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A multifaceted intervention for the Dutch depression guideline for insurance physicians was found to be effective in a controlled setting [ 42].
This study assessed the total economic costs associated with a multifaceted intervention for mild Alzheimer's disease, including an estimate of the ratio of public to private costs.
This study is of interest because it is the first empirically and theoretically based tailored multifaceted intervention for diffusing the whole process of evidence-based practice in a randomised-controlled design.
Scales DC, Dainty K, Hales B, Pinto R, Fowler RA, Adhikari NK, Zwarenstein M: A multifaceted intervention for quality improvement in a network of intensive care units: a cluster randomized trial.
We found that FPs' exposure to DECISION +, a multifaceted intervention for implementing SDM in medical practices that included training, reminders and feedback, was associated with a decrease in decisions for "immediate antibiotics" compared to decisions for "delayed/no antibiotics" (49% vs. 33% absolute difference = 16%; p = 0.08 and relative risk = 0.69; 95% CI: 0.47-1.03).
Similar(55)
The intervention with the components that we selected is directly transferrable and applicable in future multifaceted interventions for chronic conditions in general practice.
Greater shifts in quality have been achieved with more active and multifaceted interventions, for example weekly practice-level referral review meetings and six-weekly cluster meetings including consultant feedback.
Our analysis indicated that group interventions consisting of two sessions may be more cost-effective than six sessions and suggested that, for a given HIV prevention budget, offering brief interventions for a large number of at-risk women may be more cost-effective in some cases than longer, more intensive and multifaceted interventions for a smaller number of at-risk women.
The multifaceted intervention developed for this project is novel, bringing together evidence-based elements for which local support also existed.
These findings support the use of multifaceted intervention strategies for prevention.
Regression analyses were used to quantify the relationship between the HAI and the multifaceted intervention allowing for statistical control of potential confounders.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com