Implementation Outcomes

Template use increased more in implementation practices than in control practices. Use of some holistic assessments increased, especially mobility, memory, falls, and pain. The template reached a broad patient group across sociodemographic characteristics and assessed conditions. The estimated odds ratio for increased template use was 2.86, with a 95% confidence interval of 2.34 to 3.49 and p<0.001. Only 5.1% of eligible patients in implementation practices received the intended two-part review. Sustainability was not explicitly assessed in any included study. Implementation outcomes mainly focused on fidelity. Acceptability was frequently assessed with study-specific or standardised measures. Appropriateness, penetration, implementation cost, and sustainability were rarely reported. Fidelity to the intended two-part review was low.