Abstract Background Rising rates of substance use, particularly synthetic opioids, have led to increases in fatal overdoses and injection-associated infections. Harm reduction, including infection prevention via provision supplies education, is an approach minimize risk severe outcomes. Although harm reduction services (HRS) are highly evidence-based, implementation most healthcare settings lim...

Abstract Background Multimorbidity and polypharmacy often result in numerous interactions with different Healthcare Professionals (HCPs) many transitions of care. Keeping up-to-date medications list people taking medicines and/or carers can reduce medication errors at care transitions. The HSE National Quality Improvement team is working on a national safety campaign which encourages to keep li...

Abstract Background Psychosocial health issues such as depression and social isolation are an important cause of morbidity premature mortality for older adults people with dementia. Social robots promising technological innovations to deliver effective psychosocial interventions promote wellbeing. Studies have reported positive findings regarding this technology on the However, despite effects ...

Background: The COVID-19 pandemic response has led to an exponential increase in the use and spread of telemedicine internationally. In community mental health care settings, services were implemented within a few weeks, with little time for rigorous planning. Despite reported acceptability by patients clinicians, barriers its implementation have come light. There is...

BACKGROUND With a pending need to identify potential means to improved quality of care, national quality registries (NQRs) are identified as a promising route. Yet, there is limited evidence with regards to what hinders and facilitates the NQR innovation, what signifies the contexts in which NQRs are applied and drive quality improvement. Supposedly, barriers and facilitators to NQR-driven qual...

BACKGROUND The Diabetes Prevention Program (DPP) study showed that lifestyle intervention resulted in a 58% reduction in incidence of type 2 diabetes among individuals with prediabetes. Additional large randomized controlled trials have confirmed these results, and long-term follow-up has shown sustained benefit 10-20 years after the interventions ended. Diabetes is a common and costly disease,...

BACKGROUND Shared decision-making (SDM) has become increasingly important in health care. However, despite scientific evidence, effective implementation strategies, and a prominent position on the health policy agenda, SDM is not widely implemented in routine practice so far. Therefore, we developed a program for routine implementation of SDM in oncology by conducting an analysis of the current...

BACKGROUND The introduction of biological drugs involved a fundamental change in the treatment of rheumatoid arthritis (RA). The extent to which biological drugs are prescribed to RA patients in different regions in Sweden varies greatly. Previous research has indicated that differences in health care practice at the regional level might obscure differences at the individual level. The objectiv...

BACKGROUND If people with progressive neurological diseases are to avail of evidence-based rehabilitation, programs found effective in randomized controlled trials (RCT's) must firstly be adapted and tested in clinical effectiveness studies as a means of strengthening their evidence base. This paper describes the protocol for an effectiveness-implementation trial that will assess the clinical e...

BACKGROUND Mobile health (mHealth) applications have proliferated across the globe with much enthusiasm, although few have reached scale and shown public health impact. In this study, we explored how different contextual factors influenced the implementation, effectiveness and potential for scale-up of WelTel, an easy-to-use and evidence-based mHealth intervention. WelTel uses two-way SMS commu...