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Table 2 Identified determinants and interventions for selected recommendations

From: Evaluation of a tailored implementation strategy to improve the management of patients with chronic obstructive pulmonary disease in primary care: a study protocol of a cluster randomized trial

 

Recommendation

Determinant

Proposed intervention(s)

A

A brief clinician’s counseling to quit smoking

Additional training for GPs

Labeling medical records for COPD patients and training GPs in brief intervention

B

The prognosis of COPD should be estimated using mMRC dyspnea scale

Prepared form

Additional form (in paper or in computer medical records) with mMRC scale

C

The patient should be given the basic information about his/her disease

Checklist in medical history

Providing physicians with a checklist in patients’ records to facilitate what should be done during consultation

D

The patient has to be trained in the correct use of all devices

Inhaling devices for training

To provide GPs’ clinics with training inhaler devices to show patient’s how to use them