دورية أكاديمية
Evidence-based care of older people with suspected cognitive impairment in general practice: protocol for the IRIS cluster randomised trial
| العنوان: | Evidence-based care of older people with suspected cognitive impairment in general practice: protocol for the IRIS cluster randomised trial |
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| المؤلفون: | McKenzie, J. E., French, S. D., O'Commor, D. A., Mortimer, D. S., Browning, C. J., Russell, G. M., Grimshaw, J. M., Eccles, M. P., Francis, J., Michie, S., Murphy, K., Kossenas, F., Green, S. E. |
| بيانات النشر: | Springer Science and Business Media LLC |
| سنة النشر: | 2013 |
| المجموعة: | City University London: City Research Online |
| مصطلحات موضوعية: | RA Public aspects of medicine |
| الوصف: | Background: Dementia is a common and complex condition. Evidence-based guidelines for the management of people with dementia in general practice exist; however, detection, diagnosis and disclosure of dementia have been identified as potential evidence-practice gaps. Interventions to implement guidelines into practice have had varying success. The use of theory in designing implementation interventions has been limited, but is advocated because of its potential to yield more effective interventions and aid understanding of factors modifying the magnitude of intervention effects across trials. This protocol describes methods of a randomised trial that tests a theory-informed implementation intervention that, if effective, may provide benefits for patients with dementia and their carers. Aims: This trial aims to estimate the effectiveness of a theory-informed intervention to increase GPs’ (in Victoria, Australia) adherence to a clinical guideline for the detection, diagnosis, and management of dementia in general practice, compared with providing GPs with a printed copy of the guideline. Primary objectives include testing if the intervention is effective in increasing the percentage of patients with suspected cognitive impairment who receive care consistent with two key guideline recommendations: receipt of a i) formal cognitive assessment, and ii) depression assessment using a validated scale (primary outcomes for the trial). Methods: The design is a parallel cluster randomised trial, with clusters being general practices. We aim to recruit 60 practices per group. Practices will be randomised to the intervention and control groups using restricted randomisation. Patients meeting the inclusion criteria, and GPs’ detection and diagnosis behaviours directed toward these patients, will be identified and measured via an electronic search of the medical records nine months after the start of the intervention. Practitioners in the control group will receive a printed copy of the guideline. In addition to receipt of the ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| العلاقة: | https://openaccess.city.ac.uk/id/eprint/2631/1/Evidence%20based%20care%20of%20older%20people%20with%20suspected%20cognitive%20impairment%20in%20general%20practice.pdfTest; McKenzie, J. E., French, S. D., O'Commor, D. A. , Mortimer, D. S., Browning, C. J., Russell, G. M., Grimshaw, J. M., Eccles, M. P., Francis, J., Michie, S., Murphy, K., Kossenas, F. Green, S. E.view all authorsEPJS_limit_names_shown_load( 'creators_name_2631_et_al', 'creators_name_2631_rest' ); (2013). Evidence-based care of older people with suspected cognitive impairment in general practice: protocol for the IRIS cluster randomised trial. Implementation Science, 8(1), article number 91. doi:10.1186/1748-5908-8-91 https://doi.org/10.1186/1748-5908-8-91Test |
| DOI: | 10.1186/1748-5908-8-91 |
| الإتاحة: | https://doi.org/10.1186/1748-5908-8-91Test https://openaccess.city.ac.uk/id/eprint/2631Test/ https://openaccess.city.ac.uk/id/eprint/2631/1/Evidence%20based%20care%20of%20older%20people%20with%20suspected%20cognitive%20impairment%20in%20general%20practice.pdfTest http://www.implementationscience.comTest/ |
| حقوق: | cc_by |
| رقم الانضمام: | edsbas.29C7B25D |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/1748-5908-8-91 |
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