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Title: IMPLEmenting a clinical practice guideline for acute Low-back pain Evidence based manageMENT in general practice (IMPLEMENT): design of a cluster randomised controlled trial
Authors: McKenzie, Joanne E.
French, Simon D.
O'Connor, Denise A.
Grimshaw, Jeremy M.
Mortimer, Duncan
Michie, Susan
Francis, Jillian Joy
Spike, Neil
Schattner, Peter
Kent, Peter M.
Buchbinder, Rachelle
Green, Sally E.
Keywords: Family Practice
Low Back Pain
Practice Guidelines
Randomized Controlled Trial
Issue Date: 22-Feb-2008
Publisher: BioMed Central
Citation: McKenzie, J.E., French, S.D., O'Connor, D.A., Grimshaw, J.M., Mortimer, D., Michie, S., Francis, J., Spike, N., Schattner, P., Kent, P.M., Buchbinder, R., and Green, S.E. (2008) IMPLEmenting a clinical practice guideline for acute low back pain. Implementation Science, 3(11).
Abstract: Background: Evidence generated from reliable research is not frequently implemented into clinical practice. Evidence-based clinical practice guidelines are a potential vehicle to achieve this. A recent systematic review of implementation strategies of guideline dissemination concluded that there was a lack of evidence regarding effective strategies to promote the uptake of guidelines. Recommendations from this review, and other studies, have suggested the use of interventions that are theoretically based because these may be more effective than those that are not. An evidencebased clinical practice guideline for the management of acute low back pain was recently developed in Australia. This provides an opportunity to develop and test a theory-based implementation intervention for a condition which is common, has a high burden, and for which there is an evidence-practice gap in the primary care setting. Aim: This study aims to test the effectiveness of a theory-based intervention for implementing a clinical practice guideline for acute low back pain in general practice in Victoria, Australia. Specifically, our primary objectives are to establish if the intervention is effective in reducing the percentage of patients who are referred for a plain x-ray, and improving mean level of disability for patients three months post-consultation. Methods/Design: This study protocol describes the details of a cluster randomised controlled trial. Ninety-two general practices (clusters), which include at least one consenting general
ISSN: 1748-5908
Appears in Collections:Applied Health Sciences research
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