香蕉视频

Andr茅 Bussi猫res DC, FCCS(C), PhD

Assistant Professor, School of Physical and Occupational Therapy and Associate Member, Department of Epidemiology, Biostatistics and Occupational Health, 香蕉视频

Optimizing a knowledge translation intervention using the Multiphase Optimization Strategy (MOST) design

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SYNOPSIS:

Changing professional behavior is challenging. One example is the overuse and misuse of spinal imaging for spinal disorders, a well-recognized public health concern. We propose using an optimized audit and feedback (A&F) intervention enhanced with online educational messages from peer opinion leaders to reduce inappropriate spine x-ray in the largest CAM provider network in the US. The development of our optimized A&F intervention follows the 5-step systematic design of evidence-based interventions. Specifically, a fractional factorial trials with embedded process evaluations will be used, following the Multiphase Optimization Strategy (MOST) design to identify which components are active and to determine which combination of active components is the most effective optimized intervention. This will lead to a future randomized trial (confirming phase) to test the effectiveness of the optimized intervention for translating current spine x-ray guidelines into clinical practice.

OBJECTIVES:

1. To discuss the design of an audit and feedback (A&F) report using theory-based program and delivery components听听听
2. To describe strategies for testing the active components of the A&F with fractional factorial trials using the MOST design
3. To discuss the design of a large randomized trial to test the effectiveness of the optimized A&F intervention on reducing spinal x-ray utilization rates.

BIO:

Dr. Andr茅 Bussi猫res is an Assistant Professor at the School of Physical and Occupational Therapy and an Associate Member, Department of Epidemiology, Biostatistics and Occupational Health at 香蕉视频. He holds a Canadian Chiropractic Research Foundation (CCRF) Professorship in Rehabilitation Epidemiology. He is also a professor in the Chiropractic Department at l鈥橴niversit茅 du Qu茅bec 脿 Trois-Rivi猫res. His research interest focuses on clinical practice guidelines development and uptake to improve patient care and health outcome, knowledge synthesis, implementation research and professional behaviour change.

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