Results 41 to 50 of about 90,354 (334)

Sustainable waiting time reductions after introducing the STAT model for access and triage: 12-month follow up of a stepped wedge cluster randomised controlled trial

BMC Health Services Research, 2020
Background Timely access is a challenge for providers of outpatient and community-based health services, as seen by the often lengthy waiting lists to manage demand.
Katherine E. Harding, David A. Snowdon, Luke Prendergast, Annie K. Lewis, Bridie Kent, Sandy F. Leggat, Nicholas F. Taylor   +6 more
doaj   +1 more source

Selective prevention of cardiovascular disease using integrated lifestyle intervention in primary care: protocol of the Healthy Heart stepped-wedge trial

BMJ Open, 2021
Introduction Lifestyle interventions are shown to be effective in improving cardiovascular disease (CVD) risk factors. It has been suggested that general practitioners can play an essential role in CVD prevention.
T. Bonten, S. M. Verkleij, R. M. van der Kleij, Karin Busch, W. B. van den Hout, N. Chavannes, M. Numans   +6 more
semanticscholar   +1 more source

The unrecognized role of fidelity in effectiveness-implementation hybrid trials: simulation study and guidance for implementation researchers

BMC Medical Research Methodology, 2023
Background Effectiveness-implementation hybrid designs are a relatively new approach to evaluate efficacious interventions in real-world settings while concurrently gathering information on the implementation.
Diana Trutschel, Catherine Blatter, Michael Simon, Daniela Holle, Sven Reuther, Thekla Brunkert   +5 more
doaj   +1 more source

Designing a stepped wedge trial: three main designs, carry-over effects and randomisation approaches. [PDF]

, 2015
BACKGROUND: There is limited guidance on the design of stepped wedge cluster randomised trials. Current methodological literature focuses mainly on trials with cross-sectional data collection at discrete times, yet many recent stepped wedge trials do not
Baio, Gianluca, Copas, Andrew J, Davey, Calum, Hargreaves, James R, Lewis, James J, Thompson, Jennifer A   +5 more
core   +5 more sources

The optimal design of stepped wedge trials with equal allocation to sequences and a comparison to other trial designs. [PDF]

, 2017
Background/Aims We sought to optimise the design of stepped wedge trials with an equal allocation of clusters to sequences and explored sample size comparisons with alternative trial designs.
Copas, Andrew, Fielding, Katherine, Hargreaves, James, Thompson, Jennifer A   +3 more
core   +2 more sources

Adapting and pilot testing an HIV and intersectional stigma reducing intervention for Dominican Republic healthcare contexts: Protocol for translational research

Contemporary Clinical Trials Communications, 2022
Background: This protocol details the adaptation and pilot testing of the Finding Respect and Ending Stigma around HIV (FRESH) intervention in Dominican Republic.
Henna Budhwani, Robert Paulino-Ramírez, John Waters, Christyenne L. Bond, Ingrid Ruiz, Dustin M. Long, Nelson Varas-Díaz, Sylvie Naar, Laura Nyblade, Janet M. Turan   +9 more
doaj   +1 more source

Stepped wedge randomised controlled trials: systematic review of studies published between 2010 and 2014. [PDF]

, 2015
BACKGROUND: In a stepped wedge, cluster randomised trial, clusters receive the intervention at different time points, and the order in which they received it is randomised. Previous systematic reviews of stepped wedge trials have documented a steady rise
Baio, Gianluca, Beard, Emma, Copas, Andrew, Davey, Calum, Fielding, Katherine L, Hargreaves, James, Lewis, James J, Omar, Rumana Z, Ononge, Sam, Osrin, David, Prost, Audrey, Thompson, Jennifer A   +11 more
core   +2 more sources

HELP! Problems in executing a pragmatic, randomized, stepped wedge trial on the Hospital Elder Life Program to prevent delirium in older patients

Trials, 2017
Background A pragmatic, stepped wedge trial design can be an appealing design to evaluate complex interventions in real-life settings. However, there are certain pitfalls that need to be considered.
Noor Heim, Henk F. van Stel, Roelof G. Ettema, Roos C. van der Mast, Sharon K. Inouye, Marieke J. Schuurmans   +5 more
doaj   +1 more source

Promoting Independence Through quality dementia Care at Home (PITCH): a research protocol for a stepped-wedge cluster-randomised controlled trial

Trials, 2021
Background Home care service providers are increasingly supporting clients living with dementia. Targeted and comprehensive dementia-specific training for home care staff is necessary to meet this need. This study evaluates a training programme delivered
Steven Savvas, Anita M. Y. Goh, Frances Batchelor, Colleen Doyle, Erica Wise, Esther Tan, Anita Panayiotou, Sue Malta, Margaret Winbolt, Phillip Clarke, Jason Burton, Lee-Fay Low, Samantha M. Loi, Anne Fairhall, Meg Polacsek, Jay Stiles, Fenny Muliadi, Nadia Chau, Samuel Scherer, David Ames, Tanara Vieira Sousa, Briony Dow   +21 more
doaj   +1 more source

A pragmatic, multi-centered, stepped wedge, cluster randomized controlled trial pilot of the clinical and cost effectiveness of a complex Stroke Oral healthCare intervention pLan Evaluation II (SOCLE II) compared with usual oral healthcare in stroke wards [PDF]

, 2019
BACKGROUND: Patients with stroke-associated pneumonia experience poorer outcomes (increased hospital stays, costs, discharge dependency, and risk of death).
Bain, Brenda Jean, Barr, John, Bowers, Naomi, Brady, Marian C., Chalmers, Campbell, Colins, Marissa, Gray, Heather, Keerie, Catriona, Langhorne, Peter, Pollock, Alex, Stott, David J., Sweeney, Petrina, Weir, Christopher J.   +12 more
core   +2 more sources