sectional study of the number and frequency of terms used to refer to knowledge translation in a body of health literature in 2006: a Tower of Babel? Implementation Science, 5, 16. doi: 10.1186/1748-5908-5-16.CrossRefGoogle Scholar
Marsden, E. and Torgerson, C. J. (2012). Single group, pre- and post-test research designs: some methodological concerns, Oxford Review of Education, 38, 583–616. doi: 10.1080/03054985.2012.731208.CrossRefGoogle Scholar
Martindale-Adams, J., Tah, T., Finke, B., LaCounte, C., Higgins, B. J. and Nichols, L. O. (2017). Implementation of the REACH model of dementia caregiver support in American Indian and Alaska Native communities. Translational Behavioral Medicine, 7, 427–434. doi: 10.1007/s13142-017-0505-1.CrossRefGoogle ScholarPubMed
Menne, H. L. et al. (2014). Statewide implementation of “reducing disability in Alzheimer’s disease”: impact on family caregiver outcomes. Journal of Gerontological Social Work, 57, 626–639. doi: 10.1080/01634372.2013.870276.CrossRefGoogle ScholarPubMed
Menne, H. L., Bass, D., Johnson, J., Kearney, K., Bollin, S. and Teri, L. (2017). Program components and outcomes of individuals with dementia: results from thereplication of an evidence-based program. Journal of Applied Gerontology, 36, 537–552.CrossRefGoogle ScholarPubMed
Mesner, S. A., Foster, N. E. and French, S. D. (2016). Implementation interventions to improve the management of non-specific low back pain: a systematic review. BMC Musculoskeletal Disorders, 17, 258. doi: 10.1186/s12891-016-1110-z.CrossRefGoogle ScholarPubMed
Miech, E. J., Rattray, N. A., Flanagan, M. E., Damschroder, L., Schmid, A. A. and Damush, T. M. (2018). Inside help: An integrative review of champions in healthcare-related implementation. SAGE open medicine, 6, 2050312118773261. doi: 10.1177/2050312118773261.CrossRefGoogle ScholarPubMed
NIH National Heart Lung and Blood Institute (n.d.). Quality Assessment Tool for Before-After (Pre-Post) Studies With No Control Group. https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools; last accessed 14 August 2019.Google Scholar
Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation Science, 10, 53, doi: 10.1186/s13012-015-0242-0.CrossRefGoogle ScholarPubMed
Ngo, J. and Holroyd-Leduc, J. M. (2015). Systematic review of recent dementia practice guidelines. Age and Ageing, 44, 25–33. doi: 10.1093/ageing/afu143.CrossRefGoogle ScholarPubMed
Nichols, L. O., Martindale-Adams, J., Burns, R., Graney, M. J. and Zuber, J. (2011). Translation of a dementia caregiver support program in a health care system–REACH VA. Archives of Internal Medicine, 171, 353–359. doi: 10.1001/archinternmed.2010.548.CrossRefGoogle Scholar
Nichols, L. O., Martindale-Adams, J., Burns, R., Zuber, J. and Graney, M.J. (2014). REACH VA: moving from translation to system implementation. The Gerontologist, 56, 135–144. doi: 10.1093/geront/gnu112.CrossRefGoogle ScholarPubMed
Pinnock, H. et al. (2017). Standards for Reporting Implementation Studies (StaRI) Statement. BMJ, 356, i6795. doi: 10.1136/bmj.i6795.CrossRefGoogle ScholarPubMed
Pinquart, M. and Sörensen, S. (2003). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: a meta-analysis. The Journals of Gerontology: Series B: Psychological Sciences and Social Sciences, 58, P112–P128. doi: 10.1093/geronb/58.2.P112.CrossRefGoogle ScholarPubMed
Powell, B. J. et al. (2015). A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implementation Science, 10, 21. doi: 10.1186/s13012-015-0209-1.CrossRefGoogle ScholarPubMed
Primetica, B., Menne, H. L., Bollin, S., Teri, L. and Molea, M. (2015). Evidence-based program replication: translational activities, experiences, and challenges. Journal of Applied Gerontology, 34, 652–670. doi: 10.1177/0733464813508888.CrossRefGoogle ScholarPubMed
Proctor, E. K., Powell, B. J. and McMillen, J. C. (2013). Implementation strategies: recommendations for specifying and reporting. Implementation Science., 8, 139. doi: 10.1186/1748-5908-8-139.CrossRefGoogle ScholarPubMed
Samia, L. W., Aboueissa, A. M., Halloran, J. and Hepburn, K. (2014). The Maine Savvy Caregiver Project: translating an evidence-based dementia family caregiver program within the RE-AIM Framework. Journal of Gerontological Social Work, 57, 640–661. doi: 10.1080/01634372.2013.859201.CrossRefGoogle ScholarPubMed
Savva, G. M., Zaccai, J., Matthews, F. E., Davidson, J. E., McKeith, I. and Brayne, C. (2009). Prevalence, correlates and course of behavioural and psychological symptoms of dementia in the population. The British Journal of Psychiatry, 194, 212–219. doi: 10.1192/bjp.bp.108.049619.CrossRefGoogle ScholarPubMed
Sepe-Monti, M., Vanacore, N., Bartorelli, L., Tognetti, A., Giubilei, F. and Savvy Caregiver Study Group (2016). The Savvy Caregiver Program: a probe multicenter randomized controlled pilot trial in caregivers of patients affected by Alzheimer’s disease. Journal of Alzheimer’s Disease, 54, 1235–1246. doi: 10.3233/JAD-160235.CrossRefGoogle ScholarPubMed
Shanbhag, D. et al. (2018). Effectiveness of implementation interventions in improving physician adherence to guideline recommendations in heart failure: a systematic review. BMJ Open, 8, e017765. doi: 10.1136/bmjopen-2017-017765.CrossRefGoogle ScholarPubMed
Sherman, C. and Steiner, S. (2018). Implementing sustainable evidence-based interventions in the community: A fidelity-focused training framework for the Savvy Caregiver program. Journal of Applied Gerontology, 37, 1450–1471. doi: 10.1177/0733464816684623.CrossRefGoogle ScholarPubMed
Smith, T. O., Hameed, Y. A., Cross, J. L., Henderson, C., Sahota, O. and Fox, C. (2015). Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery. Cochrane Database of Systematic Reviews, 6, CD010569. doi: 10.1002/14651858.CD010569.pub2.Google Scholar
Steiner, S. and Sherman, C. (2017). The Savvy Caregiver program: Effective implementation through Michigan’s aging network. Generations – Journal of the American Society on Aging, ACL Supplement, 107–112.Google Scholar
Stevens, A. B., Smith, E. R., Trickett, L. R. and McGhee, R. (2012). Implementing an evidence-based caregiver intervention within an integrated healthcare system. Translational Behavioral Medicine, 2, 218–227. doi: 10.1007/s13142-012-0132-9.CrossRefGoogle ScholarPubMed
Szczepura, A. et al. (2016). Antipsychotic prescribing in care homes before and after launch of a national dementia strategy: an observational study in English institutions over a 4-year period. BMJ Open, 6, e009882. doi: 10.1136/bmjopen-2015-009882.CrossRefGoogle ScholarPubMed
Teri, L. et al. (2003). Exercise plus behavioral management in patients with Alzheimer disease: a randomized controlled trial. JAMA, 290, 2015–2022. doi: 10.1001/jama.290.15.2015.CrossRefGoogle ScholarPubMed
Teri, L., McCurry, S. M., Logsdon, R. and Gibbons, L. E. (2005). Training community consultants to help family members improve dementia care: a randomized controlled trial. The Gerontologist, 45, 802–811. doi: 10.1093/geront/45.6.802.CrossRefGoogle ScholarPubMed
Teri, L. et al. (2012). Translation of two evidence-based programs for training families to improve care of persons with dementia. The Gerontologist, 52(4), 452–459.CrossRefGoogle ScholarPubMed
Van’t Leven, N., Graff, M. J., Kaijen, M., de Swart, B., Olde Rikkert, M. G. and Vernooij-Dassen, M. J. (2012). Barriers to and facilitators for the use of an evidence-based occupational therapy guideline for older people with dementia and their carers. International Journal of Geriatric Psychiatry, 27, 742–748. doi: 10.1002/gps.2782.CrossRefGoogle ScholarPubMed
Van Leeuwen, E. et al. (2018). Withdrawal versus continuation of long-term antipsychotic drug use for behavioural and psychological symptoms in older people with dementia. Cochrane Database of Systematic Reviews, 3, CD007726. doi: 10.1002/14651858.CD007726.pub3.Google ScholarPubMed
Waltz, T. J. et al. (2015). Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance: results from the Expert Recommendations for Implementing Change (ERIC) study. Implementation Science, 10, 109. doi: 10.1186/s13012-015-0295-0.CrossRefGoogle ScholarPubMed
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