Table 1
Interventions to promote behavioural change in health professionals*
| Consistently effective strategies | Strategies with mixed effects | Strategies having little or no effect |
|---|---|---|
| *Adapted from Bero L, Grilli R, Grimshaw JM, et al.14 Reproduced with permission. | ||
| Education outreach visits (for prescribing) | Audit and feedback | Educational materials |
| Use of a trained person who meets with professionals in their practice settings to provide information with the intent of improving practice. | Any written or verbal summary of clinical performance of health care professional over a specified period of time. The summary may also include recommendation for clinical action. | Distribution of published or printed recommendations for clinical care, including clinical practice guidelines, audiovisual materials, and electronic publications. |
| Reminders | Local opinion leaders | Didactic educational meetings |
| Any intervention, manual or computerised, that prompts professionals to perform a clinical action. | Use of providers nominated by their colleagues as “educationally influential”. | Lectures. |
| Multifaceted interventions | Local consensus process | |
| A combination that includes two or more of: audit and feedback, reminders, local consensus processes, patient mediated interventions. | Inclusion of participating professionals in discussion to ensure that they agreed that the chosen clinical problem was important and the approach to managing the problem was appropriate. | |
| Interactive educational meetings | Patient mediated interventions | |
| Participation of professionals in workshops that include discussion. | Any intervention aimed at changing the performance of professionals where specific information was sought from, or given to, patients. | |
