dc.contributor.author |
Ramsden, Victoria |
|
dc.contributor.author |
Babl, Franz E |
|
dc.contributor.author |
Dalziel, Stuart R |
|
dc.contributor.author |
Middleton, Sandy |
|
dc.contributor.author |
Oakley, Ed |
|
dc.contributor.author |
Haskell, Libby |
|
dc.contributor.author |
Lithgow, Anna |
|
dc.contributor.author |
Orsini, Francesca |
|
dc.contributor.author |
Schembri, Rachel |
|
dc.contributor.author |
Wallace, Alexandra |
|
dc.contributor.author |
Wilson, Catherine L |
|
dc.contributor.author |
McInnes, Elizabeth |
|
dc.contributor.author |
Wilson, Peter H |
|
dc.contributor.author |
Tavender, Emma |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2023-01-17T20:18:49Z |
|
dc.date.available |
2023-01-17T20:18:49Z |
|
dc.date.issued |
2022-08 |
|
dc.identifier.citation |
(2022). BMC Health Services Research, 22(1), 1099-. |
|
dc.identifier.issn |
1472-6963 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/62422 |
|
dc.description.abstract |
<h4>Background</h4>Understanding how and why de-implementation of low-value practices is sustained remains unclear. The Paediatric Research in Emergency Departments International CollaboraTive (PREDICT) Bronchiolitis Knowledge Translation (KT) Study was a cluster randomised controlled trial conducted in 26 Australian and New Zealand hospitals (May-November 2017). Results showed targeted, theory-informed interventions (clinical leads, stakeholder meetings, train-the-trainer workshop, targeted educational package, audit/feedback) were effective at reducing use of five low-value practices for bronchiolitis (salbutamol, glucocorticoids, antibiotics, adrenaline and chest x-ray) by 14.1% in acute care settings. The primary aim of this study is to determine the sustainability (continued receipt of benefits) of these outcomes at intervention hospitals two-years after the removal of study supports. Secondary aims are to determine sustainability at one-year after removal of study support at intervention hospitals; improvements one-and-two years at control hospitals; and explore factors that influence sustainability at intervention hospitals and contribute to improvements at control hospitals.<h4>Methods</h4>A mixed-methods study design. The quantitative component is a retrospective medical record audit of bronchiolitis management within 24 hours of emergency department (ED) presentations at 26 Australian (n = 20) and New Zealand (n = 6) hospitals, which participated in the PREDICT Bronchiolitis KT Study. Data for a total of 1800 infants from intervention and control sites (up to 150 per site) will be collected to determine if improvements (i.e., no use of all five low-value practices) were sustained two- years (2019) post-trial (primary outcome; composite score); and a further 1800 infants from intervention and control sites will be collected to determine sustained improvements one- year (2018) post-trial (secondary outcome). An a priori definition of sustainability will be used. The qualitative component will consist of semi-structured interviews with three to five key emergency department and paediatric inpatient medical and nursing staff per site (total n = 78-130). Factors that may have contributed to sustaining outcomes and/or interventions will be explored and mapped to an established sustainability framework.<h4>Discussion</h4>This study will improve our understanding of the sustainability of evidence-based bronchiolitis management in infants. Results will also advance implementation science research by informing future de-implementation strategies to reduce low-value practices and sustain practice change in paediatric acute care.<h4>Trial registration</h4>Australian and New Zealand Clinical Trials Registry No: ACTRN12621001287820. |
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dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
Springer Nature |
|
dc.relation.ispartofseries |
BMC health services research |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Bronchiolitis |
|
dc.subject |
Retrospective Studies |
|
dc.subject |
Child |
|
dc.subject |
Infant |
|
dc.subject |
Emergency Service, Hospital |
|
dc.subject |
Hospitals |
|
dc.subject |
Australia |
|
dc.subject |
Randomized Controlled Trials as Topic |
|
dc.subject |
Evidence-Based Practice |
|
dc.subject |
Acute care |
|
dc.subject |
Emergency medicine |
|
dc.subject |
Paediatric |
|
dc.subject |
Sustainability |
|
dc.subject |
Sustainment, implementation science, evidence-based practice |
|
dc.subject |
Clinical Research |
|
dc.subject |
Health Services |
|
dc.subject |
Emergency Care |
|
dc.subject |
Clinical Trials and Supportive Activities |
|
dc.subject |
0807 Library and Information Studies |
|
dc.subject |
1110 Nursing |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.title |
Sustainability of evidence-based practices in the management of infants with bronchiolitis in hospital settings - a PREDICT study protocol. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1186/s12913-022-08450-z |
|
pubs.issue |
1 |
|
pubs.begin-page |
1099 |
|
pubs.volume |
22 |
|
dc.date.updated |
2022-12-04T19:54:29Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
36038929 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/36038929 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Clinical Trial Protocol |
|
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
918282 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Paediatrics Child & Youth Hlth |
|
dc.identifier.eissn |
1472-6963 |
|
dc.identifier.pii |
10.1186/s12913-022-08450-z |
|
pubs.number |
1099 |
|
pubs.record-created-at-source-date |
2022-12-05 |
|
pubs.online-publication-date |
2022-08-29 |
|