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Manual paper reminders: effects on professional practice and health care outcomes

  • Protocol
  • Intervention

Authors


Abstract

This is the protocol for a review and there is no abstract. The objectives are as follows:

Research questions posed:

Primary: Can manual paper reminders change professional practice and improve health care outcomes?
Secondary: What factors can modify the effectiveness of manual paper reminders?

Comparisons and exploration of effect modifiers planned are:

Comparisons:

  1. Manual reminders are effective compared with no intervention.

  2. Manual reminders are effective compared with other interventions.

  3. Manual paper reminders combined with other interventions are effective compared with no intervention.

  4. Manual paper reminders combined with other interventions are effective compared with manual reminders alone.

  5. Manual paper reminders combined with other interventions are effective compared with other intervention.

3 and 4 are not possible if we follow the criteria for selection of the studies (see below, other methodological criteria)
I don't know why do we have to make comparison #4, Should we delete comparison #4 and include #5?

Effect modifiers:

Type of reminder:
1.Reminders that include some individual patient-specific information are more effective than generic reminders.
2.Reminders that indicate a response should be recorded or given are more effective than reminders that do not.

Development of reminder:
3.Reminders developed with the involvement of target clinicians are more effective than reminders developed without their participation.

Delivery of reminder:
4.Reminders delivered by or with the knowledge of the target clinician's colleagues or the patient are more effective than reminders delivered by other means.

Content of reminder:
5.Reminders that offer explicit advice on patient management are more effective than reminders that offer general information only, eg. about disease prevalence.
6.Reminders that include an explanation of their content or advice are more effective than reminders that do not include this.
7.Reminders that are explicitly from or justified by reference to an influential source are more effective than reminders from another source. An influential source is a person or body likely to be perceived as credible by the target clinician.

Behaviour targeted by intervention:
8.Reminders vary in effectiveness according to the type of clinical activity targeted.

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