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Akl, Elie A; Treweek, Shaun; Foy, Robbie; Francis, Jill; Oxman, Andrew D (2007)
Publisher: BioMed Central
Journal: Implementation Science
Languages: English
Types: Article
Subjects: :Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806 [VDP], Quality of Health Care, Research Article, VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801, Software, :Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801 [VDP], R5-920, Research Design, Medicine (General), VDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806, RA



The Research-Based Education and Quality Improvement (ReBEQI) European partnership aims to establish a framework and provide practical tools for the selection, implementation, and evaluation of quality improvement (QI) interventions. We describe the development and preliminary evaluation of the software tool NorthStar, a major product of the ReBEQI project.


We focused the content of NorthStar on the design and evaluation of QI interventions. A lead individual from the ReBEQI group drafted each section, and at least two other group members reviewed it. The content is based on published literature, as well as material developed by the ReBEQI group. We developed the software in both a Microsoft Windows HTML help system version and a web-based version. In a preliminary evaluation, we surveyed 33 potential users about the acceptability and perceived utility of NorthStar.


NorthStar consists of 18 sections covering the design and evaluation of QI interventions. The major focus of the intervention design sections is on how to identify determinants of practice (factors affecting practice patterns), while the major focus of the intervention evaluation sections is on how to design a cluster randomised trial. The two versions of the software can be transferred by email or CD, and are available for download from the internet. The software offers easy navigation and various functions to access the content. Potential users (55% response rate) reported above-moderate levels of confidence in carrying out QI research related tasks if using NorthStar, particularly when developing a protocol for a cluster randomised trial


NorthStar is an integrated, accessible, practical, and acceptable tool to assist developers and evaluators of QI interventions.

  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Grimshaw JM, Thomas RE, MacLennan G, Fraser C, Ramsay CR, Vale L, Whitty P, Eccles MP, Matowe L, Shirran L, Wensing M, Dijkstra R, Donaldson C: Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technology Assessment (Winchester, England) 8(6):iii-iv.
    • 2. Grol R: Personal paper: Beliefs and evidence in changing clinical practice. BMJ 1997, 315(7105):418-421.
    • 3. Walker AE, Grimshaw J, Johnston M, Pitts N, Steen N, Eccles M: PRIME - PRocess modelling in ImpleMEntation research: selecting a theoretical basis for interventions to change clinical practice. BMC Health Services Research 2003, 3:22.
    • 4. Office for Official Publications of the European Communities: 'Best practice': State of the art and perspectives in the EU for improving the effectiveness and efficiency of European health systems. Luxembourg , European Commission; 1999.
    • 5. Research-based Education and Quality Improvement (ReBEQI) [http://www.rebeqi.org/]
    • 6. The ReBEQI group and project management [http:// www.rebeqi.org/ViewFile.aspx?itemID=70]
    • 7. Grol R: Improving the Quality of Medical Care: Building Bridges Among Professional Pride, Payer Profit, and Patient Satisfaction. JAMA 2001, 286(20):2578-2585.
    • 8. Johnston M, Eccles M, Pitts N, Grimshaw J, Steen N: Establishing a scientific rationale for choosing interventions to translate research findings into clinical practice: The PR1ME project. [http://www.abdn.ac.uk/hsru/epp/prime.shtml].
    • 9. Treweek S, Abalos E, Campbell M, Ramsay C, McKormack K, Zwarenstein M: A software tool to support the writing of protocols for pragmatic randomised controlled trials. Journal of Clinical Epidemiology in press.
    • 10. A!K Research Labs [http://chm2web.aklabs.com/]
    • 11. Research-Based Education and Quality Improvement [http:/ /www.rebeqi.org]
    • 12. Foy R, Eccles M, Grimshaw J: Why does primary care need more implementation research? Family Practice 2001, 18:353-355.
  • No related research data.
  • No similar publications.