An adaptable implementation package targeting evidence-based indicators in primary care: A pragmatic cluster-randomised evaluation.

ABSTRACT:

Background

In primary care, multiple priorities and system pressures make closing the gap between evidence and practice challenging. Most implementation studies focus on single conditions, limiting generalisability. We compared an adaptable implementation package against an implementation control and assessed effects on adherence to four different evidence-based quality indicators.

Methods and findings

We undertook two parallel, pragmatic cluster-randomised trials using balanced incomplete block designs in general practices in West Yorkshire, England. We used 'opt-out' recruitment, and we randomly assigned practices that did not opt out to an implementation package targeting either diabetes control or risky prescribing (Trial 1); or blood pressure (BP) control or anticoagula

SUBMITTER: Willis TA 

PROVIDER: S-EPMC7048270 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature