Trial reportQuality in health care : QHC1997
Changing preventive practice: a controlled trial on the effects of outreach visits to organise prevention of cardiovascular disease.
Trial report in Quality in health care : QHC, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00298220 (Engaging General Practice in the Prevention of Patients With Alcohol Problems), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Engaging General Practice in the Prevention of Patients With Alcohol Problems
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Audit and feedback: effects on professional practice and healthcare outcomes.The Cochrane database of systematic reviews · 2012Pooled it
- Systematic review and meta-analysis of practice facilitation within primary care settings.Annals of family medicinePooled it
- Evaluating the uptake and effects of the computerized decision support system NHGDoc on quality of primary care: protocol for a large-scale cluster randomized controlled trial.Implementation science : IS · 2014Trial
- FIRE (Facilitating Implementation of Research Evidence): a study protocol.Implementation science : IS · 2012Trial
- The effects of a team-based continuous quality improvement intervention on the management of primary care: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Trial
- Cost savings associated with improving appropriate and reducing inappropriate preventive care: cost-consequences analysis.BMC health services research · 2005Trial
- Effect of a comprehensive intervention program targeting general practice staff on quality of life in patients at high cardiovascular risk: a randomized controlled trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2004Trial
- Multifaceted support to improve preventive cardiovascular care: a nationwide, controlled trial in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Trial
- Intensive support to improve clinical decision making in cardiovascular care: a randomised controlled trial in general practice.Quality & safety in health care · 2003Trial
- Evidence to action: a tailored multifaceted approach to changing family physician practice patterns and improving preventive care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2001Trial
- Successful Trial of Practice Facilitation for Plan, Do, Study, Act Quality Improvement.Journal of the American Board of Family Medicine : JABFMTrial
- Practice level factors associated with enhanced engagement with practice facilitators; findings from the heart health now study.BMC health services research · 2020Article
- Facilitation roles and characteristics associated with research use by healthcare professionals: a scoping review.BMJ open · 2017Article
- Development and pilot of an internationally standardized measure of cardiovascular risk management in European primary care.BMC health services research · 2011Article
- A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations.Implementation science : IS · 2010Article
- European Practice Assessment of Cardiovascular risk management (EPA Cardio): protocol of an international observational study in primary care.Implementation science : IS · 2009Article
- Promoting best practices for control of respiratory infections: collaboration between primary care and public health services.Canadian family physician Medecin de famille canadien · 2006Article
- Adherence to guidelines on cervical cancer screening in general practice: programme elements of successful implementation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- Relationship between practice organization and cardiovascular risk factor recording in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 1998Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the effects of outreach visits by trained nurse facilitators on the organisation of services used to prevent cardiovascular disease. To identify the characteristics of general practices that determined success.
designA non-randomised controlled trial of two methods of implementing guidelines to organise prevention of cardiovascular disease: an innovative outreach visit method compared with a feedback method. The results in both groups were compared with data from a control group. SETTING AND SUBJECTS: 95 general practices in two regions in The Netherlands.
interventionsTrained nurse facilitators visited practices, focusing on solving problems in the organisation of prevention. They applied a four step model in each practice. The number of visits depended on the needs of the practice team. The feedback method consisted of the provision of a feedback report with advice specific to each practice and standardised instructions.
main outcome measuresThe proportion of practices adhering to 10 different guidelines. Guidelines were on the detection of patients at risk, their follow up, the registration of preventive activities, and teamwork within the practice.
resultsOutreach visits were more effective than feedback in implementing guidelines to organise prevention. Within the group with outreach visits, the increase in the number of practices adhering to the guidelines was significant for six out of 10 guidelines. Within the feedback group, a comparison of data before and after intervention showed no significant differences. Partnerships and practices with a computer changed more.
conclusionOutreach visits by trained nurse facilitators proved to be effective in implementing guidelines within general practices, probably because their help was practical and designed for the individual practice, guided by the wishes and capabilities of the practice team.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.