Evidence map›Paper›PMID 11276541›Full record

Trial reportCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2001

Evidence to action: a tailored multifaceted approach to changing family physician practice patterns and improving preventive care.

J Lemelin, W Hogg, N Baskerville

Registry-linked trialAbstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC
In one paragraph

Trial report in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00574808 (Improved Delivery of Cardiovascular Preventive Care), which is not on this map. Cited by 54 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT00574808 phase1completednot on this mapstarted 2007, after this paper: background citation

Improved Delivery of Cardiovascular Preventive Care (IDOCC) Through Outreach Facilitation

TypeinterventionalSponsorC. T. Lamont Primary Care Research CentreRan2007 to 2013Enrolled194ConditionsHypertension, Dyslipidemia, Diabetes, Chronic Kidney DiseaseArmsOutreach Facilitation implementing elements of the Chronic Care Model
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 12 syntheses or guidelines pooled it.

  1. Audit and feedback: effects on professional practice.The Cochrane database of systematic reviews · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

J LemelinDepartment of Family Medicine, University of Ottawa, Ottawa, Ont.
W Hogg
N Baskerville

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough there is much room for improvement in the performance of recommended preventive manoeuvres, many inappropriate preventive interventions are being done. We evaluated a multifaceted intervention, delivered by nurses trained in prevention facilitation, to improve prevention in primary care.

methodsForty-six health service organizations (HSOs) were recruited from 100 sites in Ontario. After baseline data were collected, we randomly assigned the practices to either an 18-month (July 1997 to December 1998) multifaceted intervention delivered by 1 of 3 nurse facilitators (23 practices) or no intervention (23 practices). The unit of intervention and analysis was the medical practice. The outcome measure was an overall index of preventive performance, which was calculated as the proportion of eligible patients who received 8 recommended preventive manoeuvres less the proportion of eligible patients who received 5 inappropriate preventive manoeuvres.

resultsOne HSO, in the intervention group, was lost to follow-up. Before the intervention, the index of preventive performance was similar for the intervention and control groups (31.9% [95% confidence interval (CI) 27.3%-36.5%] and 32.1% [95% CI 27.2%-37.0%] respectively). At follow-up the corresponding values were 43.2% (95% CI 38.4%-48.0%) and 31.9% (95% CI 26.8%-37.0%), for an absolute improvement in the intervention group of 11.5% (p < 0.001). The mean proportion of eligible patients who received the recommended manoeuvres was 62.3% (95% CI 58.2%-66.4%) in the intervention group, as compared with 57.4% (95% CI 54.1%-60.7%) in the control group, for an absolute improvement of 7.2% (p = 0.008). The corresponding values for the inappropriate manoeuvres were 19.1% (95% CI 15.6%-22.6%) and 25.5% (95% CI 20.0%-31.0%), for an absolute improvement of 4.4% (p = 0.019).

interpretationThe tailored multifaceted intervention delivered by nurse facilitators was effective in modifying physician practice patterns and significantly improved preventive care performance.

Indexed as

Family PracticeForecastingHumansInservice TrainingNurse CliniciansOntarioPractice Patterns, Physicians'Preventive Health ServicesPrimary Health CareTreatment Outcome

Identifiers

PMID11276541
PMCPMC80870

What OpenQuestion holds

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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.