The Health Improvement and Prevention Study (HIPS) [ 23] was an Australian implementation trial that aimed to evaluate the impact of a general practice based intervention for individuals at risk of vascular disease on changes in behavioural and physiological risk factors.
Training school staff in mental health programmes provides an alternative model, although school staff tend to be less effective than trained graduates or health professionals, with a recent implementation trial of a teacher led programme failing to find positive effects.
To determine whether the results obtained in clinical trials could be replicated in "real world" primary health care settings with limited resources and existing personnel, the GOAL intervention study [ 11], a lifestyle implementation trial using a structured group programme, was designed in Finland.
26 The study will be developed and evaluated as a pragmatic implementation trial conducted as part of an initiative by a population health service delivery unit (Hunter New England Population Health).
A group randomized implementation trial in 32 primary care practices found a 4.9% (adjusted) increase in CRC screening (colonoscopy, FS, and FOBT) and 7.9% increase in CRC screening recommendation due to an AD with audit and feedback intervention.
This study was developed and evaluated as a "real world" implementation trial (5).
The Greater Green Triangle Diabetes Prevention Project (GGT DPP) was a 'real world' implementation trial based on the Finnish Diabetes Prevention Study (DPS) [ 2] and the Good Ageing in Lahti Region (GOAL) Lifestyle Implementation Trial [ 3].
For 1982 women (16 29 years-old) participating in two consecutive rounds of a chlamydia screening implementation trial, swabs were polymerase chain reaction tested to detect chlamydia and 14 carcinogenic HPV genotypes.
