Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study

Murna Downs, Stephen Turner, Michelle Bryans, Jane Wilcock, John Keady, Enid Levin, Ronan O'Carroll, Kate Howie, Steve Iliffe

    Research output: Contribution to journalArticle

    137 Citations (Scopus)

    Abstract

    Objective To test the effectiveness of educational interventions in improving detection rates and management of dementia in primary care. Design Unblinded, cluster randomised, before and after controlled study. Setting General practices in the United Kingdom (central Scotland and London) between 1999 and 2002. Interventions Three educational interventions: an electronic tutorial carried on a CD Rom; decision support software built into the electronic medical record; and practice based workshops. Participants 36 practices participated in the study. Eight practices were randomly assigned to the electronic tutorial; eight to decision support software; 10 to practice based workshops; and 10 to control. Electronic and manual searches yielded 450 valid and usable medical records. Main outcome measures Rates of detection of dementia and the extent to which medical records showed evidence of improved concordance with guidelines regarding diagnosis and management. Results Decision support software (P = 0.01) and practice based workshops (P = 0.01) both significantly improved rates of detection compared with control. There were no significant differences by intervention in the measures of concordance with guidelines. Conclusions Decision support systems and practice based workshops are effective educational approaches in improving detection rates in dementia.
    Original languageEnglish
    Pages (from-to)692-696
    Number of pages5
    JournalBMJ
    Volume332
    Issue number7543
    DOIs
    Publication statusPublished - 2006

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    Dementia
    Primary Health Care
    Education
    Software
    Medical Records
    Guidelines
    Electronic Health Records
    Scotland
    General Practice
    Outcome Assessment (Health Care)

    Cite this

    Downs, Murna ; Turner, Stephen ; Bryans, Michelle ; Wilcock, Jane ; Keady, John ; Levin, Enid ; O'Carroll, Ronan ; Howie, Kate ; Iliffe, Steve. / Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study. In: BMJ. 2006 ; Vol. 332, No. 7543. pp. 692-696.
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    title = "Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study",
    abstract = "Objective To test the effectiveness of educational interventions in improving detection rates and management of dementia in primary care. Design Unblinded, cluster randomised, before and after controlled study. Setting General practices in the United Kingdom (central Scotland and London) between 1999 and 2002. Interventions Three educational interventions: an electronic tutorial carried on a CD Rom; decision support software built into the electronic medical record; and practice based workshops. Participants 36 practices participated in the study. Eight practices were randomly assigned to the electronic tutorial; eight to decision support software; 10 to practice based workshops; and 10 to control. Electronic and manual searches yielded 450 valid and usable medical records. Main outcome measures Rates of detection of dementia and the extent to which medical records showed evidence of improved concordance with guidelines regarding diagnosis and management. Results Decision support software (P = 0.01) and practice based workshops (P = 0.01) both significantly improved rates of detection compared with control. There were no significant differences by intervention in the measures of concordance with guidelines. Conclusions Decision support systems and practice based workshops are effective educational approaches in improving detection rates in dementia.",
    author = "Murna Downs and Stephen Turner and Michelle Bryans and Jane Wilcock and John Keady and Enid Levin and Ronan O'Carroll and Kate Howie and Steve Iliffe",
    note = "dc.publisher: BMJ Publishing The study represents the first attempt to test effectiveness of educational interventions relating to dementia in primary care through improvements in detection and management. Guideline implementation support (eg Decision Support Software) to general practice has resulted from this study.",
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    Downs, M, Turner, S, Bryans, M, Wilcock, J, Keady, J, Levin, E, O'Carroll, R, Howie, K & Iliffe, S 2006, 'Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study', BMJ, vol. 332, no. 7543, pp. 692-696. https://doi.org/10.1136/bmj.332.7543.692

    Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study. / Downs, Murna; Turner, Stephen; Bryans, Michelle; Wilcock, Jane; Keady, John; Levin, Enid; O'Carroll, Ronan; Howie, Kate; Iliffe, Steve.

    In: BMJ, Vol. 332, No. 7543, 2006, p. 692-696.

    Research output: Contribution to journalArticle

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    AU - Downs, Murna

    AU - Turner, Stephen

    AU - Bryans, Michelle

    AU - Wilcock, Jane

    AU - Keady, John

    AU - Levin, Enid

    AU - O'Carroll, Ronan

    AU - Howie, Kate

    AU - Iliffe, Steve

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    N2 - Objective To test the effectiveness of educational interventions in improving detection rates and management of dementia in primary care. Design Unblinded, cluster randomised, before and after controlled study. Setting General practices in the United Kingdom (central Scotland and London) between 1999 and 2002. Interventions Three educational interventions: an electronic tutorial carried on a CD Rom; decision support software built into the electronic medical record; and practice based workshops. Participants 36 practices participated in the study. Eight practices were randomly assigned to the electronic tutorial; eight to decision support software; 10 to practice based workshops; and 10 to control. Electronic and manual searches yielded 450 valid and usable medical records. Main outcome measures Rates of detection of dementia and the extent to which medical records showed evidence of improved concordance with guidelines regarding diagnosis and management. Results Decision support software (P = 0.01) and practice based workshops (P = 0.01) both significantly improved rates of detection compared with control. There were no significant differences by intervention in the measures of concordance with guidelines. Conclusions Decision support systems and practice based workshops are effective educational approaches in improving detection rates in dementia.

    AB - Objective To test the effectiveness of educational interventions in improving detection rates and management of dementia in primary care. Design Unblinded, cluster randomised, before and after controlled study. Setting General practices in the United Kingdom (central Scotland and London) between 1999 and 2002. Interventions Three educational interventions: an electronic tutorial carried on a CD Rom; decision support software built into the electronic medical record; and practice based workshops. Participants 36 practices participated in the study. Eight practices were randomly assigned to the electronic tutorial; eight to decision support software; 10 to practice based workshops; and 10 to control. Electronic and manual searches yielded 450 valid and usable medical records. Main outcome measures Rates of detection of dementia and the extent to which medical records showed evidence of improved concordance with guidelines regarding diagnosis and management. Results Decision support software (P = 0.01) and practice based workshops (P = 0.01) both significantly improved rates of detection compared with control. There were no significant differences by intervention in the measures of concordance with guidelines. Conclusions Decision support systems and practice based workshops are effective educational approaches in improving detection rates in dementia.

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