ImpleMentAll - Towards Evidence-based Tailored Implementation Strategies for eHealth

Summary

The ImpleMentAll (IMA) project aims to examine the effectiveness of tailored implementation compared to usual implementation of Internet-based Cognitive Behavioural Therapy (iCBT) for patients suffering from common mental disorders in routine practice. Common mental health disorders account for an alarming proportion of the global burden of disease. Being regarded as an evidence-based psychotherapeutic eHealth intervention, Internet- based Cognitive Behavioural Therapy (iCBT), has the potential to answer to this societal challenge by providing an efficacious and efficient treatment from which more people can benefit. ImpleMentAll will develop, apply, and evaluate tailored implementation strategies in the context of on-going eHealth implementation initiatives in the EU and beyond. The objectives are:

1. To develop a generic Integrated Theory-based Framework for Intervention Tailoring Strategies (the ItFits-toolkit) for data-driven tailored implementation of evidence-based eHealth services.
2. To demonstrate the impact of the ItFits toolkit on the implementation of eHealth for common mental disorders.
3. To disseminate the validated toolkit in various healthcare contexts across Europe.

Following a stepped-wedge trial design, the ItFits-toolkit will be introduced in twelve implementation sites in nine countries, and evaluated for its effectiveness in obtaining implementation success. An in-depth process evaluation using a realist evaluation methodology will provide information about the particularities of tailored implementation and the application of the ItFits-toolkit in real implementation work. The resulting ItFits-toolkit will enable data driven evaluation of eHealth implementation projects and its methods, materials, and strategies will provide concrete guidance on tuning implementation interventions to local determinant of practice across a variety of health care systems.

Conditions

• Tailored Implementation: Online ItFits-toolkit
• Implementation as Usual

Interventions

OTHER

ItFits-toolkit

The ItFits-toolkit provides evidence-informed methods, materials, knowledge on determinants and implementation strategies, and concrete guidance on tailoring implementation strategies to local determinants of practices, apply them and evaluate their impact. It applies a standardised four-step approach to iteratively develop evidence-informed implementation strategies. The ItFits-toolkit is based on the Normalisation Process Theory (NPT), which suggests that lasting changes in practice only happen through people working together. The ItFits toolkit functions as an online self-help toolkit with minimal support. The toolkit will provide instructions for the IL to establish a core team and to create a sounding board consisting to enable co-creation.

OTHER

Implementation as Usual

IAU refers to any existing efforts to embed and integrate iCBT within an organisation.

Sponsors & Collaborators

• Region of Southern Denmark

  collaborator OTHER

• Australian National University

  collaborator OTHER

• Northumbria University

  collaborator OTHER

• GGZ inGeest

  collaborator OTHER

• Badalona Serveis Assistencials

  collaborator OTHER

• Fondation FondaMental

  collaborator OTHER

• Get.On

  collaborator UNKNOWN

• Azienda Sanitaria Locale 3, Torino

  collaborator OTHER

• Academisch Ziekenhuis Groningen

  collaborator OTHER

• London School of Hygiene and Tropical Medicine

  collaborator OTHER

• European Alliance against Depression EV

  collaborator UNKNOWN

• Zyra Per Shendet Mendor

  collaborator UNKNOWN

• Qendres se Shendetit the Mireqenies Komunitare

  collaborator UNKNOWN

• Global alliance of mental illness advocacy networks Europe AISBL

  collaborator UNKNOWN

• Black Dog Institute

  collaborator UNKNOWN

• European Commission

  collaborator OTHER

• VU University of Amsterdam

  lead OTHER

Principal Investigators

• Christiaan Vis, MA · VU Amsterdam

• Heleen Riper, PhD · VU Amsterdam

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

TRIPLE

Model

CROSSOVER

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2018-06-01

Primary Completion

2020-12-31

Completion

2020-12-31

Countries

• Albania
• Australia
• Denmark
• France
• Germany
• Italy
• Kosovo
• Netherlands
• Spain

Study Locations