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Using implementation science to drive national practice change in immunoglobulin A nephropathy

Insight

  • Our client sought to embed implementation science at the heart of its immunoglobulin A nephropathy strategy (IgAN), recognising there was a need to close the gap between evidence and real-world practice to improve patient care in this area
  • The challenge was to identify and address real-world barriers to guideline-aligned practice while creating meaningful value for clinicians, the wider nephrology community, and patients
  • Significant variation in awareness and implementation of evolving IgAN best practices existed across healthcare professionals
  • Barriers to implementation differed between healthcare settings and geographies
  • A robust implementation science framework was needed to understand what drives behaviour change, identify barriers, and accelerate the adoption of evidence-based care

Implement

  • We partnered with our client to design a national implementation science programme, developing a logic model, success framework and evaluation strategy
  • Together, we co-created workshop content, training and delivery processes, enabling 16 MSLs and expert faculty to co-facilitate more than 20 Nationwide workshops

Impact

“This was the most fun dinner I’ve attended!” PEER participant, San Antonio

Thank you for involving nurses I love to learn new information!PEER participant, Buffalo

“The interactive session was very helpful.”  PEER participant, Garden City

  • The programme established a scalable approach to identifying implementation barriers and generating practical solutions to improve IgAN care
  • 127 participants across 22 workshops
  • 86% of participants surveyed after workshops planned to make changes to their clinical practice
  • Workshops rated excellent by participants (Net Promotor Score of 70)

Iterate

  • The programme design enabled rollout to as many locations as feasible by the MSL team
  • A continuous monitoring and evaluation framework captured feedback throughout rollout, enabling rapid refinement where needed, transforming it from a series of workshops into a dynamic implementation science platform that continues to evolve and expand as understanding and appetite for an implementation science approach grows within our client team and the nephrology community
Implementation workshop map

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