Randomized controlled trials in de-implementation research: a systematic scoping review.

ABSTRACT:

Background

Healthcare costs are rising, and a substantial proportion of medical care is of little value. De-implementation of low-value practices is important for improving overall health outcomes and reducing costs. We aimed to identify and synthesize randomized controlled trials (RCTs) on de-implementation interventions and to provide guidance to improve future research.

Methods

MEDLINE and Scopus up to May 24, 2021, for individual and cluster RCTs comparing de-implementation interventions to usual care, another intervention, or placebo. We applied independent duplicate assessment of eligibility, study characteristics, outcomes, intervention categories, implementation theories, and risk of bias.

Results

Of the 227 eligible trials, 145 (64%) were cluster randomized t

SUBMITTER: Raudasoja AJ 

PROVIDER: S-EPMC9526943 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature