Changing Practice Through RCTs
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An Electronic Decision Support-Based Complex Intervention to Improve Management of Cardiovascular Risk in Primary Health Care: A Cluster Randomised Trial (INTEGRATE)
Webster, R., Usherwood, T., Joshi, R., Saini, B., Armour, C., Critchley, S., Di Tanna, G.L., Galgey, S., Hespe, C.M., Jan, S., Karia, A., Kaur, B., Krass, I., Laba, T.‐L., Li, Q., Lo, S., Peiris, D.P., Reid, C., Rodgers, A., Shiel, L., Strathdee, J., Zamora, N. and Patel, A.
The aim of this study was to determine whether a multifaceted primary health care intervention better controlled cardiovascular disease (CVD) risk factors in patients with high risk of CVD than usual care. The study concluded that the INTEGRATE intervention was not broadly implemented and did not improve CVD risk management in participating Australian general practices. This study demonstrates that implementing complex quality improvement initiatives is difficult. Process evaluation will provide further information about factors that hindered more widespread adoption of the intervention.
DOI: Go to publication in an external link
In the Integrated combination Therapy, Electronic General practice support tool, pharmacy-led intervention and combination Therapy Evaluation (INTEGRATE) study, we evaluated a multifaceted intervention comprising an updated version of HealthTracker, with enhanced central support and new algorithms to identify patients who could benefit from using polypills, a broader range of polypills, and a pharmacy-based adherence support program for promoting medication adherence. We evaluated the impact of this intervention on CVD risk factor control, compared with usual care, in Australian general practices.
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