OBJECTIVE: Knowledge transfer from theory to practice in healthcare systems poses a challenge worldwide. Typical examples include national disease management guidelines. The present study contributes towards improving implementation strategies for an @entity565 guideline. METHODS: A guideline implementation strategy was examined in a four-armed, non-randomised, controlled intervention study with an additional control group. The study @entity1 were general practitioners and paediatricians recruited from primary care quality circles. All study @entity1 attended an interactive seminar on the evidence-based recommendations for @entity1 with @entity565 . In addition, the @entity1 were asked to choose among the following options: no further intervention, additional e-learning, training of their practice nurses, or e-learning and training of their practice nurses. The success of the intervention was measured by questionnaire (and the success rate expressed as a percentage). RESULTS: About one third of all @entity1 (n=313) opted for the combination of an interactive seminar and a training of practice nurses; two third preferred the classic way of continuing medical education with an interactive seminar without a further intervention. Just 10  % of the physicians participated in e-learning. Independently of their choice for continuing medical education, all @entity1 demonstrated an increase in knowledge about @entity565 and an improvement in the management of @entity565 . The physicians exhibited an average increase in both categories of about 10  % of the percentage values, compared to an increase of about 28  % among the practice nurses without continuing medical education. CONCLUSIONS: The physicians' free choice of the educative modules might be an integral part of successful implementation strategies. However, this will require a change of focus from general continuing medical education packages to a more individualised culture of continuing professional development in Germany.

[Guideline implementation study on XXXX : Results of a pragmatic implementation approach].

@entity1 :: ('9606', 'Species') :: ['participants', 'patients'] @entity565 :: ('MESH:D001249', 'Disease') :: ['asthma']
@entity565 :: (MESH:D001249,Disease) :: ['asthma']
