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Does a Cochrane contributor facilitate the implementation of evidence-informed recommendations in practice

Date and Location

Session: 

P4.056

Date

Monday 23 September 2013 - 10:30 - 12:00

Location

Presenting author and contact person

Presenting author

Ashraf Nabhan

Contact person

Ashraf Nabhan
Abstract text
Objective: to measure the rate of implementing evidence-informed recommendations by health care providers supervised by a clinical supervisor who is a contributor to the Cochrane collaboration as compared to a matched clinical supervisor who is not a contributor to the Cochrane collaboration Methods: this observational study included 145 healthcare providers. All participants received formal training in evidence based practice prior to this study. Participants worked in two groups, one group lead by a clinical supervisor who is a Cochrane contributor and the other group lead by a matched clinical supervisor who is not a Cochrane contributor. The primary outcome was the rate of implementing evidence-informed recommendations (of the WHO guideline that was based on a Cochrane review) as measured by the rate of prescribing Intermittent iron and folic acid supplementation to non-anemic pregnant women in contrast to the routine daily supplements. The prescribing pattern was determined by checking outpatient prescriptions over nine weeks in 2013. Results: A statistically significant difference in prescribing intermittent supplements between the two groups was observed. Cochrane Leadership increased the uptake of evidence informed recommendations and lead to a significant change in the prescribing pattern (Odds ratio 5.96 95 % CI 2.70 to 13.14, P < 0.0001). Providers who are currently involved in the Collaboration significantly changed their prescribing pattern as compared to non-contributors (Odds ratio 2.72 95 % CI 1.30 to 5.68, P < 0.01). A combined Cochrane supervisor and a Cochrane provider significantly increased the change in prescribing pattern [Odds ratio was 7.61 (95 % CI 3.12 to 18.56, P < 0.0001)]. Conclusion: Cochrane contributors working in clinical practice are more likely to implement evidence-informed recommendations. A Cochrane contributor leadership improves the uptake and application of knowledge.
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