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Table 2 Studies testing short-term implementation intervention with no on-going implementation effort

From: Implementation interventions to improve the management of non-specific low back pain: a systematic review

Study

Intervention and control

Outcome measures

Results

Overall intervention success

Bekkering et al., 2005 [26]

IG: 2 x 2.5 hour group training sessions involving lecture and role play 4 weeks apart; postal dissemination of the guidelines and printed educational material

CG: Postal dissemination of the guideline and printed educational materials only,

No one primary outcome measure was stated. Outcome measures were adherence to the guidelines as measured against five criteria recorded in the patient record:

In numbers of patients and % of patients:

Successful in altering practice as recorded in patient records. Statistically significant differences reported.

1. Limiting number of treatment sessions

1. 32 or 27% IG v 14 or 13% CG. OR 2.39; CI 1.12 to 5.12; p ≤ 0.05* but actual value not stated

2. Setting functional goals

2. 188 or 79% IG v 180 or 71% CG. OR 1.99; CI 1.06 to 3.72; p ≤ 0.05* but actual value not stated

3. Using mainly active interventions

3. 183 or 77% IG v 154 or 60% CG. OR 2.79; CI 1.19 to 6.55; p ≤ 0.05* but actual value not stated

4. Giving adequate information

4. 229 or 96% IG v 221 or 87% CG. OR 3.5; CI 1.35 to 9.55; p ≤ 0.05* but actual value not stated

5. Making all 4 above recommendations.

5. 96 or 42% IG v 75 or 30% CG. OR 2.05; CI 1.15 to 3.65; p ≤ 0.05* but actual value not stated

Bekkering et al., 2005 [45]

As Bekkering et al., 2005 [45] above.

Primary outcome measures:

At 6 weeks:

At 12 weeks:

At 26 weeks:

At 52 weeks:

Unsuccessful. There were no statistically significant differences between the groups.

ρ values not stated

1. QBPDS score

1. 24 IG v 23.5 CG

1. 20 IG v 17.5 CG

1. 16 IG v 11 CG

1. 17 IG v 13 CG

2. Pain rated on a numerical scale

2. 3 IG v 3 CG

2. 2 IG v 2 CG

2. 2 IG v 1 CG

2. 2 IG v 1 CG

3. Sick leave in number of days off in the past 6 weeks

3. 25.5 IG v 22.8 CG

3. 9.6 IG v 9.8 CG

3. 8.8 IG v 6.8 CG

3. 9.8 IG v 5 CG

  1. Abbreviations: CG Control group, CI Confidence interval, IG Intervention group, OR odds ratio