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Four multifaceted interventions were identified (25, 28, 33, 38).
The review also found that multifaceted interventions were no more effective than single intervention strategies.
Multifaceted interventions were found to be no more effective than single strategies in improving implementation [ 18].
The findings from the multifaceted interventions were more consistent and in all of them an increase in the daily steps was observed [ 16- 18].
The reviewers identified the difficulty of disentangling which components of multifaceted interventions were likely to be effective and complementary under different settings.
Multifaceted interventions were defined as those interventions that included two or more components targeting both patients and the health care system, as previously defined.
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Whereas some studies used single interventions [ 27], we developed multifaceted intervention, since multifaceted interventions are usually more effective [ 33].
Wensing et al. [ 9] report that multifaceted interventions are more effective than single interventions in changing practitioner behaviour.
There is conflicting evidence from the literature as to whether single or multifaceted interventions are more effective for implementing guidelines.
To achieve optimal reductions in infection rates, there is some evidence that multimodal and multifaceted interventions are effective [ 40, 43].
These two reviews found that KT can influence physician behaviour and patient outcomes particularly when multifaceted interventions are utilized.
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