What does this research mean for the field?

A multifaceted intervention combining a train-the-trainer educational course and pharmacotherapy feedback significantly improves general practitioners' guideline adherence and target dosing for chronic systolic heart failure compared to standard education. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

October 1, 2008Journal of Evaluation in Clinical Practice

Improved guideline adherence to pharmacotherapy of chronic systolic heart failure in general practice – results from a cluster‐randomized controlled trial of implementation of a clinical practice guideline

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Why the study?

Does a multifaceted educational intervention (train-the-trainer course plus feedback) improve guideline adherence for chronic systolic heart failure pharmacotherapy compared to standard education in general practice?

Structured PICO

Population

37 general practitioners and 168 patients with symptomatic chronic systolic heart failure (NYHA II-IV)

Intervention

Multifaceted intervention (educational train-the-trainer course plus pharmacotherapy feedback) consisting of four interactive educational meetings and pharmacotherapy feedback, along with clinical practice guidelines

Comparator

Standard education (usual lecture) along with clinical practice guidelines

Outcome

Guideline adherence assessed by prescription rates and target dosing of angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARB), beta-blockers (BB) and aldosterone antagonists (AA) at 7-month follow-up

A multifaceted educational intervention for general practitioners significantly improves guideline-directed medical therapy prescription rates and target dosing for patients with chronic systolic heart failure.

Discussion

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Implication

Supports multifaceted GP education to improve GDMT in systolic HF; confirms RCT efficacy versus standard education.

Cite This Study

Peters‐Klimm et al. (2008) studied this question.

synapsesocial.com/papers/6a1d44005a0c5c56ea04d18e https://doi.org/10.1111/j.1365-2753.2008.01060.x

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Improved guideline adherence to pharmacotherapy of chronic systolic heart failure in general practice – results from a cluster‐randomized controlled trial of implementation of a clinical practice guideline

Structured PICO

Discussion

Implication

Cite This Study

Improved guideline adherence to pharmacotherapy of chronic systolic heart failure in general practice – results from a cluster‐randomized controlled trial of implementation of a clinical practice guideline

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider