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Burton CR, Williams L, Bucknall T, et al. Theory and practical guidance for effective de-implementation of practices across health and care services: a realist synthesis. Southampton (UK): NIHR Journals Library; 2021 Feb. (Health Services and Delivery Research, No. 9.2.)

Cover of Theory and practical guidance for effective de-implementation of practices across health and care services: a realist synthesis

Theory and practical guidance for effective de-implementation of practices across health and care services: a realist synthesis.

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Appendix 6Extraction table template

Is the evidence good and relevant enough to be included in the review?Yes – no – maybe
Q1: document ID/title
Q2: authors/year published
Q3: document type (e.g. research study/policy/local evidence/opinion)
Q4: what is the study’s aim/purpose?
Q5: what is the design/method used and was it appropriate for the aims/purpose of the study?

Q6: sample (type/size?)

Factors relating to site, location, etc.

Q7: what data collection method was used, if applicable?
Q8: were the data collected in a way that addressed the research issue?
Q9: how did the authors define the concept of de-implementation?Did the authors provide an explicit definition or was it implied? (If yes, what was it? Source of definition?)
Q10: what is being de-implemented?This is the focus of change relating to one or more context areas, such as clinical behaviour change or organisational policy
Q11: driving forceWhich factors are motivating the de-implementation process (e.g., lack of evidence of effectiveness, financial constraints, or safety issues)?
Q12: nature of the actionWhat is the continuum of the de-implementation process (from complete termination to replacement with another innovation)?
Q13: degree of IntentionalityTo what extent is the de-implementation process intentional and planned or passive and opportunistic?
Q14: consequences of the de-implementation processWere the outcomes as expected or were there unintended consequences that occurred over time and for different stakeholders?
Q15: any other explanatory theoryTheories that have already been identified within the project or other relevant theories
Q16: level of de-implementation processMicro – meso – macro levels
Q17: other

ID, identification; Q, question.

Copyright © Queen’s Printer and Controller of HMSO 2021. This work was produced by Burton et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Bookshelf ID: NBK567224

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