ArticleBMC health services research2003
Identifying barriers and tailoring interventions to improve the management of urinary tract infections and sore throat: a pragmatic study using qualitative methods.
Article in BMC health services research, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2026Pooled it
- Methods for designing interventions to change healthcare professionals' behaviour: a systematic review.Implementation science : IS · 2017Pooled it
- Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2015Pooled it
- Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2010Pooled it
- A Cluster-Randomized Trial of Two Strategies to Improve Antibiotic Use for Patients with a Complicated Urinary Tract Infection.PloS one · 2015Trial
- The Stroke Practice Improvement Network: a quasiexperimental trial of a multifaceted intervention to improve quality.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2010Trial
- The effect of alternative graphical displays used to present the benefits of antibiotics for sore throat on decisions about whether to seek treatment: a randomized trial.PLoS medicine · 2009Trial
- Rational prescribing in primary care (RaPP): a cluster randomized trial of a tailored intervention.PLoS medicine · 2006Trial
- Improving prescribing of antihypertensive and cholesterol-lowering drugs: a method for identifying and addressing barriers to change.BMC health services research · 2004Trial
- Rational Prescribing in Primary Care (RaPP-trial). A randomised trial of a tailored intervention to improve prescribing of antihypertensive and cholesterol-lowering drugs in general practice [ISRCTN48751230].BMC health services research · 2003Trial
- The Adaptive Behavioral Components (ABC) Model for Planning Longitudinal Behavioral Technology-Based Health Interventions: A Theoretical Framework.Journal of medical Internet research · 2020Article
- Integrating qualitative research methods into care improvement efforts within a learning health system: addressing antibiotic overuse.Health research policy and systems · 2016Article
- Evaluation of a tailored, multi-component intervention for implementation of evidence-based clinical practice guidelines in primary care physical therapy: a non-randomized controlled trial.BMC health services research · 2014Article
- Identifying barriers to the availability and use of Magnesium Sulphate Injection in resource poor countries: a case study in Zambia.BMC health services research · 2010Article
- Key factors influencing adoption of an innovation in primary health care: a qualitative study based on implementation theory.BMC family practice · 2010Article
- Healthcare professionals and managers' participation in developing an intervention: a pre-intervention study in the elderly care context.Implementation science : IS · 2009Article
- Tailoring an intervention to the context and system redesign related to the intervention: a case study of implementing shared medical appointments for diabetes.Implementation science : IS · 2008Article
- Primary care prescribing patterns in Ireland after the publication of large hypertension trials.British journal of clinical pharmacology · 2007Article
- Factors affecting general practitioners' decisions about plain radiography for back pain: implications for classification of guideline barriers--a qualitative study.BMC health services research · 2003Article
- Interventions to Educate Family Physicians to Change Test Ordering: Systematic Review of Randomized Controlled Trials.Academic pathologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTheories of behaviour change indicate that an analysis of factors that facilitate or impede change is helpful when trying to influence professional practice. The aim of this study was to identify barriers to implementing evidence-based guidelines for urinary tract infection and sore throat in general practice in Norway, and to tailor interventions to address these barriers.
methodsWe used a checklist to identify barriers and possible interventions to address these in an iterative process that included a review of the literature, brainstorming, focus groups, a pilot study, small group discussions and interviews.
resultsWe identified at least one barrier for each category. Both guidelines recommended increased use of telephone consultations and reduced use of laboratory tests, and the barriers and the interventions were similar for the two guidelines. The complexity of changing routines involving patients, general practitioners and general practitioner assistants, loss of income with telephone consultations, fear of overlooking serious disease, perceived patient expectations and lack of knowledge about the evidence for the guidelines were the most prominent barriers. The interventions that were tailored to address these barriers included support for change processes in the practices, increasing the fee for telephone consultations, patient information leaflets and computer-based decision support and reminders.
conclusionA systematic approach using qualitative methods helped identify barriers and generate ideas for tailoring interventions to support the implementation of guidelines for the management of urinary tract infections and sore throat. Lack of resources limited our ability to address all of the barriers adequately.
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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.