tailieunhanh - cáo khoa học: " Barriers and facilitators to the dissemination of DECISION+, a continuing medical education program for optimizing decisions about antibiotics for acute respiratory infections in primary care: A study protocol"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Barriers and facilitators to the dissemination of DECISION+, a continuing medical education program for optimizing decisions about antibiotics for acute respiratory infections in primary care: A study protocol | Allaire et al. Implementation Science 2011 6 3 http content 6 1 3 IMPLEMENTATION SCIENCE Implementation Science STUDY PROTOCOL Open Access Barriers and facilitators to the dissemination of DECISION a continuing medical education program for optimizing decisions about antibiotics for acute respiratory infections in primary care A study protocol Anne-Sophie Allaire1 Michel Labrecque1 2 Anik Giguère1 Marie-Pierre Gagnon1 3 Jeremy Grimshaw4 France Légaré1 2 Abstract Background In North America acute respiratory infections are the main reason for doctors visits in primary care. Family physicians and their patients overuse antibiotics for treating acute respiratory infections. In a pilot clustered randomized trial we showed that DECISION a continuing medical education program in shared decision making has the potential to reduce the overuse of antibiotics for treating acute respiratory infections. DECISION learning activities consisted of three interactive sessions of three hours each reminders at the point of care and feedback to doctors on their agreement with patients about comfort with the decision whether to use antibiotics. The objective of this study is to identify the barriers and facilitators to physicians participation in DECISION with the goal of disseminating DECISION on a larger scale. Methods design This descriptive study will use mixed methods and retrospective and prospective components. All analyses will be based on an adapted version of the Ottawa Model of Research Use. First we will use qualitative methods to analyze the following retrospective data from the pilot study the logbooks of eight research assistants the transcriptions of 15 training sessions and 27 participant evaluations of the DECISION training sessions. Second we will collect prospective data in semi-structured focus groups composed of family physicians to identify barriers and facilitators to the dissemination of a future training program similar to .

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