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Preventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial
BACKGROUND: There are significant gaps in the implementation and uptake of evidence-based guideline recommendations for cardiovascular disease (CVD) and diabetes in Australian general practice. This study protocol describes the methodology for a cluster randomised trial to evaluate the effectiveness...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564812/ https://www.ncbi.nlm.nih.gov/pubmed/23327664 http://dx.doi.org/10.1186/1748-5908-8-8 |
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author | Harris, Mark F Lloyd, Jane Litt, John van Driel, Mieke Mazza, Danielle Russell, Grant Smith, Jane Del Mar, Chris Denney-Wilson, Elizabeth Parker, Sharon Krastev, Yordanka Jayasinghe, Upali W Taylor, Richard Zwar, Nick Wilson, Jinty Bolger-Harris, Helen Waters, Justine |
author_facet | Harris, Mark F Lloyd, Jane Litt, John van Driel, Mieke Mazza, Danielle Russell, Grant Smith, Jane Del Mar, Chris Denney-Wilson, Elizabeth Parker, Sharon Krastev, Yordanka Jayasinghe, Upali W Taylor, Richard Zwar, Nick Wilson, Jinty Bolger-Harris, Helen Waters, Justine |
author_sort | Harris, Mark F |
collection | PubMed |
description | BACKGROUND: There are significant gaps in the implementation and uptake of evidence-based guideline recommendations for cardiovascular disease (CVD) and diabetes in Australian general practice. This study protocol describes the methodology for a cluster randomised trial to evaluate the effectiveness of a model that aims to improve the implementation of these guidelines in Australian general practice developed by a collaboration between researchers, non-government organisations, and the profession. METHODS: We hypothesise that the intervention will alter the behaviour of clinicians and patients resulting in improvements of recording of lifestyle and physiological risk factors (by 20%) and increased adherence to guideline recommendations for: the management of CVD and diabetes risk factors (by 20%); and lifestyle and physiological risk factors of patients at risk (by 5%). Thirty-two general practices will be randomised in a 1:1 allocation to receive either the intervention or continue with usual care, after stratification by state. The intervention will be delivered through: small group education; audit of patient records to determine preventive care; and practice facilitation visits adapted to the needs of the practices. Outcome data will be extracted from electronic medical records and patient questionnaires, and qualitative evaluation from provider and patient interviews. DISCUSSION: We plan to disseminate study findings widely and directly inform implementation strategies by governments, professional bodies, and non-government organisations including the partner organisations. |
format | Online Article Text |
id | pubmed-3564812 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-35648122013-02-08 Preventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial Harris, Mark F Lloyd, Jane Litt, John van Driel, Mieke Mazza, Danielle Russell, Grant Smith, Jane Del Mar, Chris Denney-Wilson, Elizabeth Parker, Sharon Krastev, Yordanka Jayasinghe, Upali W Taylor, Richard Zwar, Nick Wilson, Jinty Bolger-Harris, Helen Waters, Justine Implement Sci Study Protocol BACKGROUND: There are significant gaps in the implementation and uptake of evidence-based guideline recommendations for cardiovascular disease (CVD) and diabetes in Australian general practice. This study protocol describes the methodology for a cluster randomised trial to evaluate the effectiveness of a model that aims to improve the implementation of these guidelines in Australian general practice developed by a collaboration between researchers, non-government organisations, and the profession. METHODS: We hypothesise that the intervention will alter the behaviour of clinicians and patients resulting in improvements of recording of lifestyle and physiological risk factors (by 20%) and increased adherence to guideline recommendations for: the management of CVD and diabetes risk factors (by 20%); and lifestyle and physiological risk factors of patients at risk (by 5%). Thirty-two general practices will be randomised in a 1:1 allocation to receive either the intervention or continue with usual care, after stratification by state. The intervention will be delivered through: small group education; audit of patient records to determine preventive care; and practice facilitation visits adapted to the needs of the practices. Outcome data will be extracted from electronic medical records and patient questionnaires, and qualitative evaluation from provider and patient interviews. DISCUSSION: We plan to disseminate study findings widely and directly inform implementation strategies by governments, professional bodies, and non-government organisations including the partner organisations. BioMed Central 2013-01-18 /pmc/articles/PMC3564812/ /pubmed/23327664 http://dx.doi.org/10.1186/1748-5908-8-8 Text en Copyright ©2013 Harris et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Study Protocol Harris, Mark F Lloyd, Jane Litt, John van Driel, Mieke Mazza, Danielle Russell, Grant Smith, Jane Del Mar, Chris Denney-Wilson, Elizabeth Parker, Sharon Krastev, Yordanka Jayasinghe, Upali W Taylor, Richard Zwar, Nick Wilson, Jinty Bolger-Harris, Helen Waters, Justine Preventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial |
title | Preventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial |
title_full | Preventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial |
title_fullStr | Preventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial |
title_full_unstemmed | Preventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial |
title_short | Preventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial |
title_sort | preventive evidence into practice (pep) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3564812/ https://www.ncbi.nlm.nih.gov/pubmed/23327664 http://dx.doi.org/10.1186/1748-5908-8-8 |
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