Janneke Harting

TL;DR: The results indicate that higher percentages of guideline adherence are related to better improvement of physical functioning and to a lower utilization of care.

TL;DR: Vignettes are of acceptable validity, and are an inexpensive and manageable instrument to measure guideline adherence among large groups of physiotherapists, and could benefit from the use of standardized patients as a gold standard, a more diverse case mix to better reflect real physiotherapy practice, and the inclusion of longitudinal vignettes that cover the patients' course of treatment.

TL;DR: The findings indicated that the diffusion process of guidelines among physical therapists was not yet completed, and the use of theory can provide added value to guideline implementation studies.

TL;DR: Intervention Mapping is a useful framework for formative data in program planning in the field of clinical guideline implementation, however, a decision aid to select determinants of guideline adherence identified in the formative research to analyse the problem may increase the efficiency of the application of the Intervention Mapping process.

TL;DR: This study shows that it is possible to apply a maturity model to classify stages of HiAP in municipalities and shows that the MM-HiAP as a formal measuring instrument depends on further operationalization and validation.