Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2003
Multifaceted support to improve preventive cardiovascular care: a nationwide, controlled trial in general practice.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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.
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Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Implementation strategies to increase smoking cessation treatment provision in primary care: a systematic review of observational studies.BMC primary care · 2023Pooled it
- Guideline
- Facilitators and barriers to implementing quality measurement in primary mental health care: Systematic review.Canadian family physician Medecin de famille canadien · 2010Pooled it
- Systematic review and meta-analysis of practice facilitation within primary care settings.Annals of family medicinePooled it
- Trial
- A real-world stepped wedge cluster randomized trial of practice facilitation to improve cardiovascular care.Implementation science : IS · 2015Trial
- Effectiveness of improvement plans in primary care practice accreditation: a clustered randomized trial.PloS one · 2014Trial
- Improved delivery of cardiovascular care (IDOCC) through outreach facilitation: study protocol and implementation details of a cluster randomized controlled trial in primary care.Implementation science : IS · 2011Trial
- Practice facilitation to improve diabetes care in primary care: a report from the EPIC randomized clinical trial.Annals of family medicineTrial
- The design and rationale of a multicenter real-world trial: The Southeastern Collaboration to Improve Blood Pressure Control in the US Black Belt - Addressing the Triple Threat.Contemporary clinical trials · 2023Article
- Recruitment and retention of primary care practices in the Southeastern Collaboration to Improve Blood Pressure Control.Contemporary clinical trials communications · 2023Article
- Determinants of impact of a practice accreditation program in primary care: a qualitative study.BMC family practice · 2015Article
- Effectiveness and efficiency of a practice accreditation program on cardiovascular risk management in primary care: study protocol of a clustered randomized trial.Implementation science : IS · 2012Article
- Transferability of interventions in health education: a review.BMC public health · 2012Review
- Clinical practice guideline implementation strategy patterns in Veterans Affairs primary care clinics.Health services research · 2007Article
- Multidisciplinary structured lifestyle intervention reduces the estimated risk of cardiovascular morbidity and mortality.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2004Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultifaceted interventions improve the quality of preventive cardiovascular care in general practice when applied in small-scale research trials.
aimTo test the transferability of observations from research trials on preventive cardiovascular care to a real-world situation and, therefore, evaluate the effectiveness of a nationwide project with a large number of practices. The intervention comprised a combination of conferences, dissemination of manuals, and support from trained non-physicians during outreach visits. DESIGN OF STUDY: A controlled before-and-after trial with two arms: multifaceted support versus no special attention. Analysis after 2 years.
setting617 general practices in The Netherlands.
methodOutcomes measures were the compliance rates for 15 indicators. Structure-of-care indicators included the use of reminders, specific computer files, written protocols, and special clinics. Process-of-care indicators included the assessment of modifiable risk factors and use of a minimal contact intervention (MCI) for smoking cessation. Compliance of general practitioners (GPs) was assessed using self-administered questionnaires.
resultsThe intervention group improved on all eight of the structure-of-care indicators when compared to the control group. A positive effect was also found on the extent to which the GPs measured blood pressure in 60-year-old patients and on the use of an MCI for smoking cessation. No effect was found on the completeness of the risk-factor profiles that the GPs assessed in specific groups of high-risk patients.
conclusionThe nationwide intervention appeared to improve certain aspects of preventive cardiovascular care. Nevertheless, the National Association of GPs decided to stop the project. This decision was made within the context of discussions about the heavy workloads and insufficient incomes being experienced by GPs.
Indexed as
Identifiers
14960217PMC1314746What 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.