Enhanced implementation of low back pain guidelines in general practice: Study protocol of a cluster randomised controlled trial

Allan Riis, Cathrine Elgaard Jensen, Flemming Bro, Helle Terkildsen Maindal, Karin Dam Petersen, Martin Bach Jensen

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    10 Citationer (Scopus)

    Abstract

    Evidence-based clinical practice guidelines may improve treatment quality, but the uptake of guideline recommendations is often incomplete and slow. Recently new low back pain guidelines are being launched in Denmark. The guidelines are considered to reduce personal and public costs. The aim of this study is to evaluate whether a complex, multifaceted implementation strategy of the low back pain guidelines will reduce secondary care referral and improve patient outcomes compared to the usual simple implementation strategy.Methods/design: In a two-armed cluster randomised trial, 100 general practices (clusters) and 2,700 patients aged 18 to 65 years from the North Denmark region will be included. Practices are randomly allocated 1:1 to a simple or a complex implementation strategy. Intervention practices will receive a complex implementation strategy, including guideline facilitator visits, stratification tools, and quality reports on low back pain treatment. Primary outcome is referral to secondary care. Secondary outcomes are pain, physical function, health-related quality of life, patient satisfaction with care and treatment outcome, employment status, and sick leave. Primary and secondary outcomes pertain to the patient level. Assessments of outcomes are blinded and follow the intention-to-treat principle. Additionally, a process assessment will evaluate the degree to which the intervention elements will be delivered as planned, as well as measure changes in beliefs and behaviours among general practitioners and patients.
    OriginalsprogEngelsk
    TidsskriftImplementation Science
    Vol/bind8
    Udgave nummer124
    Sider (fra-til)1-10
    Antal sider10
    ISSN1748-5908
    DOI
    StatusUdgivet - 20 okt. 2013

    Fingeraftryk

    Dyk ned i forskningsemnerne om 'Enhanced implementation of low back pain guidelines in general practice: Study protocol of a cluster randomised controlled trial'. Sammen danner de et unikt fingeraftryk.

    Citationsformater