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Volume 16 (4)
Volume 16, Issue 4, Fall 1996
J Contin Educ Health Prof 1996; 16(3):203-214
ORIGINAL ARTICLES
Modifying Community Practice Styles: The Back Pain Outcome Assessment Team Information Dissemination Effort
Victoria M. Taylor, MD, MPh
Harold I. Goldberg, MD
Richard A. Deyo, MD, MPh
Scotte Cooper, MPh
Mark Leek, PhD
Lori L. Nordgulen, MBA, MHA
Brandi Spunt, MHA
Douglas Conrad, PhD
A b s t r a c t
The Back Pain Outcome Assessment Team’s information dissemination effort aims
to provide a professional model for translating research findings into more consistent patterns
of low back pain care and improved patient outcomes. The model’s effectiveness will be evaluated
in a randomized community-based trial. Intervention activities have been implemented
in five Washington state communities. Strategies included a regional study group of surgeon
opinion leaders, local hospital administrator small group meetings, traditional continuing
medical education lectures, generalist academic detailing, an interactive videodisc (shared
decision-making program) for patients who are surgical candidates, a prospective outcomes
tracking system, and the distribution of national practice guidelines. This report describes the
study design, methods for involving communities in the change process, the development and
implementation of intervention activities, and an evaluation of the process.
Keywords: Clinical practice patterns; community-based interventions; low back pain; patient outcomes; physician education approaches
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