Better Prescribing Project: a randomized controlled trial of the impact of case-based educational modules and personal prescribing feedback on prescribing for hypertension in primary care

Family Practice
Carol P HerbertJohn Premi

Abstract

The purpose of this study was to assess the impacts of individualized prescribing feedback and interactive small group education aimed at encouraging evidence-based prescribing in family/general practice. A two-by-two factorial randomized controlled trial was carried out involving 200 family physicians in British Columbia, Canada. The physicians met monthly in 28 peer learning groups within the Practice-Based Small Group (PBSG) learning programme. Personalized prescribing feedback related to hypertension was provided through 'prescribing portraits' which graphically displayed comparative rates of individual and peer group prescribing, together with a concise guide for evidence-based prescribing. A case-based educational module, containing the same evidence-based message, was discussed in small groups. Groups were matched and randomized into four arms of seven groups each: control (n = 56), prescribing portrait only (n = 48), educational module only (n = 47), both portrait and module (n = 49). The main outcome measure was changes in 'prescribing preferences' to new patients among those medications used to treat hypertension (i.e. probability that a patient would receive the evidence-based medication as first-line therapy). Using...Continue Reading

Citations

Oct 3, 2013·Human Resources for Health·Julia BluestoneJames BonTempo
Jun 4, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Lynda Cranston
May 11, 2012·International Journal of General Medicine·Melinda M SomasekharArnold Meyer
Aug 29, 2007·Equine Veterinary Journal·G R Norman, K W Eva
Apr 14, 2006·Basic & Clinical Pharmacology & Toxicology·Morten Andersen
Apr 14, 2006·Basic & Clinical Pharmacology & Toxicology·Malcolm MaclureSebastian Schneeweiss
May 12, 2006·The Journal of Clinical Hypertension·Stephen D SissonMark T Hughes
Dec 1, 2010·Journal of Evaluation in Clinical Practice·Silvia Martínez-ValverdeHortensia Reyes-Morales
Sep 15, 2012·The Mount Sinai Journal of Medicine, New York·Daniella A ZipkinJeffrey T Kushinka
Jan 15, 2010·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·D R Bearn, S M Chadwick
Mar 17, 2009·The Journal of Continuing Education in the Health Professions·Donald E MooreHarry A Gallis
Sep 26, 2012·The Journal of Continuing Education in the Health Professions·Colin R DormuthMalcolm Maclure
Sep 18, 2015·The Journal of Continuing Education in the Health Professions·Heather ArmsonJacqueline Wakefield
Aug 31, 2012·Upsala Journal of Medical Sciences·Keld VægterKurt Svärdsudd
Jun 10, 2017·Medical Teacher·Jocelyn LockyerUNKNOWN ICBME Collaborators
Mar 6, 2009·The Annals of Pharmacotherapy·Remo OstiniSusan E Tett
Jun 15, 2012·The Cochrane Database of Systematic Reviews·Noah IversAndrew D Oxman
Jan 16, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Tracy M ReittingerSanjay Saint
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Liam G GlynnTom Fahey
Feb 25, 2020·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Stephanie DowlingW Cullen
Apr 17, 2009·The Cochrane Database of Systematic Reviews·Louise ForsetlundAndrew D Oxman
Jun 9, 2018·Implementation Science : IS·Heather ArmsonSharon E Straus
Dec 21, 2020·Research in Social & Administrative Pharmacy : RSAP·M LloydN Furlong
Sep 16, 2021·The Cochrane Database of Systematic Reviews·Louise ForsetlundChristopher J Rose

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