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Table 2 Comparison of studies

From: Effectiveness of implementation strategies for clinical guidelines to community pharmacy: a systematic review

  

Curtain, C. 2011

De Almeida Neto, A.C. 2000

De Almeida Neto, A.C. 2001 Study 1

De Almeida Neto, A.C. 2001 Study 3

De Almeida Neto, A.C. 2001 Study 5

De Almeida Neto, A.C. 2001 Study 5A

Egen, V. 2003

Guirguis, L.M. 2007

Koster, E.S. 2014

Kradjan, W.A. 1999

Legrand, S.A. 2012

Martin, B.A. 2010

Naunton, M. 2004

Patwardhan, P.D. 2012

Puumalainen, I 2005

Raisch, D.W. 1998

Reeve, J.F. 2008

Sigrist, T. 2002

Thornley, T. 2006

Van de Steeg-van Gompel, C.H. 2011

Watson, M.C. 2002

Watson, M.C. 2007

Study design

Randomised controlled trial (RCT)

✓

✓

✓

      

✓

   

✓

 

✓

✓

  

✓

✓

✓

Non-randomised controlled trial

   

✓

       

✓

     

✓

    

Controlled before and after studies

          

✓

           

Other

    

✓

✓

✓

✓

✓

  

✓

  

✓

   

✓

   

Participants self-selected

✓

✓

✓

✓

✓

✓

 

✓

✓

✓

✓

✓

 

✓

✓

 

✓

✓

 

✓

✓

✓

Participants included in the intervention

Pharmacists

✓

✓

✓

 

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

✓

 

Pharmacy support staff (technicians and assistants)

  

✓

✓

✓

✓

  

✓

    

✓

   

✓

✓

✓

✓

✓

Other health professionals

      

✓

      

✓

        

Patients/Public

      

✓

       

✓

       

Intervention type (EPOC taxonomy)

Educational materials

✓

     

✓

 

✓

✓

✓

✓

✓

✓

✓

✓

  

✓

✓

✓

 

Educational meetings

 

✓

✓

✓

✓

✓

   

✓

 

✓

 

✓

✓

  

✓

 

✓

 

✓

Educational outreach visits

      

✓

     

✓

       

✓

 

Mass media Campaign

      

✓

               

Audit and feedback

 

✓

✓

✓

✓

✓

           

✓

    

Reminders

✓

        

✓

✓

     

✓

     

Practice support

 

✓

✓

    

✓

     

✓

  

✓

  

✓

✓

 

Fee for service

         

✓

            

Basis for intervention

Improve clinical knowledge

   

✓

✓

✓

✓

 

✓

✓

✓

✓

✓

  

✓

  

✓

✓

✓

 

Improve communication skills

 

✓

✓

✓

   

✓

     

✓

✓

  

✓

✓

✓

 

✓

Based on addressing organisational culture

       

✓

     

✓

        

Based on a specified theory of behaviour change

 

✓

✓

        

✓

 

✓

   

✓

   

✓

Based on addressing identified barriers (tailored)

                   

✓

 

✓

Outcome measures

Practitioner outcomes—subjective measures

 

✓

     

✓

✓

✓

✓

✓

✓

✓

✓

 

✓

  

✓

✓

✓

Practitioner outcomes—objective measures

✓

✓

✓

✓

✓

✓

✓

 

✓

  

✓

✓

✓

 

✓

✓

✓

✓

✓

✓

✓

Secondary measures (practitioner or patient)

 

✓

     

✓

 

✓

✓

✓

✓

 

✓

 

✓

  

✓

  

Patient health outcomes

✓

    

✓

  

✓

             

Economic outcomes

✓

              

✓

    

✓

 

Effectiveness

Overall effective in achieving main outcomes

✓

✓

✓

✓

✓

✓

 

✓

✓

 

✓

✓

✓

✓

 

✓

✓

 

✓

   
  1. Key:
  2. Educational materials: distribution of educational materials to support guideline-based practice (paper-based, electronic, patient focused, practice tools), disseminated by mail, email or in person. Educational meetings: conferences, lectures or workshops
  3. Educational outreach visits: use of a trained person to meet with health professionals to give information with the intent of changing the professional’s practice, includes academic detailing
  4. Mass media: varied use of communication that reaches a large number of people including television, radio, newspapers etc. targeted at a population level. Audit and feedback: any summary of clinical performance, which may also include recommendations for clinical action
  5. Reminders: interventions involving computer prompts to support practice
  6. Practice support: follow-up contact (e.g. visits or phone calls) to provide motivation and support to practitioners post education