Use of Implementation Strategies to Promote the Uptake of Knee Osteoarthritis Practice Guidelines and Improve Patient Outcomes: A Systematic Review
Authors' conclusion
Implementation strategies have the potential to impact clinician uptake of CPGs and patient-reported outcomes.
Study context
- Population
- Studies of implementation strategies to promote knee OA clinical practice guideline-recommended care; Medline, Embase, CINAHL and Web of Science searched from inception to February 23, 2023, updated January 16, 202419 studies
- Outcome
- Use of implementation strategies to promote knee OA CPG-recommended care
Methodological detailsimplementation strategies mapped per the Expert Recommendations for Implementing Change taxonomy, risk of bias (RoB) assessed with Cochrane Effective Practice and Organisation of Care criteria, prospectively registered
- Implementation strategies mapped per the Expert Recommendations for Implementing Change taxonomy
- RoB assessed with Cochrane Effective Practice and Organisation of Care criteria
- Prospectively registered
Pooled result
As reported in the abstract
Change to provider adherence, by implementation strategy domain
"Provide interactive assistance": studies showing a change to provider adherence
100%
n = 4
"Train and educate stakeholders": studies showing a change to provider adherence
89%
n = 16
"Engage consumers": studies showing a change to provider adherence
87%
n = 13
"Support clinicians": studies showing a change to provider adherence
79%
n = 11
Further pooled results
Disability
- Studies showing a change to disability included the domains "train and educate stakeholders," "engage consumers," and "adapt and tailor to context"
Pain and quality of life
- Studies using the domains "train and educate stakeholders," "engage consumers," and "support clinicians" showed a change in pain and quality of life
Risk of bias
- Most studies had a low to moderate RoB
Original publication
Use of Implementation Strategies to Promote the Uptake of Knee Osteoarthritis Practice Guidelines and Improve Patient Outcomes: A Systematic Review. Arthritis Care Res (Hoboken). Published 28 May 2024. doi:10.
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