Difficulties implementing a mental health guideline: an exploratory investigation using psychological theory.

ABSTRACT:

Background

Evaluations of interventions to improve implementation of guidelines have failed to produce a clear pattern of results favouring a particular method. While implementation depends on clinicians and managers changing a variety of behaviours, psychological theories of behaviour and behaviour change are seldom used to try to understand difficulties in implementation or to develop interventions to overcome them.

Objectives

This study applied psychological theory to examine explanations for difficulties in implementation. It used a theoretical framework derived from an interdisciplinary consensus exercise to code interviews across 11 theoretical domains. The focus of the study was a National Institute for Health and Clinical Excellence's Schizophrenia guideline recommen

SUBMITTER: Michie S 

PROVIDER: S-EPMC1864990 | biostudies-literature | 2007 Mar

REPOSITORIES: biostudies-literature