Trial reportBMJ (Clinical research ed.)2004
Practice based education to improve delivery systems for prevention in primary care: randomised trial.
Trial report in BMJ (Clinical research ed.), 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 136 citations in OpenAlex.
- Effectiveness of Quality Improvement Coaching on Process Outcomes in Health Care Settings: A Systematic Review.Journal of general internal medicine · 2022Pooled it
- Patient reminder and recall interventions to improve immunization rates.The Cochrane database of systematic reviews · 2018Pooled it
- Patient reminder and patient recall systems to improve immunization rates.The Cochrane database of systematic reviews · 2005Pooled it
- Interventions to improve screening and follow-up in primary care: a systematic review of the evidence.Academic pediatricsPooled it
- Systematic review and meta-analysis of practice facilitation within primary care settings.Annals of family medicinePooled it
- Trial
- Practice-tailored facilitation to improve pediatric preventive care delivery: a randomized trial.Pediatrics · 2014Trial
- Training pediatric health care providers in prevention of dental decay: results from a randomized controlled trial.BMC health services research · 2007Trial
- Improving preventive service delivery at adult complete health check-ups: the Preventive health Evidence-based Recommendation Form (PERFORM) cluster randomized controlled trial.BMC family practice · 2006Trial
- Student column: Using academic detailing to improve childhood influenza vaccination rates in San Diego.Public health reports (Washington, D.C. : 1974)Trial
- A Randomized Trial of High-Value Change Using Practice Facilitation.Journal of the American Board of Family Medicine : JABFMTrial
- ESSENCE: An Implementation Research Program to Scale Up Depression Care in Rural Communities.Psychiatric services (Washington, D.C.) · 2024Article
- Remote coaching for supporting the implementation of treatment for depression in primary care in Madhya Pradesh, India: protocol for a cluster randomized controlled trial.Frontiers in health services · 2024Article
- A protocol for a cluster randomized trial comparing strategies for translating self-management support into primary care practices.BMC family practice · 2018Article
- Theory-based development of an implementation intervention to increase HPV vaccination in pediatric primary care practices.Implementation science : IS · 2018Article
- Interventions to increase pediatric vaccine uptake: An overview of recent findings.Human vaccines & immunotherapeutics · 2017Review
- Cancer Care Collaborative Approach to Optimize Clinical Care.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2017Article
- Human papillomavirus-associated cancers: a survey on otorhinolaryngologists' knowledge and attitudes on prevention.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2015Article
- Quality assessment of clinical education services in teaching hospitals located in Kerman, Iran.Electronic physician · 2015Article
- Implementation of childhood obesity identification and prevention strategies in primary care: A quality improvement project.International journal of pediatrics & adolescent medicine · 2015Review
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 at 4 institutions in 1 country.
Funding
Abstract
objectiveTo examine the effectiveness of an intervention that combined continuing medical education with process improvement methods to implement "office systems" to improve the delivery of preventive care to children.
designRandomised trial in primary care practices.
settingPrivate paediatric and family practices in two areas of North Carolina.
participantsRandom sample of 44 practices allocated to intervention and control groups.
interventionPractice based continuing medical education in which project staff coached practice staff in reviewing performance and identifying, testing, and implementing new care processes (such as chart screening) to improve delivery of preventive care.
main outcome measureChange over time in the proportion of children aged 24-30 months who received age appropriate care for four preventive services (immunisations, and screening for tuberculosis, anaemia, and lead).
resultsThe proportion of children per practice with age appropriate delivery of all four preventive services changed, after a one year period of implementation, from 7% to 34% in intervention practices and from 9% to 10% in control practices. After adjustment for baseline differences in the groups, the change in the prevalence of all four services between the beginning and the end of the study was 4.6-fold greater (95% confidence interval 1.6 to 13.2) in intervention practices. Thirty months after baseline, the proportion of children who were up to date with preventive services was higher in intervention than in control practices; results for screening for tuberculosis (54% v 32%), lead (68% v 30%), and anaemia (79% v 71%) were statistically significant (P < 0.05).
conclusionContinuing education combined with process improvement methods is effective in increasing rates of delivery of preventive care to children.
Indexed as
Identifiers
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.