Evidence map›Paper›PMID 11593835›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2001

Randomised controlled trial of tailored strategies to implement guidelines for the management of patients with depression in general practice.

R Baker, S Reddish, N Robertson, H Hearnshaw, B Jones

Registry-linked trialOpen access · greenAbstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01047124 (Randomised Control Trial of the Clinical and Cost Effectiveness of a Specialist Expert Mood Disorder Team for Refractory Unipolar Depressive Disorder), which is not on this map. Cited by 35 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 10 pooled it
11.1field-weighted citation impact, top 2% of its field
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.

NCT01047124 naunknown statusnot on this mapstarted 2009, after this paper: background citation

Randomised Control Trial of the Clinical and Cost Effectiveness of a Specialist Expert Mood Disorder Team for Refractory Unipolar Depressive Disorder

TypeinterventionalSponsorUniversity of NottinghamRan2009 to 2016Enrolled219ConditionsChronic Unipolar Depressive DisorderArmsSpecialist Mood Disorders Team
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 10 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2026
    Pooled it
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  5. Consultation liaison in primary care for people with mental disorders.The Cochrane database of systematic reviews · 2015
    Pooled it
  6. Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2015
    Pooled it
  7. Interventions for enhancing medication adherence.The Cochrane database of systematic reviews · 2014
    Pooled it
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  16. Cluster randomised controlled trial of an educational outreach visit to improve influenza and pneumococcal immunisation rates in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

R BakerClinical Governance Research and Development Unit, Department of General Practice and Primary Health Care, University of Leicester, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW. rb14@le.ac.uk
S Reddish
N Robertson
H Hearnshaw
B Jones
Leicester General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious methods are available for implementing change in the clinical behaviour of general practitioners (GPs). Although passive dissemination of information is generally ineffective, other methods can be variably effective. Few studies have investigated the impact of tailored methods.

aimTo determine whether methods tailored to overcome obstacles to change using psychological theories are more effective than dissemination alone in the implementation of guidelines for depression among GPs. DESIGN OF STUDY: Randomised controlled trial.

settingSixty general practices in England; 30 GPs in the control group, 34 in the intervention group.

methodPractitioners identified patients presenting with depression before and after the implementation of guidelines (control group n = 192 in the first data collection, n = 181 in the second; intervention group n = 210 in the first data collection and n = 197 in the second). The main outcome measures were: record of adherence to guideline recommendations in clinical records; proportion of patients with Beck Depression Inventory (BDI) score less than 11 at 16 weeks after diagnosis.

resultsIn comparison with the control group, in the group of GPs receiving tailored implementation, there were increases in the proportions of patients assessed for suicide risk. In the intervention group, the proportion of patients with BDI scores of less than 11 at 16 weeks increased.

conclusionObstacles to implementation can be identified and strategies tailored to address them. The findings indicate a new approach for research to understand and develop methods of implementation.

Indexed as

Guideline AdherencePractice Guidelines as TopicDepressive DisorderFamily PracticeHumansPsychiatric Status Rating Scales

Identifiers

PMID11593835
PMCPMC1314102
OpenAlexW2145519394

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.