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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

Doc number: 8 Abstract 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 eva... Full description

Journal Title: Implementation Science 2013, Vol.8, p.8
Main Author: Harris, Mark
Other Authors: 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 , Taylor, Richard , Zwar, Nick , Wilson, Jinty , Bolger-Harris, Helen , Waters, Justine
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: DOI: 10.1186/1748-5908-8-8
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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
format: Article
creator:
  • Harris, Mark
  • 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
  • Taylor, Richard
  • Zwar, Nick
  • Wilson, Jinty
  • Bolger-Harris, Helen
  • Waters, Justine
subjects:
  • Adult–Prevention & Control
  • Aged–Organization & Administration
  • Australia–Organization & Administration
  • Cardiovascular Diseases–Organization & Administration
  • Clinical Protocols–Organization & Administration
  • Cluster Analysis–Organization & Administration
  • Diffusion of Innovation–Organization & Administration
  • Evidence-Based Medicine–Organization & Administration
  • General Practice–Organization & Administration
  • Humans–Organization & Administration
  • Interprofessional Relations–Organization & Administration
  • Middle Aged–Organization & Administration
  • Outcome Assessment (Health Care)–Organization & Administration
  • Practice Guidelines As Topic–Organization & Administration
  • Risk Reduction Behavior–Organization & Administration
  • Australia
  • Primary Care
  • Cardiovascular Disease
  • Education
  • Medicare
  • Heart
  • Risk Factors
  • Intervention
  • Councils
  • Disease Prevention
  • Health Sciences
  • Technological Change
  • University of New South Wales
ispartof: Implementation Science, 2013, Vol.8, p.8
description: Doc number: 8 Abstract 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.
language: eng
source:
identifier: DOI: 10.1186/1748-5908-8-8
fulltext: fulltext_linktorsrc
url: Link


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titlePreventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial
creatorHarris, Mark ; 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 ; Taylor, Richard ; Zwar, Nick ; Wilson, Jinty ; Bolger-Harris, Helen ; Waters, Justine
ispartofImplementation Science, 2013, Vol.8, p.8
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descriptionDoc number: 8 Abstract 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.
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titlePreventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial
descriptionDoc number: 8 Abstract 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.
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titlePreventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial
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abstractDoc number: 8 Abstract 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.
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