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Table 8 Process for each participating practice

From: A cluster randomised stepped wedge trial to evaluate the effectiveness of a multifaceted information technology-based intervention in reducing high-risk prescribing of non-steroidal anti-inflammatory drugs and antiplatelets in primary medical care: The DQIP study protocol

TIME (weeks)

ACTIVITY

While waiting

for intervention

Bimonthly newsletter about trial progress; reminder about start date Fixed payment of 350 GBP (560 USD; 403 EUR) (Intervention component 3)

Intervention

minus 12

Contact to organise dates for practice training visit; identify who is going to have access to the informatics

Intervention

start

Access to informatics turned on (Intervention component 1); Email notification Educational outreach visit (Intervention component 2)§

Ask practice to nominate a lead GP as the main practice contact

Intervention

plus 4

For practices with minimal use of the tool: Email to lead GP asking for reason and offer further support (IT, clinical, administrative) or practice visits

Intervention

plus 8

E-mail newsletter, report on their use of the tool and on changes in their prescribing (positive encouragement irrespective of data, but framed by it). §

For practices with minimal use of the tool: Email to lead GP asking for reason and offer further support (IT, clinical, administrative) or practice visits

Intervention

plus 12

Offer second practice visit

Intervention

plus 16

E-mail newsletter, report on their use of the tool and on changes in their prescribing (positive encouragement irrespective of data, but framed by it). §

For practices with minimal use of the tool: Email to lead GP asking for reason and offer further support (IT, clinical, administrative) or practice visits

Intervention

plus 24

E-mail newsletter, report on their use of the tool and on changes in their prescribing (positive encouragement irrespective of data, but framed by it). §

For practices with minimal use of the tool: Email to lead GP asking for reason and offer further support (IT, clinical, administrative) or practice visits

Intervention

plus 32

E-mail newsletter, report on their use of the tool and on changes in their prescribing (positive encouragement irrespective of data, but framed by it). §

For practices with minimal use of the tool: Email to lead GP asking for reason and offer further support (IT, clinical, administrative) or practice visits

Intervention

plus 40

E-mail newsletter, report on their use of the tool and on changes in their prescribing (positive encouragement irrespective of data, but framed by it). §

For practices with minimal use of the tool: Email to lead GP asking for reason and offer further support (IT, clinical, administrative) or practice visits

Intervention

plus 44

E-mail report, two months to go, encourage final review

Intervention

plus 48

E-mail report, one month to go, encourage final review

Intervention

plus 52

Thank you, final report on what they did, Payment of 15 GBP (24 USD; 17 EUR) (Intervention component 3)

Intervention

plus 4 to 48

Practices are notified of any significant new evidence or guidance relating to targeted high-risk prescribing

  1. § Encouragement to contact the DQIP team if questions arise or problems occur. The DQIP team will meet any request for further support (IT, clinical, administrative) or practice visits