Leviton 1999.
Methods | Cluster RCT
Follow up:
providers: DONE
patients: N/A
Blinded assessment: NOT CLEAR
Baseline: DONE
Reliable outcomes: DONE
Protection against contamination: DONE Overall quality: HIGH |
|
Participants | Estimated 405 obstetricians in 27 hospitals and their preterm delivery cases Country: UK Proportion of eligible providers who participated: 90% Community‐based care Academic/Teaching setting: MIXED Type of targeted behaviour: GENERAL MANAGEMENT OF A PROBLEM (preterm delivery) Complexity of targeted behaviour: MEDIUM | |
Interventions | 1. CME: opinion leaders (one physician and one nurse) appointed from each hospital by the director to serve as local experts + grand rounds lecture on antenatal corticosteroid therapy given by a nationally respected expert + chart reminder system for prompting for therapy + 1‐hour group discussion with scenarios, led by opinion leaders + monitoring care to provide feedback 2. No intervention control | |
Outcomes | Professional practice: % of patients receiving antenatal corticosteroids Patient: none Seriousness of outcome: HIGH | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment (selection bias) | Low risk | A ‐ Adequate |