(a) Aspects relating to the guideline itself
|
Clarity of recommendations
|
Physiotherapists, occupational therapists
|
[23, 24]
|
Applicability to clients
|
Amount of detail provided
|
Allowed the health professional to draw their own conclusions
|
Allowed the health professional to take the client’s preferences into account
|
(b) Characteristics of the health professional
|
Desire to maintain accountability
|
Physiotherapists, occupational therapists, nurses, managers
|
[22, 24]
|
Willingness to change practice
|
Agreement with the guidelines
|
Level of knowledge
|
Level of skill
|
(c) Patient characteristics
|
Severity of the patient
|
Physiotherapists, occupational therapists, nurses, managers
|
[22, 24]
|
Patient motivation
|
Patient expectations
|
(d) Work environment
|
Time availability
|
Physiotherapists, occupational therapists, nurses, managers
|
[22–24]
|
Staff availability
|
Training and education
|
Workplace policies
|
Team collaboration
|
Access to other professionals
|
Colleagues
|
(e) Implementation strategies
|
Multifaceted interventions were no more effective than using one strategy only. There is no clear evidence to support a set guideline implementation strategy for allied health professionals.
|
Pharmacists (8 studies), physiotherapists (3 studies), dietitians (2 studies), and speech pathologists (1 study)
|
[21]
|