Cluster randomized trial of an active, multifaceted information dissemination intervention based on The WHO Reproductive health library to change obstetric practices: Methods and design issues [ISRCTN14055385]

被引：14

作者：

Gülmezoglu A.M. ^{[1
]}

Villar J. ^{[1
]}

Grimshaw J. ^{[2
]}

Piaggio G. ^{[1
]}

Lumbiganon P. ^{[3
]}

Langer A. ^{[4
]}

机构：

[1] UNDP/UNFPA/WHO/World Bank Spec. P., Dept. of Repro. Health and Research, World Health Organization, Geneva

[2] Ottawa Health Research Institute, Clinical Epidemiology Program, Ottawa, Ont.

[3] Khon Kaen University, Department of Obstetrics, Faculty of Medicine, Khon Kaen

[4] Population Council, Reg. Off. for Latin Amer./Caribbean, Mexico D.F.

来源：

BMC Medical Research Methodology | / 4卷 / 1期

关键词：

Health Care Worker; Obstetric Practice; Medical Education Programme; Intracluster Correlation Coefficient; Continue Medical Education Programme;

D O I：

10.1186/1471-2288-4-2

中图分类号：

学科分类号：

摘要：

Background: Effective strategies for implementing best practices in low and middle income countries are needed. RHL is an annually updated electronic publication containing Cochrane systematic reviews, commentaries and practical recommendations on how to implement evidence-based practices. We are conducting a trial to evaluate the improvement in obstetric practices using an active dissemination strategy to promote uptake of recommendations in The WHO Reproductive Health Library (RHL). Methods: A cluster randomized trial to improve obstetric practices in 40 hospitals in Mexico and Thailand is conducted. The trial uses a stratified random allocation based on country, size and type of hospitals. The core intervention consists of three interactive workshops delivered over a period of six months. The main outcome measures are changes in clinical practices that are recommended in RHL measured approximately a year after the first workshop. Results: The design and implementation of a complex intervention using a cluster randomized trial design are presented.

引用

页码：1 / 9

页数：8

共 17 条

[1]

Haynes R.B., Sackett D.L., Tugwell P., Problems in handling of clinical research evidence by medical practitioners, Arch Intern Med, 143, pp. 1971-1975, (1983)

[2]

Guyatt G.H., Rennie D., Users' guides to the medical literature, JAMA, 270, pp. 2096-2097, (1993)

[3]

Gulmezoglu A.M., Villar J., Carroli G., Hofmeyr J., Langer A., Schulz K., Guidotti R., WHO is producing a reproductive health library for developing countries, BMJ, 314, (1997)

[4]

Freemantle N., Harvey E.L., Wolf F., Grimshaw J.M., Grilli R., Bero L.A., Printed educational materials: Effects on professional practice and health care outcomes, Syst Rev, (2002)

[5]

Getting evidence into practice, Effective Health Care, 5, pp. 1-16, (1999)

[6]

Hulscher M.E., Wensing M., Van Der Weijden T., Grol R., Interventions to implement prevention in primary care, Syst Rev, (2001)

[7]

Eccles M., Grimshaw J., Campbell M., Ramsay C., Research designs for studies evaluating the effectiveness of change and improvement strategies, Quality and Safety in Health Care, 12, pp. 47-52, (2003)

[8]

Donner A., Klar N., Design and Analysis of Cluster Randomization Trials in Health Research, (2000)

[9]

Campbell M.K., Grimshaw J.M., Cluster randomized trials: Time for improvement, BMJ, 317, pp. 1171-1172, (1998)

[10]

Sculpher M., Evaluating the cost-effectiveness of interventions designed to increase the utilization of evidence-based guidelines, Family Practice, 17, (2000)

← 1 2 →