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Therefore, we developed and pilot tested a multifaceted implementation intervention to improve consideration and receipt of effective pharmacologic treatments for AUD, focusing on primary care settings where patients have the most frequent contact with healthcare systems.
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In this study, a multifaceted implementation strategy (intervention group) targeted at both the patients and the professionals will be compared to passive dissemination of the guideline (control group).
A multifaceted guideline implementation intervention does not necessarily lead to significant changes in prescribing performance.
However, a third systematic review [ 37] found that multifaceted guideline implementation interventions were no more effective than single intervention strategies across several allied health professions.
In addition to the control group interventions, the multifaceted implementation for the experimental group also includes: – Identical presentation sessions to those for the control group but given by physicians who took part in the guideline development process.
For the three remaining interventions in this category; an ACP-intervention involving social workers, one multifaceted implementation of a national guideline for the treatment of pneumonia and a care protocol for residents with COPD, a statistical significant difference in hospitalisation between the intervention and control group was not found.
The intervention consisted of a multifaceted implementation of the Pain, Agitation and Delirium guidelines.
The trial has two primary goals: 1) to examine the effectiveness of the intervention on both physical (diabetes) and emotional health (depression) outcomes and 2) to simultaneously pilot test a multifaceted implementation strategy designed to increase fidelity and utilization of the intervention by coaches interfacing within the primary care setting.
Our previous work has developed a multifaceted implementation model.
Conclusions: This multifaceted implementation program was effective in improving adherences to multiple key PAD guideline recommendations.
Single interventions, such as electronic prescription or involvement of a pharmacist in the direct care of ICU patients, have been reported to affect positively the AE occurrence; a prospectively evaluated, multifaceted implementation program has so far been evaluated only for two selected medications [19].
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