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. 2009 Apr 15;2009(2):CD003030. doi: 10.1002/14651858.CD003030.pub2

Schectman 2003.

Methods Cluster RCT 
 Follow up: 
 providers: DONE 
 patients: N/A 
 Blinded assessment: DONE 
 Baseline: DONE 
 Reliable outcomes: DONE 
 Protection against contamination: DONE
Overall quality: HIGH
Participants 14 groups with 120 primary care physician and associate practitioners from 2 group model HMO practices 
 Country: USA 
 Proportion of eligible providers who participated: NOT CLEAR 
 General practice
Academic/Teaching setting: NOT CLEAR 
 Type of targeted behaviour: GENERAL MANAGEMENT OF A PROBLEM (guideline consistent behaviour for provision of services for low back pain) 
 Complexity of targeted behaviour: MEDIUM
Interventions 1. CME: 1.5 hrs physician education + audit & feedback + follow‐up visit 
 2. Patient education materials (videotape and pamphlet) + one visit from the study investigators + 2 written reminders 
 3. Both interventions 
 4. No intervention control
Outcomes Professional practice: % utilization of at least 1 of 4 indicators of guideline consistent behaviour (on basis of patient care episodes) 
 Patient: none 
 Seriousness of outcome: MODERATE
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A ‐ Adequate