J Am Board Fam Med
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Randomized Controlled Trial
Patient, Clinician, and Communication Factors Associated with Colorectal Cancer Screening.
Screening for colorectal cancer is beneficial. Yet, screening remains suboptimal, and underserved populations are at greater risk for not being appropriately screened. Although many barriers to screening are understood, less is known about how the decision-making process on whether to receive colonoscopy or stool testing influences screening. ⋯ Having a long-term relationship with a primary care clinician and sharing decisions may be key drivers to ensure evidence-based preventive care for underserved populations.
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Randomized Controlled Trial
Practice Transformation Support and Patient Engagement to Improve Cardiovascular Care: From EvidenceNOW Southwest (ENSW).
To improve cardiovascular care through supporting primary care practices' adoption of evidence-based guidelines. ⋯ Practice transformation support can assist practices with improving quality of care. Patient engagement in practice transformation can further enhance practices' implementation of aspects of new models of care.
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Randomized Controlled Trial
Low-Intensity Intervention Supports Diabetes Registry Implementation: A Cluster-Randomized Trial in the Ambulatory Care Outcomes Research Network (ACORN).
Previous research demonstrated that registries are effective for improving clinical guideline adherence for the care of patients with type 2 diabetes. However, registry implementation has typically relied on intensive support (such as practice facilitators) for practice change and care improvement. ⋯ Remotely provided guidance paired with limited in-person assistance can support rapid implementation of diabetes registries in typical primary care practices.