Deimplementing Untested Practices in Homecare Services: A Preobservational-Postobservational Design

Table 1

Guidance for the BATH project to enhance knowledge transfer.

Key questions	Description
Why (values)?	(i) Facilitate evidence-based decisions regarding the delivery of homecare services.; (ii) Increase access to and quality of services for elders and their caregivers in the context of a shortage of OTs.; (iii) Adapt bathrooms to promote the health and safety of caregivers assisting elders during bathing.; (iv) Facilitate workers’ mobility between HSSCs.; (v) Fulfill OTs’ professional obligations.
What?	(i) Target a common tool for non-OTs involved in selecting bathing equipment in HSSCs.; (ii) Change clinician behavior, which will be easier if the common tool presents clear actions rather than ideas and concepts [24, 25].
To whom?	(i) Focus on homecare OTs () because individual interventions have more effect than collective ones [26] and because dissemination needs to be targeted to a specific audience [27].; (ii) Collaborate with homecare managers since context has a major influence on clinicians’ behavior [24].
By whom?	(i) Messengers should be selected according to the target audience and could vary from one knowledge transfer strategy to another: the person or group of persons should be credible, influential, and have strong communication skills and leadership [24].
How?	(i) Use interactive models of research utilization to develop knowledge and provide solutions [19].; (ii) Use multiple knowledge transfer strategies, which is more effective than a single strategy [28], within budget limits.; (iii) Focus on tactical logic to facilitate decisions [29], contrasting an evidence-based common tool to in-house “tools” casting doubt on the quality of services and questioning OTs’ professional liability.
Why (objectives)?	(i) Deimplement in-house “tools” and utilize Algo for non-OTs involved in selecting bathing equipment in HSSCs.

OT: occupational therapist; HSSC: Health and Social Services Center.