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22 papers found.
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Effects of School-Based Educational Interventions for Enhancing Adolescents Abilities in Critical Appraisal of Health Claims: A Systematic Review

Background and Objective Adolescents are frequent media users who access health claims from various sources. The plethora of conflicting, pseudo-scientific, and often misleading health claims in popular media makes critical appraisal of health claims an essential ability. Schools play an important role in educating youth to critically appraise health claims. The objective of this...

A tailored intervention to implement guideline recommendations for elderly patients with depression in primary care: a pragmatic cluster randomised trial

Background Elderly patients with depression are underdiagnosed, undertreated and run a high risk of a chronic course. General practitioners adhere to clinical practice guidelines to a limited degree. In the international research project Tailored Implementation for Chronic Diseases, we tested the effectiveness of tailored interventions to improve care for patients with chronic...

Tailoring implementation strategies for evidence-based recommendations using computerised clinical decision support systems: protocol for the development of the GUIDES tools

Background A computerised clinical decision support system (CCDSS) is a technology that uses patient-specific data to provide relevant medical knowledge at the point of care. It is considered to be an important quality improvement intervention, and the implementation of CCDSS is growing substantially. However, the significant investments do not consistently result in value for...

Developing and refining the methods for a ‘one-stop shop’ for research evidence about health systems

Amanda C Hammill 0 1 Jennifer A Boyko Jeremy M Grimshaw Signe Flottorp 0 Centre for Health Economics and Policy Analysis, McMaster University , 1280 Main St. West, CRL-209, Hamilton, ON L8S 4K1 , Canada 1

Implementation science: a reappraisal of our journal mission and scope

The implementation of research findings into healthcare practice has become increasingly recognised as a major priority for researchers, service providers, research funders and policymakers over the past decade. Nine years after its establishment, Implementation Science, an international online open access journal, currently publishes over 150 articles each year. This is fewer...

Stakeholders’ contributions to tailored implementation programs: an observational study of group interview methods

Baker Signe Flottorp Maciek Godycki-Cwirko Cornelia Jger Anna Kowalczyk Joachim Szecsenyi Michel Wensing 0 What is new? Key findings 0 Radboud University Medical Center, Radboud Institute for Health

Growing Literature, Stagnant Science? Systematic Review, Meta-Regression and Cumulative Analysis of Audit and Feedback Interventions in Health Care

Noah M. Ivers ) Jeremy M. Grimshaw Gro Jamtvedt PT Signe Flottorp Mary Ann O'Brien Simon D. French Jane Young Jan Odgaard-Jensen - BACKGROUND: This paper extends the findings of the Cochrane

Tailored Implementation of Evidence-Based Practice for Patients with Chronic Diseases

Background When designing interventions and policies to implement evidence based healthcare, tailoring strategies to the targeted individuals and organizations has been recommended. We aimed to gather insights into the ideas of a variety of people for implementing evidence-based practice for patients with chronic diseases, which were generated in five European countries. Methods...

Tailored Implementation for Chronic Diseases (TICD): a protocol for process evaluation in cluster randomized controlled trials in five European countries

Background In the ‘Tailored Implementation for Chronic Diseases (TICD)’ project, five tailored implementation programs to improve healthcare delivery in different chronic conditions have been developed. These programs will be evaluated in distinct cluster-randomized controlled trials. This protocol describes the process evaluation across these trials, which aims to identify...

Identifying determinants of care for tailoring implementation in chronic diseases: an evaluation of different methods

Background The tailoring of implementation interventions includes the identification of the determinants of, or barriers to, healthcare practice. Different methods for identifying determinants have been used in implementation projects, but which methods are most appropriate to use is unknown. Methods The study was undertaken in five European countries, recommendations for a...

Tailored implementation for chronic diseases (TICD): A project protocol

Background The assumption underlying tailoring is that implementation interventions are most helpful if these effectively address the most important determinants of practice for improvement in the targeted setting. The aim of the Tailored Implementation For Chronic Diseases (TICD) project is to develop valid and efficient methods of tailoring implementation interventions to...

Measuring physiotherapy performance in patients with osteoarthritis of the knee: A prospective study

Background Patients with knee osteoarthritis [OA] are commonly treated by physiotherapists in primary care. Measuring physiotherapy performance is important before developing strategies to improve quality. The purpose of this study was to measure physiotherapy performance in patients with knee OA by comparing clinical practice to evidence from systematic reviews. Methods We...

Chocolate bar as an incentive did not increase response rate among physiotherapists: a randomised controlled trial

0 Signe Flottorp 0 0 Address: Norwegian Knowledge Centre for the Health Services , PO Box 7004, St. Olavs plass, 0103 Oslo , Norway Background: The aim of this study was to assess the effect of a

Comparative effectiveness of antihypertensive medication for primary prevention of cardiovascular disease: systematic review and multiple treatments meta-analysis

Background We conducted a systematic review of evidence from randomized controlled trials to answer the following research question: What are the relative effects of different classes of antihypertensive drugs in reducing the incidence of cardiovascular disease outcomes for healthy people at risk of cardiovascular disease? Methods We searched MEDLINE, EMBASE, AMED (up to February...

Improving prescribing of antihypertensive and cholesterol-lowering drugs: a method for identifying and addressing barriers to change

Atle Fretheim 0 Andrew D Oxman 0 Signe Flottorp 0 0 Address: Informed Choice Research Department, Norwegian Health Services Research Centre , P.O. Box 7004, St. Olavs plass, Oslo , Norway

Identifying barriers and tailoring interventions to improve the management of urinary tract infections and sore throat: a pragmatic study using qualitative methods

Background Theories 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...

Developing and evaluating communication strategies to support informed decisions and practice based on evidence (DECIDE): protocol and preliminary results

consortium University of Dundee, UK: Claire Hartley, Kirsty Loudon, William Slater, Neil Stewart, Shaun Treweek; Norwegian Knowledge Centre for the Health Services , Norway: Linn Brandt, Signe Flottorp, Claire

The Effect of How Outcomes Are Framed on Decisions about Whether to Take Antihypertensive Medication: A Randomized Trial

Background We conducted an Internet-based randomized trial comparing three valence framing presentations of the benefits of antihypertensive medication in preventing cardiovascular disease (CVD) for people with newly diagnosed hypertension to determine which framing presentation resulted in choices most consistent with participants' values. Methods and Findings In this second in...

A Televised, Web-Based Randomised Trial of an Herbal Remedy (Valerian) for Insomnia

BackgroundThis trial was conducted as part of a project that aims to enhance public understanding and use of research in decisions about healthcare by enabling viewers to participate in research and to follow the process, through television reports and on the web. Valerian is an herbal over-the-counter drug that is widely used for insomnia. Systematic reviews have found...

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

In a randomized trial, Cheryl Carling and colleagues evaluate how people respond to different statistical presentations regarding the consequences of taking antibiotic treatment for sore throat.