Strategy	Approaches to enhance effectiveness
Clinical practice guidelines	Develop with local input; promote actively
Peer (or small group) education	Recruit respected source as educator; clearly communicate objectives; encourage discussion and tailor to local practice; distribute supportive materials; repeat and reinforce messages
	Develop with local input; provide peer comparison or compare with standard or indicator
	Use as a component of a multifaceted programme; obtain support of opinion leaders and professional societies
Feedback	Use as a component of a multifaceted programme; obtain support of opinion leaders and professional societies
	Deliver in varied settings using various media; avoid clutter—use a few consistent clear messages; develop local partnerships
Direct mailing of information
Lectures and continuing medical education
Education of patients and the public