Meta-analyses did not reveal any differences in effect between multifaceted strategies and controls .
Conclusion This review showed that multifaceted strategies for the implementation of neck and /or back pain guidelines in health care do not significantly improve professional behaviour outcomes .
No effects on patient outcomes or cost of care could be found .
Background For the optimal use of clinical guidelines in daily practice , mere distribution of guidelines and material s is not enough , and active implementation is needed .
This review investigated the effectiveness of multifaceted implementation strategies compared to minimal , single , or no implementation strategy for the implementation of non-specific low back and /or neck pain guidelines in health care .
Protocol for economic evaluation alongside the IMPLEMENT cluster randomised controlled trial
Background The recent development and publication of evidence -based clinical practice guidelines ( CPGs ) for acute low back pain ( LBP ) has result ed in evidence -based recommendations that , if implemented , have the potential to improve the quality and safety of care for acute LBP . While a strategy has been specified for dissemination of the CPG for acute LBP in Australia , there is no accompanying plan for active implementation . Evidence regarding the cost-effectiveness of active implementation of CPGs for acute LBP is sparse . The IMPLEMENT study will consider the incremental benefits and costs of progressing beyond development and dissemination to implementation . Methods / design Cost-effectiveness and cost-utility analyses alongside the IMPLEMENT cluster r and omised controlled trial ( C RCT ) from a societal perspective to quantify the additional costs ( savings ) and health gains associated with a targeted implementation strategy as compared with access to the CPG via dissemination only . Discussion The protocol provided here registers our intent to conduct an economic evaluation alongside the IMPLEMENT study , facilitates peer- review of proposed methods and provides a transparent statement of planned analyses . Trial registration Australian New Zeal and Clinical Trials Registry
Meta-analyses did not reveal any differences in effect between multifaceted strategies and controls .
Conclusion This review showed that multifaceted strategies for the implementation of neck and /or back pain guidelines in health care do not significantly improve professional behaviour outcomes .
No effects on patient outcomes or cost of care could be found .
Background For the optimal use of clinical guidelines in daily practice , mere distribution of guidelines and material s is not enough , and active implementation is needed .
This review investigated the effectiveness of multifaceted implementation strategies compared to minimal , single , or no implementation strategy for the implementation of non-specific low back and /or neck pain guidelines in health care .