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Multicenter Study
. 2014 Nov 23;9:169.
doi: 10.1186/s13012-014-0169-x.

Leveraging Practice-Based Research Networks to Accelerate Implementation and Diffusion of Chronic Kidney Disease Guidelines in Primary Care Practices: A Prospective Cohort Study

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Free PMC article
Multicenter Study

Leveraging Practice-Based Research Networks to Accelerate Implementation and Diffusion of Chronic Kidney Disease Guidelines in Primary Care Practices: A Prospective Cohort Study

James W Mold et al. Implement Sci. .
Free PMC article

Abstract

Background: Four practice-based research networks (PBRNs) participated in a study to determine whether networks could increase dissemination, implementation, and diffusion of evidence-based treatment guidelines for chronic kidney disease by leveraging early adopter practices.

Methods: Motivated practices from four PBRNs received baseline and periodic performance feedback, academic detailing, and weekly practice facilitation for 6 months during wave I of the study. Each wave I practice then recruited two additional practices (wave II), which received performance feedback and academic detailing and participated in monthly local learning collaboratives led by the wave I clinicians. They received only monthly practice facilitation. The primary outcomes were adherence to primary care-relevant process-of-care recommendations from the National Kidney Foundation Kidney Disease Outcomes Quality Initiative Guidelines. Performance was determined retrospectively by medical records abstraction. Practice priority, change capacity, and care process content were measured before and after the interventions.

Results: Following the intervention, wave I practices increased the use of ACEIs/ARBs, discontinuation of NSAIDs, testing for anemia, and testing and/or treatment for vitamin D deficiency. Most were able to recruit two additional practices for wave II, and wave II practices also increased their use of ACEIs/ARBs and testing and/or treatment of vitamin D deficiency.

Conclusions: With some assistance, early adopter practices can facilitate the diffusion of evidence-based approaches to other practices. PBRNs are well-positioned to replicate this process for other evidence-based innovations.

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References

    1. Mold JW, Peterson KA. Primary care practice-based research networks: working at the interface between research and quality improvement. Ann Fam Med. 2005;3(Suppl 1):S12–S20. doi: 10.1370/afm.303. - DOI - PMC - PubMed
    1. Riley WT, Glasgow RE, Etheredge L, Abernethy AP. Rapid, responsive, relevant (R3) research: a call for a rapid learning health research enterprise. Clin Transl Med. 2013;2(1):1–6. doi: 10.1186/2001-1326-2-10. - DOI - PMC - PubMed
    1. Williams RL, Rhyne RL. No longer simply a practice-based research network (PBRN) health improvement networks. J Am Board Fam Med. 2011;24(5):485–488. doi: 10.3122/jabfm.2011.05.110102. - DOI - PubMed
    1. Lipman PD, Lange CJ, Cohen RA, Peterson KA. A mixed methods study of research dissemination across practice-based research networks. J Ambul Care Manage. 2014;37(2):179–188. doi: 10.1097/JAC.0000000000000018. - DOI - PubMed
    1. Aspy CB, Enright M, Halstead L, Mold JW. Improving mammography screening using best practices and practice enhancement assistants: an Oklahoma Physicians Resource/Research Network (OKPRN) study. J Am Board Fam Med. 2008;21(4):326–333. doi: 10.3122/jabfm.2008.04.070060. - DOI - PubMed

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