More recently, Davis and Taylor-Vaisey proposed that to be successfully implemented, any guideline must include strategies to facilitate its adoption. The nature of the guideline, the nature and beliefs of the physicians to whom it is directed, and environmental factors should all be considered to translate effectively clinical guidelines into practice. There appears to be two important steps: the effective dissemination of the information and the effective implementation strategies that reinforce changes in the practice setting. Although several interventions appear to be effective, strategies such as concurrent reminders or academic detailing have yielded the most consistently positive results.