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Research ArticleOriginal Research

Understanding Implementation of Complex Interventions in Primary Care Teams

Thea Luig, Jodie Asselin, Arya M. Sharma and Denise L. Campbell-Scherer
The Journal of the American Board of Family Medicine May 2018, 31 (3) 431-444; DOI: https://doi.org/10.3122/jabfm.2018.03.170273
Thea Luig
From Department of Family Medicine, University of Alberta (TL); Department of Anthropology, University of Lethbridge (JA); Department of Medicine, Division of Endocrinology, and Alberta Diabetes Institute, University of Alberta (AMS); Lifelong Learning and Physician Learning Program, Department of Family Medicine, and Alberta Diabetes Institute, University of Alberta (DLCS).
PhD
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Jodie Asselin
From Department of Family Medicine, University of Alberta (TL); Department of Anthropology, University of Lethbridge (JA); Department of Medicine, Division of Endocrinology, and Alberta Diabetes Institute, University of Alberta (AMS); Lifelong Learning and Physician Learning Program, Department of Family Medicine, and Alberta Diabetes Institute, University of Alberta (DLCS).
PhD
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Arya M. Sharma
From Department of Family Medicine, University of Alberta (TL); Department of Anthropology, University of Lethbridge (JA); Department of Medicine, Division of Endocrinology, and Alberta Diabetes Institute, University of Alberta (AMS); Lifelong Learning and Physician Learning Program, Department of Family Medicine, and Alberta Diabetes Institute, University of Alberta (DLCS).
MD, PhD
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Denise L. Campbell-Scherer
From Department of Family Medicine, University of Alberta (TL); Department of Anthropology, University of Lethbridge (JA); Department of Medicine, Division of Endocrinology, and Alberta Diabetes Institute, University of Alberta (AMS); Lifelong Learning and Physician Learning Program, Department of Family Medicine, and Alberta Diabetes Institute, University of Alberta (DLCS).
MD, PhD
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References

  1. 1.↵
    1. Bhasker R
    . A realist theory of science. 2nd ed. Harvester/Humanities: Sussex and New Jersey; 1978.
  2. 2.↵
    1. May CR,
    2. Johnson M,
    3. Finch T
    . Implementation, context and complexity. Implement Sci 2016;11: 1–12.
    OpenUrlCrossRef
  3. 3.↵
    1. Petticrew M
    . When are complex interventions “complex”? When are simple interventions “simple”? Eur J Public Health 2011;21:397–8.
    OpenUrl
  4. 4.↵
    1. Campbell-Scherer D,
    2. Saitz R
    . Improving reporting and utility of evaluations of complex interventions. Evid Based Med 2015, Nov 25;ebmed-2015-110342.
  5. 5.↵
    1. Greenhalgh T,
    2. Robert G,
    3. Macfarlane F,
    4. Bate P,
    5. Kyriakidou O
    . Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Q 2004;82:581–629.
    OpenUrlCrossRefPubMedWeb of Science
  6. 6.↵
    1. Murray E,
    2. Treweek S,
    3. Pope,
    4. et al
    . Normalisation process theory: A framework for developing, evaluating and implementing complex interventions. BMC Med. 2010;8:63–73.
    OpenUrlCrossRefPubMed
  7. 7.↵
    1. Helfrich C,
    2. Weiner B,
    3. McKinney M,
    4. Minasian L
    . Determinants of implementation effectiveness: Adapting a framework for complex innovations. Med Care Res Rev 2007;64:279–303.
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.↵
    1. Wandersman A,
    2. Duffy J,
    3. Flaspohler P,
    4. et al
    . Bridging the gap between prevention research and practice: The interactive systems framework for dissemination and implementation. Am J Community Psychol. 2008;41(3–4):171–81.
    OpenUrlCrossRefPubMedWeb of Science
  9. 9.↵
    1. Glasziou P,
    2. Meats E,
    3. Heneghan C,
    4. Shepperd S
    . What is missing from descriptions of treatment in trials and reviews? BMJ. 2008;336:1472.
    OpenUrlFREE Full Text
  10. 10.↵
    1. Abell B,
    2. Glasziou P,
    3. Hoffmann T
    . Reporting and replicating trials of exercise-based cardiac rehabilitation: do we know what the researchers actually did? Circ Cardiovasc Qual Outcomes 2015;8:187–94.
    OpenUrlAbstract/FREE Full Text
  11. 11.↵
    1. Dal-Ré R,
    2. Bracken MB,
    3. Ioannidis JPA
    . Call to improve transparency of trials of non-regulated interventions. BMJ 2015;350:h1323.
    OpenUrlFREE Full Text
  12. 12.↵
    1. Pawson R,
    2. Greenhalgh T,
    3. Harvey G,
    4. Walshe K
    . Realist review–a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy 2005:10(Suppl 1):21–34.
    OpenUrlCrossRefPubMed
  13. 13.↵
    1. Nilsen P
    . Making sense of implementation theories, models and frameworks. Implement Sci 2015;10:53.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Harvey G,
    2. Fitzgerald L,
    3. Fielden S,
    4. et al
    . The NIHR collaboration for leadership in applied health research and care (CLAHRC) for greater manchester: combining empirical, theoretical and experiential evidence to design and evaluate a large-scale implementation strategy. Implement Sci 2011;6:96.
    OpenUrlCrossRefPubMed
  15. 15.↵
    1. Tabak RG,
    2. Khoong EC,
    3. Chambers DA,
    4. Brownson RC
    . Bridging research and practice. Am J Prev Med 2012;43:337–50.
    OpenUrlCrossRefPubMed
  16. 16.↵
    1. Meyers DC,
    2. Durlak JA,
    3. Wandersman A
    . The quality implementation framework: A synthesis of critical steps in the implementation process. Am J Community Psychol. 2012;50(3–4):462–80.
    OpenUrlCrossRefPubMedWeb of Science
  17. 17.↵
    1. Kaplan HC,
    2. Brady PW,
    3. Dritz MC,
    4. et al
    . The influence of context on quality improvement success in health care: A systematic review of the literature. Milbank Q 2010;88:500–59.
    OpenUrlCrossRefPubMedWeb of Science
  18. 18.↵
    1. Ferlie EB,
    2. Shortell SM
    . Improving the quality of health care in the United Kingdom and the United States: A framework for change. Milbank Q 2001;79:281–315.
    OpenUrlCrossRefPubMedWeb of Science
  19. 19.↵
    1. Flaspohler P,
    2. Lesesne CA,
    3. Puddy RW,
    4. Smith E,
    5. Wandersman A
    . Advances in bridging research and practice: Introduction to the second special issue on the interactive system framework for dissemination and implementation. Am J Community Psychol. 2012;50(3–4):271–81.
    OpenUrlPubMed
  20. 20.↵
    1. Brodowski Ml,
    2. Counts JM,
    3. Gillam RJ,
    4. et al
    . Translating evidence-based policy to practice: A multilevel partnership using the interactive systems framework. Fam Soc J Contemp Soc Serv 2013;94:141–9.
    OpenUrl
  21. 21.↵
    1. Chambers D
    . The interactive systems framework for dissemination and implementation: Enhancing the opportunity for implementation science. Am J Community Psychol 2012;50(3–4):282–4.
    OpenUrlCrossRefPubMed
  22. 22.↵
    1. Collins C,
    2. Edwards A,
    3. Jones P,
    4. Kay L,
    5. Cox P,
    6. Puddy R
    . A comparison of the interactive systems framework (ISF) for dissemination and implementation and the CDC division of HIV/AIDS prevention's research-to-practice model for behavioral interventions. Am J Community Psychol. 2012;50(3–4):518–29.
    OpenUrlPubMed
  23. 23.↵
    1. Florin P,
    2. Friend K,
    3. Buka S,
    4. Egan C,
    5. Barovier L,
    6. Amodei B
    . The interactive systems framework applied to the strategic prevention framework: The Rhode Island experience. Am J Community Psychol. 2012;50(3–4):402–14.
    OpenUrlPubMed
  24. 24.↵
    1. Gregory H,
    2. Van Orden O,
    3. Jordan L,
    4. et al
    . New directions in capacity building: Incorporating cultural competence into the interactive systems framework. Am J Community Psychol. 2012;50(3–4):321–33.
    OpenUrlPubMed
  25. 25.↵
    1. Halgunseth L,
    2. Carmack C,
    3. Childs S,
    4. Caldwell L,
    5. Craig A,
    6. Smith E
    . Using the interactive systems framework in understanding the relation between general program capacity and implementation in afterschool settings. Am J Community Psychol. 2012;50(3–4):311–20.
    OpenUrlPubMed
  26. 26.↵
    1. Lane R,
    2. Berkowitz J,
    3. Sullivan S,
    4. et al
    . Applying the interactive systems framework to the dissemination and adoption of national and state recommendations for hypertension. Am J Community Psychol. 2012;50(3–4):541–52.
    OpenUrlPubMed
  27. 27.↵
    1. Noonan R,
    2. Wilson K,
    3. Mercer S
    . Navigating the road ahead: Public health challenges and the interactive systems framework for dissemination and implementation. Am J Community Psychol. 2012;50(3–4):572–80.
    OpenUrlPubMed
  28. 28.↵
    1. Rapkin B,
    2. Weiss E,
    3. Lounsbury D,
    4. et al
    . Using the interactive systems framework to support a quality improvement approach to dissemination of evidence-based strategies to promote early detection of breast cancer: Planning a comprehensive dynamic trial. Am J Community Psychol. 2012;50(3–4):497–517.
    OpenUrlCrossRefPubMed
  29. 29.↵
    1. Ray M,
    2. Wilson M,
    3. Wandersman A,
    4. Meyers D,
    5. Katz J
    . Using a training-of-trainers approach and proactive technical assistance to bring evidence based programs to scale: An operationalization of the interactive systems framework's support system. Am J Community Psychol. 2012;50(3–4):415–27.
    OpenUrlPubMed
  30. 30.↵
    1. Smythe-Leistico K,
    2. Young C,
    3. Mulvey L,
    4. et al
    . Blending theory with practice: Implementing kindergarten transition using the interactive systems framework. Am J Community Psychol. 2012;50(3–4):357–69.
    OpenUrlPubMed
  31. 31.↵
    1. Ogunleye A,
    2. Osunlana A,
    3. Asselin J,
    4. Cave A,
    5. Sharma AM,
    6. Campbell-Scherer DL
    . The 5As team intervention: bridging the knowledge gap in obesity management among primary care practitioners. BMC Res Notes [Internet]. 2015 Dec [cited 2016 Jan 21];8(1). Available from: http://www.biomedcentral.com/1756-0500/8/810.
  32. 32.↵
    1. Osunlana AM,
    2. Asselin J,
    3. Anderson R,
    4. et al
    . 5As Team obesity intervention in primary care: development and evaluation of shared decision-making weight management tools. Clin Obes. 2015;(4):219.
  33. 33.↵
    The 5As Team Project [Internet]. [cited 2016 Apr 2]. Available from: http://www.obesitynetwork.ca/5As_Team.
  34. 34.↵
    1. Campbell-Scherer DL,
    2. Asselin J,
    3. Osunlana AM,
    4. et al
    . Implementation and evaluation of the 5As framework of obesity management in primary care: design of the 5As Team (5AsT) randomized control trial. Implement Sci. 2014;9:78.
    OpenUrlCrossRefPubMed
  35. 35.↵
    1. Asselin J,
    2. Osunlana AM,
    3. Ogunleye AA,
    4. Sharma AM,
    5. Campbell-Scherer D
    . Missing an opportunity: the embedded nature of weight management in primary care. Clin Obes. 2015 Aug 25;5:325–32.
    OpenUrl
  36. 36.↵
    1. Asselin J,
    2. Osunlana A,
    3. Ogunleye A,
    4. Sharma A,
    5. Campbell-Scherer D
    . Challenges in interdisciplinary weight management in primary care: lessons learned from the 5As Team study. Clin Obes. 2016;6:124–32.
    OpenUrl
  37. 37.↵
    1. Asselin J,
    2. Salami E,
    3. Osunlana AM,
    4. et al
    . Impact of the 5As Team study on clinical practice in primary care obesity management: a qualitative study. CMAJ Open. 2017 Apr 26;5(2):E322–9.
    OpenUrl
  38. 38.↵
    1. Graham ID,
    2. Logan J,
    3. Harrison MB,
    4. et al
    . Lost in knowledge translation: Time for a map? J Contin Educ Health Prof 2006;26:13–24.
    OpenUrlCrossRefPubMedWeb of Science
  39. 39.↵
    1. Brauer P,
    2. Connor Gorber S,
    3. Shaw E,
    4. et al
    . Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. CMAJ 2015;187:184–95.
    OpenUrlFREE Full Text
  40. 40.↵
    1. Gabbay J,
    2. Le May A
    . Practice-based evidence for healthcare: Clinical mindlines. Abingdon, Oxon, UK: Routledge, 2011.
  41. 41.↵
    1. Wieringa S,
    2. Greenhalgh T
    . 10 years of mindlines: A systematic review and commentary. Implement Sci 2015;10:45.
    OpenUrlCrossRefPubMed
  42. 42.↵
    1. Wenger E
    . Communities of practice: Learning, meaning, and identity. Cambridge, UK: Cambridge University Press; 1998.
  43. 43.↵
    1. May C,
    2. Finch T
    . Implementing, embedding, and integrating practices: An outline of normalization process theory. Sociology 2009;43:535–54.
    OpenUrlCrossRefWeb of Science
  44. 44.↵
    1. Lloyd A,
    2. Joseph-Williams N,
    3. Edwards A,
    4. Rix A,
    5. Elwyn G
    . Patchy “coherence”: Using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC). Implement Sci 2013;8:102.
    OpenUrlCrossRefPubMed
  45. 45.↵
    1. Denis J-L,
    2. Hébert Y,
    3. Langley A,
    4. Lozeau D,
    5. Trottier L-H
    . Explaining diffusion patterns for complex health care innovations. Health Care Manage Rev. 2002;27:60–73.
    OpenUrlCrossRefPubMedWeb of Science
  46. 46.↵
    1. Minkler M,
    2. Wallerstein N
    . Community-based participatory research for health: From process to outcomes. San Francisco, CA: John Wiley & Sons; 2011. 758 p.
  47. 47.↵
    1. Hall BL
    . From margins to center? The development and purpose of participatory research. Am Sociol 1992;23:15–28.
    OpenUrlCrossRef
  48. 48.↵
    1. Cornwall A,
    2. Jewkes R
    . What is participatory research? Soc Sci Med 1995;41:1667–76.
    OpenUrlCrossRefPubMedWeb of Science
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The Journal of the American Board of Family     Medicine: 31 (3)
The Journal of the American Board of Family Medicine
Vol. 31, Issue 3
May-June 2018
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Understanding Implementation of Complex Interventions in Primary Care Teams
Thea Luig, Jodie Asselin, Arya M. Sharma, Denise L. Campbell-Scherer
The Journal of the American Board of Family Medicine May 2018, 31 (3) 431-444; DOI: 10.3122/jabfm.2018.03.170273

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Understanding Implementation of Complex Interventions in Primary Care Teams
Thea Luig, Jodie Asselin, Arya M. Sharma, Denise L. Campbell-Scherer
The Journal of the American Board of Family Medicine May 2018, 31 (3) 431-444; DOI: 10.3122/jabfm.2018.03.170273
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