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EUR-ASSESS Project Subgroup Report on Dissemination and Impact

  • Alicia Granados (a1), Egon Jonsson (a2), H. David Banta (a3), Lisa Bero (a4), Ann Bonair (a5), Mme. Camille Cochet (a6), Nick Freemantle (a7), Roberto Grilli (a8), Jeremy Grimshaw (a9), Emma Harvey (a7), Ragnar Levi (a10), Deborah Marshall (a10), Andrew Oxman (a11), Lionel Pasart (a6), Virpi Räisänen (a12), Elisa Rius (a1) and Josep A. Espinas (a1)...


The objective of health technology assessment (HTA) is to support decision making in health care. HTA does not claim to provide a definite solution to a health care problem, but to assist decision makers with evidence-based information about the clinical, ethical, social, and economic implications of the development, diffusion, and use of health care technology.



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1.Advocacy Institute. Smoking control media advocacy guidelines. Bethesda, MD: National Cancer Institute, National Institutes of Health, 1989.
2.American Cancer Society. Smoke signals: The smoking control media handbook. New York: American Cancer Society, 1987.
3.Atkin, C. K. Mass media information campaign effectiveness. In Rice, R. E., & Paisley, W. J., (eds.), Public information campaigns. Newbury Park: Sage, 1981.
4.Bandura, A.Social foundations of thought and action. Eaglewood Cliffs, NJ: Prentice Hall, 1986.
5.Bandura, A.Self-efficacy: Toward a unifying theory of behavior change. Psychological Review, 1977; 84, 191215.
6.Beaudry, J. S.The effectiveness of continuing medical education: aquantitative synthesis. Journal of Continuing Education in the Health Professions, 1989; 9, 285307.
7.Bernard-Bonnin, A. C., Stachenko, S., Bonin, D., et al. Self-management teaching programs and morbidity of pediatric asthma: A meta-analysis. Journal of Allergy and Clinical Immunology, 1995, 95, 3441.
8.Bero, L., Freemantle, N., Grilli, R., et al. Closing the gap between research and practice: A review of theories of professional behavioral change and interventions to promote implementation of research findings by health care professionals. BMJ. In press.
9.Berwick, D. M.Controlling variation in health care: A consultation from Walter Shewhart. Medical Care, 1991, 29, 1212–25.
10.Bobbio, M., Demichelos, B., et al. Completeness of reporting trial results: Effect on physicians’ willingness to prescribe. Lancet, 1994, 343, 1209–11.
11.Bogart, L.Strategy in advertising: Matching media and messages to markets and motivtions. Lincolnwood, IL: NTC Business Books, 1990.
12.Boruch, R., & Boe, E.On ‘good, certain, and easy government': the policy use of statistica data and reports. In Sechrest, L., Backer, T. E., Rogers, E. M., Campbell, T. F., Grady, M. L., (eds.), Effective dissemination of clinical and health information. Rockville, MD: U.S. Department of Health and Human Services, AHCPR publication no. 95–0015, 1994, 2335.
13.Brown, S. A.Meta-analysis of diabetes patient education research: Variations in intervention effects across studies. Research Nursing and Health, 1992, 15, 409–19.
14.Buntinx, F., Winkens, R., Grol, R., et al. Influencing diagnostic and preventive performance in ambulatory care by feedback and reminders: A review. Family Practice, 1993, 10, 219–28.
15.Chelimsky, E. The politics of disseminating on the hill: what works and what doesn't. In: Sechrest, L., Backer, T. E., Rogers, E. M., Campbell, T. F., Grady, M. L., (eds.), Effective dissemination of clinical and health information. Rockville, MD: U.S. Department of Health and Human Services, AHCPR Pub. No. 95–0015, 1994, 3740.
16.Church, M.Return of whooping cough. British Medical Journal, 1979, 285, 195.
17.Cronholm, M., & Sandell, R.Scientific information: A review of the research. Journal of Communication, 1981, 31, 8596.
18.Culbertson, H. M., & Stempel, G. H.Media malaise: Explaining personal optimism and societal pessimism about health care. Journal of Communication, 1985, 35, 180–90.
19.Culbertson, H. M., & Stempel, G. H.Possible barriers to agenda setting in medical news. Newspaper Research Journal, 1984, 5, 5360.
20.Davis, D. A., Thomson, M. A., Oxman, A. D., & Haynes, R. B.Changing physician performance: A systematic review of the effect of continuing medical education strategies. Journal of the American Medical Association, 1995, 274, 700–05.
21.Davis, K. Using research in policy formulation. In Aiken, L. H., Mechanic, D., (eds.), Application of social science to clinical medicine and health policy. Rutgers University Press, 1985.
22.Davis, R. M.Health education on the six-o'clock news: Motivating television coverage of news in medicine. Journal of the American Medical Association, 1988, 262, 1036–38.
23.Deming, W. E.Out of the crisis. Cambridge, MA: MIT Centre for Applied Engineering Studies, 1986.
24.Devine, E. C.Effects of psychoeducational care for adult surgical patients: A meta-analysis of 191 studies. Patient Education and Counseling, 1992, 19, 129–42.
25.Devine, E. C., & Reifschneider, E.A meta-analysis of the effects of psychoeducational care in adults with hypertension. Nursing Research, 1995, 44, 237–45.
26.De Vos Meiring, P., & Wells, I. P.The effect of radiology guidelines for general practitioners in Plymouth. Clinical Radiology, 1990, 42, 327–29.
27.Dunwoody, S.A question of accuracy. IEEE Transactions on Professional Communication, 1982, PC-25, 196–99.
28.Effective Health Care. Implementing clinical guidelines: Can guidelines be used to im prove clinical practice? Bulletin No 8. Leeds: University of Leeds, 1994.
29.Egger, G., Donovan, R. J., Spark, R.Health and the media: Principles and practice for health promotion. Sydney: McGraw-Hill, 1993.
30.Fahey, T., Griffiths, S., et al. Evidence based purchasing: Understanding results of clinical trials and systematic reviews. British Medical Journal, 1995, 311, 1056–60.
31.Fishbein, M., & Ajzen, I.Belief, attitude, intention and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley, 1975.
32.Flay, B.Mass media and smoking cessation: A critical review. American Journal of Public Health, 1987, 77, 153–60.
33.Fox, R. D., Mazmanian, P. E., Putnam, R. W., (eds.). Changing and learning in the lives of physicians. New York: Praeger, 1989.
34.Fraley, P. C.The education and training of science writers. Journalism Quarterly, 1963, 40, 323–28.
35.Freemantle, N., Bero, L., Grilli, R., Grimshaw, J., Oxman, A. (eds.). Effective professional practice module. In: The Cochrane database of systematic reviews [database on disk and CDROM]. The Cochrane Collaboration, Issue 2. Oxford: Update Software, 1995. Available from BMJ Publishing Group, London.
36.Freemantle, N., Grilli, R., Grimshaw, J. M., Oxman, A. D., for the Cochrane Collaboration on Effective Professional Practice (CCEPP). Implementing the findings of medical research. The Cochrane Collaboration on Effective Professional Practice. Quality in Health Care, 1995, 4, 4547.
37.Freemantle, F., Harvey, E., Grimshaw, J., et al. The effectiveness of printed educational materials in changing the behavior of healthcare professionals [revised 28 July 1995]. In: Freemantle, N., Bero, L., Grilli, R., Grimshaw, J., Oxman, A., (eds.), Effective professional practice module. In: The Cochrane Database of Systematic Reviews [database on disk and CDROM]. The Cochrane Collaboration; Issue 2, Oxford: Update Software; 1995. Available from BMJ Publishing Group, London.
38.Freimuth, V. S., Greenberg, R. H., DeWitt, J., et al. Covering cancer: Newspapers and the public interest. Journal of Communications, 1984, 34, 6273.
39.Friedman, S. M., Dunwoody, S., Rogers, C. L., (eds.). Scientists and journalists: Reporting science as news. New York: The Free Press, 1986.
40.Gerbner, G., Gross, L., Morgan, M., et al. Health and medicine on television. New England Journal of Medicine, 1981, 305, 901–04.
41.Glanz, K., Lewis, F. M., & Rimer, B. K. Theory, research, and practice in health education: Building bridges and forging links. In: Glanz, K., Lewis, F. M., Rimer, B. K., (eds.), Health behavior and health education: Theory research and practice. San Francisco: Jossey-Bass Publishers, 1990, 1732.
42.Green, L. W., Eriksen, M. P., & Schor, E. L.Preventive practices by physicians: Behavioral determinants and potential interventions. American Journal of Preventive Medicine, 1988, 4, S101–S107.
43.Green, L. W., & Kreuter, M.Health promotion planning: An educational and environmental approach. Mountain View, CA: Mayfield, 1991.
44.Green, L. W., Kreuter, M. W., Deeds, S. G., & Partridge, K. D.Health education planning: A diagnostic approach. Mountain View, CA: Mayfield, 1980.
45.Greenberg, M.Impediments to basing government health policies on science in the United States. Social Science and Medicine, 1992, 35, 531–40.
46.Greer, A. L.The state of the art vs. the state of the science: The diffusion of new medical technologies into practice. International Journal of Technology Assessment in Health Care, 1988, 4, 526.
47.Grilli, R., & Lomas, J.Evaluating the message: The relationship between compliance rate and the subject of a practice guideline. Medical Care, 1994, 32, 202–13.
48.Grimshaw, J., Freemantle, N., Langhorne, P., & Song, F.Complexity and systematic reviews: Report to the U.S. Congressional Office of Technology Assessment. Washington, DC: Office of Technology Assessment, 1995.
49.Gyorkos, T. W., Tannenbaum, T. N., Abrahamowicz, M., et al. Evaluation of the effectiveness of immunization delivery methods. Canadian Journal of Public Health, 1994, 85(suppl. 1), S14–S30.
50.Healton, C. G., & Messeri, P.The effect of video interventions on improving knowledge and treatment compliance in the sexually transmitted disease clinic setting: Lesson for HIV health education. Sexually Transmitted Diseases, 1993, 20, 70–6.
51.Hirano, P. C., Laurent, D. D., & Lorig, K.Arthritis patient education studies. 1987 1991: A review of the literature. Patient Education and Counseling, 1994, 24, 954.
52.Johnston, M. E., Langton, K. B., Haynes, R. B., et al. Effects of computer-based clinical decision support systems on clinician performance and patient outcome: A critical appraisal of research. Annals of Internal Medicine, 1994, 120, 135–42.
53.Kemper, D. W., Lorig, K., & Mettler, M.The effectiveness of medical self-care interventions: A focus on self-initiated response to symptoms. Patient Education and Counseling, 1993, 21, 2939.
54.Kingdon, J. W.Agendas, alternatives, and public policies. Boston: Little, Brown and Co., 1984, 205–18.
55.Kotler, P. Social marketing of health behavior. In: Frederiksen, L. W., Solomon, L. J., Brehony, K. A., (eds.), Marketing health behavior: Principles, techniques, and applictions. New York: Plenum Press, 1984, 2339.
56.Kottke, T. E., Battista, R. N., DeFriese, G. H., & Brekke, M. L.Attributes of successful smoking cessation interventions in medical practice: A meta-analysis of 39 controlled trials. Journal of the American Medical Association, 1988, 259, 2882–89.
57.Kritchevsky, S. B., & Simmons, B. P.Continuous quality improvement: Concepts and applications for physician care. Journal of the American Medical Association, 1991, 266, 1817–23.
58.Kunz, R. A., & Oxman, A. D. Empirical evidence of selection bias in studies of the effects of health care: a systematic review. Presented at the Cochrane Colloquium, Oslo, 5–8 10, 1995. Unpublished paper.
59.Lomas, J.Diffusion, dissemination and implementation: Who should do what? In: Warren, K. S., & Mosteller, F. (eds.), Doing more good than harm: The evaluation of health care interventions. Annals of the New York Academy of Sciences, 1993, 703, 226–41.
60.Lomas, J.Words without action? The production, dissemination, and impact of consensus recommendations. Annual Review of Public Health, 1991, 12, 4165.
61.Lunn, T. Segmenting and constructing markets. In: Worcester, R. M., & Downham, J., (eds.), Consumer market research handbook. Amsterdam, North Holland, 1986, 287424.
62.Macharia, W. M., Leon, G., Rowe, B. H., et al. An overview of interventions to improve compliance with appointment keeping for medical services. Journal of the American Medical Association, 1992, 267, 1813–17.
63.McDonald, C. J.Protocol-based computer reminders, the quality of care and the non perfectibility of man. New England Journal of Medicine, 1976, 295, 1351–55.
64.McQuail, D. The influence and effects of mass media. In: Curran, J., et al. (eds.), Mass communication and society. London: Edward Arnold Ltd, 1977, 7094.
65.Mittman, B. S.,Tonesk, X.,& Jacobson, P. D.Implementing clinical practice guidelines: Social influence strategies and practitioner behavior change. Quality Review Bulletin, 1992, 18, 413–22.
66.Moser, C. A., & Kalton, G.Survey methods in social investigation, 2nd ed.Aldershot: Gower, 1971.
67.Mugford, M., Banfield, P., & O'Hanlon, M.Effects of feedback of information on clinical practice: A review. British Medical Journal, 1991, 303, 398402.
68.Mullen, P. D., Green, L. W., & Persinger, G. S.Clinical trials of patient education for chronic conditions: A comparative meta-analysis of intervention types. Preventive Medicine, 1985, 14, 753–81.
69.Mullen, P. D., Mains, D. A., & Velez, R.A meta-analysis of controlled trials of cardiac patient education. Patient Education Counseling, 1992, 19, 143–62.
70.Mulrow, C. D.Rationale for systematic reviews. British Medical Journal, 1994, 309, 597–9.
71.National Research Council, Committee on Risk Perception and Communication. Improving risk communication. Washington, DC: National Academy Press, 1989.
72.Naylor, C. D., Chen, E., et al. Measured enthusiasm: Does the method of reporting trial results alter perception of therapeutic effectiveness? Annals of Internal Medicine, 1992, 117, 916–21.
73.Nease, R. F., Kneeland, T., O'Connor, G. T., et al. for the Ischemic Heart Disease Patient Outcomes Research Team. Variation in patient utilities for outcomes of the management of chronic stable angina: Implications for clinical practice guidelines. Journal of the American Medical Association, 1995, 273, 1185–90.
74.Nelkin, D.Selling science. New York: W. H. Freeman & Co., 1987.
75.Neufeld, V. R. Patient education: A critique. In: Sackett, D. L., & Haynes, R. B., (eds.), Compliance with therapeutic regimens. Baltimore: Johns Hopkins University Press, 1976, 8392.
76.Norton, P. G., & Dempsey, L. J.Self-audit: Its effect on quality of care. Journal of Family Practice, 1985, 21, 289–91.
77.O'Halloran, C. M., & Altmaier, E. M.The efficacy of preparation for surgery and invasive medical procedures. Patient Education Counseling, 1995, 25, 916.
78.Oxman, A. D., Davis, D. A., for the Evidence-Based Care Resource Group. Evidence based care: 4, improving performance: How can we improve the way we manage this problem? Canadian Medical Association Journal, 1994; 150, 1793–6.
79.Oxman, A. D., Guyatt, G. H., Cook, D. J., et al. An index of scientific quality for health reports in the lay press. Journal of Clinical Epidemiology, 1993, 46, 9871001.
80.Oxman, A. D., Thomson, M. A., Davis, D. A., & Haynes, R. B.No magic bullets: A systematic review of 102 trials of interventions to improve professional practice. Canadian Medical Association Journal, 1995, 153, 1423–31.
81.Padgett, D., Mumford, E., Hynes, M., & Carter, R.Meta-analysis of the effects of educational and psychosocial interventions on management of diabetes mellitus. Journal of Clinical Epidemiology, 1988, 41, 1007–30.
82.Palmer, R. H., Louis, T. A., Hsu, L. N., et al. A randomized controlled trial of quality assurance in sixteen ambulatory care practices. Medical Care, 1985, 23, 751–70.
83.Pfund, N., & Hofstadter, L.Biomedical innovation and the press. Journal of Communication, 1981, 31, 138–54.
84.Phillips, K. A., & Bero, L. A.Improving the use of information in medical effectiveness research. International Journal of Quality in Health Care, 1996, 8, 2130.
85.Posavac, E. J., Sinacore, J. M., Brotherton, S. E., et al. Increasing compliance to medical treatment regimes: A meta-analysis of program evaluation. Eval Health Prof, 1985, 8, 722.
86.Prochaska, J. O.Systems of psychotherapy: A trans-theoretical analysis. Homewood, IL: Dorsey Press, 1979.
87.Prochaska, J. O., DiClemente, C. C., & Norcross, J. C.In search of how people change: Applications to addictive behaviors. American Psychology, 1992, 09 47, 1102–14.
88.Rich, R. F., & Goldsmith, N. H. The utilization of policy research. In: Nagel, S. S. (ed.), Encyclopedia of policy studies. New York: Marcel Dekker, 1983, 93115.
89.Risk assessment: Report of a Royal Society Study Group. London: The Royal Society of Medicine, 1983.
90.Rogers, E., & Storey, J. Communication campaigns. In: Chaffed, S., & Berber, C., (eds.), Handbook of communication science. Newbury Park, CA: Sage, 1987.
91.Rogers, E.Diffusion of innovations. New York: Free Press, 1983.
92.Rosenstock, I. M. The health belief model: Explaining health behavior through expectancies. In: Glanz, K., Lewis, F. M., & Rimer, B. K., (eds.), Health behavior and health education: Theory research and practice. San Francisco: Jossey-Bass Publishers, 1990, 3962.
93.Rossiter, J. R., & Percy, L.Advertising and promotion management. New York: McGraw-Hill, 1987.
94.Roter, D. Which facets of communication have strong effects on outcome: A meta-analysis. In: Stewart, M., & Roter, D., (eds.), Communicating with medical patients. Newbury Park, CA: Sage, 1989, 183–96.
95.Rothschild, M. L.Marketing communications: From fundamentals to strategies. Lexington, MA: D.C. Health and Company, 1987.
96.Ryan, M., & Dunwoody, S. L.Academic and professional training patterns of science writers. Journalism Quarterly, 1975, 52, 239–46, 290.
97.Sabatier, P. A. Toward better theories of the policy process. Political Science and Politics, 1991, 06, 147–56.
98.Sabatier, P. A., & Jenkins-Smith, H. C. (eds.). Policy change and learning: An advocacy coalition approach. Boulder, CO: Westview Press, 1993.
100.Sandman, P. M., Einstein, N. O., & Klutz, M. L.Public response to the risk from geological radon. Journal of Communication, 1987, 37, 93108.
99.Sandman, P. M., Einstein, N. O., et al. Public response to the risk from geological radon. Journal of Communication, 1987, 37, 93108.
102.Silagy, C., Lancaster, T., Fowler, G., Spiers, I.Effectiveness of training health professionals to provide smoking cessation interventions: systematic review of randomised controlled trials. In: Lancaster, T., Silagy, C. (eds.) Tobacco addiction module of the Cochrane Database of Systematic Reviews, [updated 2 December 1996]. Available in The Cochrane Library [database on disk and CDROM]. The Cochrane Collection: Issue 1. Oxford: Update Software, 1997. Updated quarterly.
101.Schulz, K. F., Chalmers, I., Hays, R. H., & Altman, D. G.Empirical evidence of bias: Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. Journal of the American Medical Association, 1995, 273, 408–12.
103.Smith, F. A., Trivax, G., Zuehlke, D. A., et al. Health information during a week of television. New England Journal of Medicine, 1972, 286, 516–20.
104.Solomon, M. A., & Chordal, S. M.Designing health policy research for utilization. Health Policy Quarterly, 1981, 1, 216–37.
105.Soumerai, S. B., McLaughlin, T. O., & Avorn, J.Improving drug prescribing in primary care: A critical analysis of the experimental literature. Milbank Memorial Quarterly, 1989, 67, 268317.
106.Suls, J., & Wan, C. K.Effects of sensory and procedural information on coping with stressful medical procedures and pain: A meta-analysis. Journal of Consulting Clinical Psychology, 1989, 57, 372–79.
107.Tankard, J. W., & Ryan, M.News source perceptions of accuracy of science coverage. Journalism Quarterly, 1974, 51, 219–25, 334.
108.Theis, S. L., & Johnson, J. H.Strategies for teaching patients: A meta-analysis. Clinical Nurse Specalist, 1995, 9, 100–5, 120.
109.Tversky, A., & Kahneman, D.Judgment under uncertainty: Heuristics and biases. Science, 1974, 185, 1124–31.
110.Waddell, D. L.The effects of continuing education on nursing practice: A meta-analysis. Journal of Continuing Education Nursing, 1991, 22, 113–8.
111.Wade, S., & Schramm, W.The mass media as sources of public affairs, science, and health knowledge. Public Opinion Quarterly, 1969, 33, 197209.
112.Wallack, L. Media advocacy: Promoting health through mass communication. In: Glanz, K., Lewis, F. M., & Rimer, B. K. (eds.), Health behavior and health education: Theory research and practice. San Francisco: Jossey-Bass Publishers, 1990, 370–86.
113.Warner, K. E.Television and health education: Stay tuned. American Journal of Public Health, 1987, 77, 140–2.
114.Weiss, C. H.Congressional committees as users of analysis. Journal of Policy Analysis and Management, 1989, 8, 411–31.
115.Weiss, C. H., & Bucuvalas, M. J.Truth tests and utility tests: Decision makers’ frames of reference for social science research. American Sociological Review, 1980, 45, 302–13.
116.Wensing, M., & Grol, R.Single and combined strategies for implementing changes in primary care: A literature review. International Journal of Quality in Health Care, 1994, 6, 115–2.
117.Whiting-O'Keefe, Q. E., Henke, C., & Simborg, D. W.Choosing the correct unit of analysis in medical care experiments. Medical Care, 1984, 22, 1101–14.
118.Windahl, S., Signitzer, B. H.,& Olson, J. T.Using communication theory: An introduction to planned communication. Newbury Park: Sage, 1992.
119.Winsten, J. A. Science and the media: The boundaries of truth. Health Affairs, 1985, Spring, 523.
120.Wright, W. R.Mass media as sources of medical information. Journal of Communication, 1975, 25, 171–73.

EUR-ASSESS Project Subgroup Report on Dissemination and Impact

  • Alicia Granados (a1), Egon Jonsson (a2), H. David Banta (a3), Lisa Bero (a4), Ann Bonair (a5), Mme. Camille Cochet (a6), Nick Freemantle (a7), Roberto Grilli (a8), Jeremy Grimshaw (a9), Emma Harvey (a7), Ragnar Levi (a10), Deborah Marshall (a10), Andrew Oxman (a11), Lionel Pasart (a6), Virpi Räisänen (a12), Elisa Rius (a1) and Josep A. Espinas (a1)...


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