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Facilitating Implementation of Research Evidence

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Applying research results in clinical practice

EU funding is enabling a group of researchers to better understand how a facilitation process can be used to support the application of research results in practice.

Health

The 'Facilitating implementation of research evidence' (FIRE) project is working to identify and validate key factors that determine the successful application of research results in practice. The study is based on proposals of the Promoting Action on Research Implementation in Health Services (PARiHS) conceptual framework: the successful implementation of research evidence depends on a complex interplay of the evidence, context of implementation and how the process is facilitated. The planned research focuses on this third component. Urinary incontinence is largely regarded as an inevitable part of ageing. Practical implementation of research evidence promoting continence can improve the quality of life for older people, and reduce costs of incontinence aids. To this end, FIRE aims to evaluate the feasibility and effectiveness of implementing a facilitation strategy for promoting the uptake of research evidence on continence promotion in clinical practice. To date, partners have delivered a facilitation residential training programme for two facilitation packages. The continuing facilitation programme has been completed for the Type A package (12-month duration) and is ongoing for the Type B package (24-month duration). FIRE partners have also developed an evaluation package, with positive progress being recorded in the collection of process evaluation data in all countries. In addition, an intervention package and an independent data monitoring committee have been set up. Committee meetings focus on data being collected at randomised sites. In other project work, a communication strategy has been agreed on, newsletters have been produced, and events have been held with stakeholder participation. Consultation and engagement with stakeholders serves to support and inform the theory-driven methodology underpinning the FIRE initiative. As the FIRE project comes to a close, its outcomes will offer valuable insight into how research evidence can be applied in clinical practice through facilitation processes of support and standard dissemination.

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