Publications

         All Pubs          2007          2006

Presentations &     Symposiums

    Workshop & Symposium 2007     Symposium 2005

Projects

        OPEM Process Evaluation         CanadaPRIME         TransFA         KT Theories

Databases

        Environmental Scan         KT Theories/Frameworks

CanadaPRIME: Process Modelling in
Implementation Research

The aim of this project is to establish a scientific rationale for selecting interventions to translate knowledge into clinical practice by determining the extent to which theoretical constructs of behaviour predict family physicians’ clinical behaviour and distinguish between behaviour that is and is not congruent with research evidence. In addition, we aim to identify barriers and enablers that might be targets for knowledge translation interventions. The specific objectives of the project are:

• To conduct semi-structured interviews with physician key informants to identify factors that influence clinical practice related to five tracer behaviours.
• To develop survey instruments about factors influencing clinical practice related to three tracer behaviours based on the results of the semi structured interviews and theoretical constructs.
• To conduct three postal surveys amongst family physicians in Ontario using the survey instruments.
• To link (with consent) the results of the postal surveys with data on clinical performance from routine administrative datasets.
• To identify which theories and/or theoretical constructs best predict physicians’ intentions and behaviour.
• To identify factors that might be targeted by KT interventions.

CURRENTLY

Due to funding cuts, the five behaviours originally specified in the protocol below have been reduced to three:

• Repeated benzodiazepine use in patients over 65 years of age
• ACE inhibitors in heart failure in patients over 65 years of age
• Managing patients under 50 with acute uncomplicated back pain without diagnostic imaging

The first behaviour under investigation is managing patients under 50 with acute uncomplicated back pain without diagnostic imaging. Interviews have been conducted and the data analyzed. The results were used to assist in the development of a postal survey which is currently in its pilot stage. By fall 2006, we hope to send out the main survey for the first behaviour and begin interviewing physicians about the next behaviour.

CanadaPRIME Protocol (0.3 MB)

Funded by:

Design/Content by Nicole Robinson & Justin Presseau
2006 - All Rights Reserved