title: [Developing a tailored intervention: implementing recommendations for polypharmacy in multimorbid patients (PomP)].
abstract: BACKGROUND
  Implementation research deals with the question of how to ensure that evidence-based knowledge is put into practice. One approach is the development of "tailored interventions (TI)". These are designed to address previously identified barriers and enablers. A common definition or methodological concept for TI has not yet been established. In this paper, a concept for TI is introduced. We describe the stepwise development of an implementation intervention for GP settings where recommendations based on current evidence are provided for the treatment of multimorbid patients receiving polypharmacy. Each step will be explained and illustrated by original data.
  
  
  RESULTS
  A stepwise approach was used to develop a TI: problem analysis, identification and prioritisation of determinants, identification and prioritisation of strategies and the design of a complex intervention and its underlying logic model.
  
  
  CONCLUSIONS
  The stepwise exemplary description of this tailoring strategy may support other researchers in this field when designing a TI.
authors: Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg. Electronic address: Cornelia.jaeger@med.uni-heidelberg.de.
authors: Cornelia
authors: C
authors: Jäger
authors: Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg.
authors: Joachim
authors: J
authors: Szecsenyi
authors: Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg.
authors: Tobias
authors: T
authors: Freund
authors: Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg.
authors: Johanna Katharina
authors: JK
authors: Reichel
authors: Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg.
authors: Christina
authors: C
authors: Kuhlmey
authors: Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
authors: Michel
authors: M
authors: Wensing
authors: Universitätsklinikum Heidelberg, Abteilung Allgemeinmedizin und Versorgungsforschung, Heidelberg.
authors: Jost
authors: J
authors: Steinhäuser
mesh_terms: D000328:Adult; D002908:Chronic Disease / Q000188:drug therapy*; D015897:Comorbidity; D004359:Drug Therapy, Combination / Q000592:standards*; D019317:Evidence-Based Medicine / Q000458:organization & administration; D005260:Female; D058006:General Practice / Q000458:organization & administration; D005858:Germany; D006284:Health Plan Implementation / Q000458:organization & administration*; D006801:Humans; D008297:Male; D054539:Medication Therapy Management / Q000458:organization & administration*; D008875:Middle Aged; D009313:National Health Programs / Q000458:organization & administration; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D057170:Translational Research, Biomedical / Q000458:organization & administration
keywords: Implementation; Implementierung; Leitlinien; Polypharmakotherapie; Tailoring; guideline; knowledge translation; polypharmacy; tailoring