Symposium Improving implementation practice: a one-day implementation science conference

VUmc Amsterdam

Amstelzaal

De Boelelaan 1117

Amsterdam

The Netherlands

Friday9 February 2018 Amsterdam

Welcome

A warm welcome to you at our one-day implementation science conference. Following the first edition last year, we now aim to contribute to implementation practices by focusing on the scientific methods, instruments, and tools for improving implementation success. The conference will provide the option to discuss the science supporting implementation of complex interventions in real world practices. Although interventions and practices can differ, the implementation challenges are often similar. That is what is central to this conference: improving implementation practice through science.

We are very glad to present highly esteemed international keynote speakers including prof. dr. Shaun Treweek from University of Aberdeen (United Kingdom), and prof. dr. Enola Proctor from Washington University (United States). In addition, a number of experts will trigger discussions on various topics bringing together implementation science and practice.

Furthermore, the active workshops will address concrete challenges, including implementation strategies, views from funding agencies, and cost-effectiveness in implementation work. Lastly, we are very pleased that Bianca Albers from the European Implementation Collaborative is present and willing to chair the day. We expect to achieve animated discussions and reach a greater shared understanding in implementation research and practice.

We would like to take the opportunity to thank our sponsors for their contribution to this conference: the Amsterdam Public Health research institute, the Netherlands Implementation Collaborative (NIC), ZonMw, and the Trimbos Institute.

We hope you enjoy this interesting day and take home a bag full of inspiration.

The organization committee,

Ferry GoossensFemke van NassauChristiaan Vis

9.30 – 10.00 Registration

10.00 – 10.15 Opening by chair Bianca Albers, European Implementation Collaborative

10.15 – 11.00 Keynote I: Implementation by design: making trial design decisions that make implementation easier Professor Shaun Treweek, PhD, BSc (Hons), University of Aberdeen, UK

11.00 – 11.30 Break

11.30 – 12.45 Successive talks Best of both worlds? Bridging the gap between clinical and implementation evaluation research Professor Johannes Anema, PhD, VU University Medical Center

Blended e-mental health in primary care Odile Smeets, MSc, Trimbos Institute

Towards evidence-based tailored implementation: the ImpleMentAll project Christiaan Vis, MSc, VU Amsterdam Professor Tracy Finch, PhD, Northumbria University, Newcastle, UK

12.45 – 13.45 Lunch

13.45 – 14.30 Keynote II:

Implementation research and practice: A focus on the “how” Professor Enola Proctor, PhD, Washington University, United States

14.30 – 14.45 Break

14.45 – 16.00 Workshops Beyond tailoring: developing implementation strategies that match

identified barriers and facilitators for implementation Irene van de Glind, PhD, Radboudumc, IQ healthcare

Promoting implementation: the role of funding agencies Barbara van der Linden, PhD, ZonMw

Tools for the implementation of quality standards in mental healthcare Henny Sinnema, PhD Trimbos Institute Daniëlle van Duijn, MSc, Trimbos Institute Dorothé van Slooten, MSc, Phrenos

Cost-effectiveness of implementing health interventions Judith Bosmans, PhD, VU Amsterdam

How to acquire insight into the determinants that may facilitate or impede implementation using the MIDI? (Workshop in Dutch)

Margot Fleuren, PhD, VU Amsterdam

16:00 – 16.30 Plenary closure and wrap up

16:30 Drinks

Programme 9 February 2018

10.00 – 10.15 Opening by chair

Bianca Albers, European Implementation Collaborative

Bianca Albers is the director at the Centre for Evidence and Implementation. A political scientist by education, she holds a strong interest in the uptake of research in practice, and policy development. In her role with CEI, Bianca is responsible for a portfolio of research synthesis and implementation projects. This includes the production of systematic reviews, building capacity within organisations, and the implementation of evidence-informed programs, practices and service models. Bianca is engaged in several international initiatives that promote the science and practice of evidence implementation in real world settings, among them the European Implementation Collaborative and the 2018 Nordic Implementation Conference.

10.15 – 11.00 Keynote I

Implementation by design: making trial design decisions that make implementation easierProfessor Shaun Treweek, PhD, BSc (Hons), University of Aberdeen, United Kingdom

Short biographyShaun is a health services researcher and is active in the field of efficient trial design, particularly pragmatic trial design, improved recruitment and retention interventions for trials, the design of complex interventions and the effective presentation of research evidence. He is leading a new initiative called Trial Forge (http://www.trialforge.org) that aims to be more systematic about how we generate and use research evidence in making trial design, conduct, analysis and reporting decisions.

Summary of keynoteTrialists have tended to think that the end of the trial is the time to think about implementation, if they think about it at all. I think this is a mistake. I’ll argue that the time to think about implementation is when designing the trial and that failure to think about implementation then can make it very hard later on. In short, what are the design decisions we should be making to make implementation easier?

11.30 – 12.45 Successive talks

Best of both worlds? Bridging the gap between clinical and implementation evaluation research Professor Johannes Anema, PhD, VU University Medical Center

A lot has been written about the large clinical research science to implementation gap: It is lasting on average 17-18 years before innovations in healthcare become part of usual practice. From a societal and patient perspective researchers are responsible to contribute reducing this gap and speeding up implementation in health care. But how? In this talk several options are discussed how to combine clinical evaluation research with implementation research. The talk will also provide some interesting examples of studies in health promotion as well as in clinical settings.

Blended e-mental health in primary care Odile Smeets, MSc, Trimbos Institute

With the arrival of Internet in the late nineties, the field of mental health in the Netherlands was one of the leading countries in developing and doing research in both online self-help and guided treatment; e-mental health. Worldwide there is a lot of scientific evidence that for example e-mental health programs for depression are effective in reducing depressive symptoms. However, its implementation in clinical practice and health care systems remains fragmented. In this talk the experiences and lessons learned of different implementation projects in primary care will be presented.

Towards evidence-based tailored implementation: the ImpleMentAll project Christiaan Vis, MSc, VU Amsterdam Professor Tracy Finch, PhD, Northumbria University, Newcastle, UK

Tailored implementation is a systematic process that includes identifying the factors hindering and facilitating implementation, design implementation interventions appropriate to those determinants, and the actual application of those interventions. ImpleMentAll will develop and test a digitally accessible toolkit for tailoring implementation interventions for eHealth in general and eMental health specifically. The effectiveness of the ItFits-toolkit in obtaining implementation success will be tested against implementation-as-usual in 9 countries. The project is funded by the EU Horizon 2020 and runs for 4 years. In this talk, mr. Christiaan Vis and prof. dr. Tracy Finch will briefly discuss the study design, an outline of the ItFits-toolkit, as well as sharing some experiences of in getting to such a project.

13.45 – 14.30 Keynote II

Implementation research and practice: A focus on the “how”Professor Enola Proctor, PhD, Washington University, United States

Short biographyEnola Proctor is the Shanti K. Khinduka Distinguished Professor at the George Warren Brown School of Social Work, Washington University in St. Louis, Missouri, USA. Professor Proctor’s teaching and research are motivated by the question, how do we ensure that people receive the very best possible care? She has contributed to the rapidly growing field of dissemination and implementation science, leading teams to distinguish, clearly define, develop taxonomies, and stimulate more systematic work to advance the field. Her recent work focuses on implementation strategies, their specification, and effectiveness. Amongst others, she also leads the Center for Dissemination and Implementation and directs the Center for Mental Health Services Research at Washington University.

14.45 – 16.00 Workshops

Beyond tailoring: developing implementation strategies that match identified barriers and facilitators for implementation Irene van de Glind, PhD, Radboudumc, IQ healthcare

Implementation strategies are most helpful if they effectively address the most important determinants that facilitate or hinder implementation. However, it is not so clear how to design implementation strategies. In this workshop we will present a theory-based method. We will guide you through the different steps of how you go from implementation barriers and facilitators, to determinants, theories, level and actors, all the way to a practical application and operationalisation of a strategy.

Promoting implementation: the role of funding agencies Barbara van der Linden, PhD, ZonMw

Health care research funding agencies worldwide are committed to improving the quality of care for citizens by financing excellent research, stimulating the development of innovations and promoting implementation of results into practice. The aim of this session is to present implementation policies and strategies that leading funders carry out and to interact with participants on the implications of these endeavours for their own work.

Tools for the implementation of quality standards in mental healthcare Henny Sinnema, PhD Trimbos InstituteDaniëlle van Duijn, MSc, Trimbos Institute Dorothé van Slooten, MSc, Phrenos

The objective of this workshop is to present the following tools for implementation: a decision tool for psychosis, option grids, developing care pathways and quality of care team exchange. The first two tools focus on (shared) decision making within the individual treatment plan, the third tool aims on facilitating organisation of care around specific diagnose groups, the last tool is developed to facilitate inspiration, reflection, learning and action in teams working with quality standards.

Cost-effectiveness of implementing health interventions Judith Bosmans, PhD, VU Amsterdam

The demand for healthcare is infinite, while the resources available for healthcare are limited. This means that healthcare decision makers need to make decisions about how to most efficiently use these scarce resources. Cost-effectiveness analyses are an invaluable tool to inform such decisions. This workshop will give an overview of the design, conduct and analysis of cost-effectiveness analyses with a focus on implementation research. Our aim is that after the workshop participants are more comfortable in using the results of cost-effectiveness analyses for decision-making.

How to acquire insight into the determinants that may facilitate or impede implementation using the MIDI? (Workshop in Dutch) Margot Fleuren, PhD, VU Amsterdam

Health care innovations - professional guidelines, interventions, technologies as well as healthcare policy - often fail to produce results in daily practice. Implementation is the problem. A detailed understanding of determinants that affect the implementation is essential. The Measurement Instrument for Determinants of Innovations (MIDI) is a generic instrument for measuring 29 determinants that ‘predict’ adherence to innovations. The participants will learn how to use the MIDI.

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