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. Author manuscript; available in PMC: 2014 Sep 16.
Published in final edited form as: Cochrane Database Syst Rev. 2009 Jul 8;(3):CD004749. doi: 10.1002/14651858.CD004749.pub2
Methods CRCT
Participants Total randomized (by hospital): Thailand 18; 9 (IG); 9 (CG); Mexico 22; 13 (IG); 9(CG)
Age: NR
Sex (% female): NR
Providers: Physicians, midwives, interns and students
Setting: Community hospitals with > 1,000 deliveries per year
Country: Mexico and Thailand
Interventions Intervention: A multifaceted intervention based on using the Cochrane Reproductive Health Library (RHL), which also addressed potential barriers to the implementation of evidence-based practices in the intervention group hospitals. Interactive workshops comprised the central activity of the intervention
Comparison: No intervention
Duration: 1 year
Follow up: NR
EPOC: Distribution of educational materials; conference/educational meetings; provision of computers to access RHL, get management on board, local coordinator
Outcomes Primary outcome: Changes in the practice rates of 10 selected clinical practices (selected practices ranged from changes such as prescribing antibiotics to women at cesarean section to those that required organizational change within the units) as recommended in the RHL
Secondary outcome: Knowledge of the Cochrane RHL
Notes Targeted behavior: clinical prevention services; general management of a problem/treatment
Risk of bias
Item Authors’ judgement Description
Adequate sequence generation? Yes Quote: “The stratified allocation was based on country, type of hospital and number of births per year. The random allocation sequence was produced centrally by WHO.” Additional contact with authors provided further information that this was done using PROC PLAN of SAS software
Allocation concealment? Yes Quote: “Country investigators were informed of the allocation status of the hospitals after collection of baseline data was completed and when the first workshop had to be organized as required by the protocol.” Additional contact with authors provided further information that the randomization occurred at one time point, and allocation was concealed until after this time point
Blinding?
All outcomes
No The trial was not blinded.
Incomplete outcome data addressed?
All outcomes
No The Thai control group data on process outcomes was missing.
Free of selective reporting? Yes Primary, expected outcomes reported from published protocol. ISRCTN 14055385: (http://www.controlled-trials.com/ISRCTN14055385/14055385)