{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T10:54:37Z","timestamp":1760266477902},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2004,5,21]],"date-time":"2004-05-21T00:00:00Z","timestamp":1085097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2004,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p> <jats:bold>Objective:<\/jats:bold> To identify barriers and facilitators to implementation of pilot interventions designed to improve measurement and management of low\u2010density lipoprotein cholesterol (LDL\u2010c) levels in coronary heart disease patients using the evidence\/context\/facilitation model of implementation of evidence\u2010based practice.<\/jats:p><jats:p> <jats:bold>Design:<\/jats:bold> Theory\u2010based conceptual content analysis of structured interviews conducted between January and April 2001.<\/jats:p><jats:p> <jats:bold>Setting:<\/jats:bold> Six medical centers in the United States Veterans Health Administration Northwest Network.<\/jats:p><jats:p> <jats:bold>Participants:<\/jats:bold> Fifty\u2010one of 64 individuals (physicians, nurses, pharmacists, dieticians, quality managers, and other clinical and nonclinical staff) who participated in planning and\/or implementing pilot interventions.<\/jats:p><jats:p> <jats:bold>Main Findings:<\/jats:bold> Barriers to successful implementation related primarily to the intervention process and secondarily to characteristics of the intervention context. Interview responses indicated that planning, including identification of resources and assessment of potential barriers and facilitators, was a critical and universally underutilized step in the intervention process.<\/jats:p><jats:p> <jats:bold>Conclusions:<\/jats:bold> Organized team process, documented plans for intervention activities, and ongoing evaluation are essential for sustaining intervention activities. A top priority for facilitating interventions should be the development of educational materials, such as \u201chow to\u201d guides, that teach intervention teams how to anticipate barriers and make plans to address them, as well as identifying and fostering local experts in planning and implementing interventions.<\/jats:p>","DOI":"10.1111\/j.1741-6787.2004.04023.x","type":"journal-article","created":{"date-parts":[[2004,5,21]],"date-time":"2004-05-21T14:02:23Z","timestamp":1085148143000},"page":"129-139","source":"Crossref","is-referenced-by-count":37,"title":["A Qualitative Study to Identify Barriers and Facilitators to Implementation of Pilot Interventions in the Veterans Health Administration (VHA) Northwest Network"],"prefix":"10.1111","volume":"1","author":[{"given":"Nancy D.","family":"Sharp","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra L.","family":"Pineros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clarissa","family":"Hsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helene","family":"Starks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne E.","family":"Sales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,5,21]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"American Heart Association. (2001).Heart disease and stroke statistics\u20142002 update. Dallas Texas : American Heart Association. 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SalesA.E. Li Y.\u2010 F.&SharpN.D.(2004).Improving care to patients with ischemic heart disease: Experiences in a single network of the Veterans Health Administration. 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