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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