The British journal of general practice : the journal of the Royal College of General Practitioners
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Randomized Controlled Trial Multicenter Study
Hepatitis C infection among injecting drug users in general practice: a cluster randomised controlled trial of clinical guidelines' implementation.
Hepatitis C is a common infection among injecting drug users and has important implications for general practice. Although several clinical guidelines concerning the infection have been published, their effectiveness has yet to be tested. ⋯ General practice has an important role in the care of people at risk of hepatitis C and when appropriately supported can effectively implement current best practice.
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Randomized Controlled Trial
Impact on hypertension control of a patient-held guideline: a randomised controlled trial.
Hypertension is generally poorly controlled in primary care. One possible intervention for improving control is the harnessing of patient expertise through education and encouragement to challenge their care. ⋯ In this study there was no clinically significant perceived benefit to patients as a result of providing them with a hypertension guideline. Patient guidelines are currently planned for many chronic illnesses. It is important to determine the utility of such interventions before scarce resources are applied to them.
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Randomized Controlled Trial Multicenter Study
The effects of a team-based continuous quality improvement intervention on the management of primary care: a randomised controlled trial.
To study the effects of a team-based model for continuous quality improvement (CQI) on primary care practice management. ⋯ The intervention exerted a significant effect on the number and quality of improvement projects undertaken and self-defined objectives met. Failure of the effects of the intervention on the other dimensions of practice management to achieve significance may be due to the topics selected for some of the improvement projects being only partly covered by the assessment instrument.
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Randomized Controlled Trial
A randomised controlled trial of motivational interviewing for smoking cessation.
Motivational interviewing is a technique used to promote change in addictive behaviour, initially used to treat alcoholism. Despite this, its effectiveness has not been sufficiently demonstrated for giving up smoking. ⋯ The results of our study show that motivational interviewing is more effective than brief advice for giving up smoking.
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Randomized Controlled Trial Multicenter Study
Randomised controlled trial of near-patient testing for glycated haemoglobin in people with type 2 diabetes mellitus.
Tight glycaemic control in people with type 2 diabetes can lead to a reduction in microvascular and possibly macrovascular complications. The use of near-patient (rapid) testing offers a potential method to improve glycaemic control. ⋯ Near-patient testing for HbA1c alone does not lead to outcome or cost benefits in managing people with type 2 diabetes in primary care. Further research is required into the use of rapid testing as part of an optimised patient management model including arrangements for patient review and testing.