Evaluation of a targeted, theory-informed implementation intervention designed to increase uptake of emergency management recommendations regarding adult patients with mild traumatic brain injury: results of the NET cluster randomised trial
Marije Bosch, Joanne E McKenzie, Jennie L Ponsford, Simon Turner, Marisa Chau, Emma J Tavender, Jonathan C Knott, Russell L Gruen, Jill J Francis, Sue E Brennan, Andrew Pearce, Denise A O'Connor, Duncan Mortimer, Jeremy M Grimshaw, Jeffrey V Rosenfeld, Susanne Meares, Tracy Smyth, Susan Michie, Sally E Green
IMPLEMENTATION SCIENCE | BMC | Published : 2019
BACKGROUND: Evidence-based guidelines for management of mild traumatic brain injury (mTBI) in the emergency department (ED) are now widely available; however, clinical practice remains inconsistent with these guidelines. A targeted, theory-informed implementation intervention (Neurotrauma Evidence Translation (NET) intervention) was designed to increase the uptake of three clinical practice recommendations regarding the management of patients who present to Australian EDs with mild head injuries. The intervention involved local stakeholder meetings, identification and training of nursing and medical local opinion leaders, train-the-trainer workshops and standardised education materials and i..View full abstract
Awarded by Australian NHMRC
Awarded by NHMRC Australian
This trial was part of a 5-year grant (the Neurotrauma Evidence Translation (NET) Program), funded by the Victorian Transport Accident Commission (TAC), Australia (https://www.tac.vic.gov.au/). RLG is supported by a Practitioner Fellowship from the Australian National Health and Medical Research Council. DAO is supported by an Australian NHMRC Public Health Fellowship (606726). JMG holds a Canada Research Chair in Health Knowledge and Transfer. EJT is supported by an Australian Postgraduate Award, Australian National Health and Medical Research Council Fellowship. JEM holds an NHMRC Australian Public Health Fellowship (1072366). All funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. JEM, ST, SEG, MB and DM had full access to all the data in the study, and the corresponding authors had final responsibility for the decision to submit for publication.