Preventive evidence into practice (PEP) study: Implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial

Mark F. Harris, Jane Lloyd, John Litt, Mieke van Driel, Danielle Mazza, Grant Russell, Jane Smith, Chris Del Mar, Elizabeth Denney-Wilson, Sharon Parker, Yordanka Krastev, Upali W. Jayasinghe, Richard Taylor, Nick Zwar, Jinty Wilson, Helen Bolger-Harris, Justine Waters

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Abstract

Background: There are significant gaps in the implementation and uptake of evidence-based guideline recommendations for cardiovascular disease (CVD) and diabetes in Australian general practice. This study protocol describes the methodology for a cluster randomised trial to evaluate the effectiveness of a model that aims to improve the implementation of these guidelines in Australian general practice developed by a collaboration between researchers, non-government organisations, and the profession.Methods: We hypothesise that the intervention will alter the behaviour of clinicians and patients resulting in improvements of recording of lifestyle and physiological risk factors (by 20%) and increased adherence to guideline recommendations for: the management of CVD and diabetes risk factors (by 20%); and lifestyle and physiological risk factors of patients at risk (by 5%). Thirty-two general practices will be randomised in a 1:1 allocation to receive either the intervention or continue with usual care, after stratification by state. The intervention will be delivered through: small group education; audit of patient records to determine preventive care; and practice facilitation visits adapted to the needs of the practices. Outcome data will be extracted from electronic medical records and patient questionnaires, and qualitative evaluation from provider and patient interviews.Discussion: We plan to disseminate study findings widely and directly inform implementation strategies by governments, professional bodies, and non-government organisations including the partner organisations.

Original languageEnglish
Article number8
JournalImplementation Science
Volume8
Issue number1
DOIs
Publication statusPublished - 18 Jan 2013

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Vascular Diseases
General Practice
Randomized Controlled Trials
Guidelines
Organizations
Life Style
Cardiovascular Diseases
Guideline Adherence
Preventive Medicine
Electronic Health Records
Research Personnel
Interviews
Education

Cite this

Harris, Mark F. ; Lloyd, Jane ; Litt, John ; van Driel, Mieke ; Mazza, Danielle ; Russell, Grant ; Smith, Jane ; Del Mar, Chris ; Denney-Wilson, Elizabeth ; Parker, Sharon ; Krastev, Yordanka ; Jayasinghe, Upali W. ; Taylor, Richard ; Zwar, Nick ; Wilson, Jinty ; Bolger-Harris, Helen ; Waters, Justine. / Preventive evidence into practice (PEP) study : Implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial. In: Implementation Science. 2013 ; Vol. 8, No. 1.
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abstract = "Background: There are significant gaps in the implementation and uptake of evidence-based guideline recommendations for cardiovascular disease (CVD) and diabetes in Australian general practice. This study protocol describes the methodology for a cluster randomised trial to evaluate the effectiveness of a model that aims to improve the implementation of these guidelines in Australian general practice developed by a collaboration between researchers, non-government organisations, and the profession.Methods: We hypothesise that the intervention will alter the behaviour of clinicians and patients resulting in improvements of recording of lifestyle and physiological risk factors (by 20{\%}) and increased adherence to guideline recommendations for: the management of CVD and diabetes risk factors (by 20{\%}); and lifestyle and physiological risk factors of patients at risk (by 5{\%}). Thirty-two general practices will be randomised in a 1:1 allocation to receive either the intervention or continue with usual care, after stratification by state. The intervention will be delivered through: small group education; audit of patient records to determine preventive care; and practice facilitation visits adapted to the needs of the practices. Outcome data will be extracted from electronic medical records and patient questionnaires, and qualitative evaluation from provider and patient interviews.Discussion: We plan to disseminate study findings widely and directly inform implementation strategies by governments, professional bodies, and non-government organisations including the partner organisations.",
author = "Harris, {Mark F.} and Jane Lloyd and John Litt and {van Driel}, Mieke and Danielle Mazza and Grant Russell and Jane Smith and {Del Mar}, Chris and Elizabeth Denney-Wilson and Sharon Parker and Yordanka Krastev and Jayasinghe, {Upali W.} and Richard Taylor and Nick Zwar and Jinty Wilson and Helen Bolger-Harris and Justine Waters",
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Harris, MF, Lloyd, J, Litt, J, van Driel, M, Mazza, D, Russell, G, Smith, J, Del Mar, C, Denney-Wilson, E, Parker, S, Krastev, Y, Jayasinghe, UW, Taylor, R, Zwar, N, Wilson, J, Bolger-Harris, H & Waters, J 2013, 'Preventive evidence into practice (PEP) study: Implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial' Implementation Science, vol. 8, no. 1, 8. https://doi.org/10.1186/1748-5908-8-8

Preventive evidence into practice (PEP) study : Implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial. / Harris, Mark F.; Lloyd, Jane; Litt, John; van Driel, Mieke; Mazza, Danielle; Russell, Grant; Smith, Jane; Del Mar, Chris; Denney-Wilson, Elizabeth; Parker, Sharon; Krastev, Yordanka; Jayasinghe, Upali W.; Taylor, Richard; Zwar, Nick; Wilson, Jinty; Bolger-Harris, Helen; Waters, Justine.

In: Implementation Science, Vol. 8, No. 1, 8, 18.01.2013.

Research output: Contribution to journalArticleResearchpeer-review

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T2 - Implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial

AU - Harris, Mark F.

AU - Lloyd, Jane

AU - Litt, John

AU - van Driel, Mieke

AU - Mazza, Danielle

AU - Russell, Grant

AU - Smith, Jane

AU - Del Mar, Chris

AU - Denney-Wilson, Elizabeth

AU - Parker, Sharon

AU - Krastev, Yordanka

AU - Jayasinghe, Upali W.

AU - Taylor, Richard

AU - Zwar, Nick

AU - Wilson, Jinty

AU - Bolger-Harris, Helen

AU - Waters, Justine

PY - 2013/1/18

Y1 - 2013/1/18

N2 - Background: There are significant gaps in the implementation and uptake of evidence-based guideline recommendations for cardiovascular disease (CVD) and diabetes in Australian general practice. This study protocol describes the methodology for a cluster randomised trial to evaluate the effectiveness of a model that aims to improve the implementation of these guidelines in Australian general practice developed by a collaboration between researchers, non-government organisations, and the profession.Methods: We hypothesise that the intervention will alter the behaviour of clinicians and patients resulting in improvements of recording of lifestyle and physiological risk factors (by 20%) and increased adherence to guideline recommendations for: the management of CVD and diabetes risk factors (by 20%); and lifestyle and physiological risk factors of patients at risk (by 5%). Thirty-two general practices will be randomised in a 1:1 allocation to receive either the intervention or continue with usual care, after stratification by state. The intervention will be delivered through: small group education; audit of patient records to determine preventive care; and practice facilitation visits adapted to the needs of the practices. Outcome data will be extracted from electronic medical records and patient questionnaires, and qualitative evaluation from provider and patient interviews.Discussion: We plan to disseminate study findings widely and directly inform implementation strategies by governments, professional bodies, and non-government organisations including the partner organisations.

AB - Background: There are significant gaps in the implementation and uptake of evidence-based guideline recommendations for cardiovascular disease (CVD) and diabetes in Australian general practice. This study protocol describes the methodology for a cluster randomised trial to evaluate the effectiveness of a model that aims to improve the implementation of these guidelines in Australian general practice developed by a collaboration between researchers, non-government organisations, and the profession.Methods: We hypothesise that the intervention will alter the behaviour of clinicians and patients resulting in improvements of recording of lifestyle and physiological risk factors (by 20%) and increased adherence to guideline recommendations for: the management of CVD and diabetes risk factors (by 20%); and lifestyle and physiological risk factors of patients at risk (by 5%). Thirty-two general practices will be randomised in a 1:1 allocation to receive either the intervention or continue with usual care, after stratification by state. The intervention will be delivered through: small group education; audit of patient records to determine preventive care; and practice facilitation visits adapted to the needs of the practices. Outcome data will be extracted from electronic medical records and patient questionnaires, and qualitative evaluation from provider and patient interviews.Discussion: We plan to disseminate study findings widely and directly inform implementation strategies by governments, professional bodies, and non-government organisations including the partner organisations.

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U2 - 10.1186/1748-5908-8-8

DO - 10.1186/1748-5908-8-8

M3 - Article

VL - 8

JO - Implementation Science

JF - Implementation Science

SN - 1748-5908

IS - 1

M1 - 8

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