Protocol for an economic evaluation and budget impact assessment of a randomised, stepped-wedge controlled trial for pra
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(2020) 1:91
STUDY PROTOCOL
Implementation Science Communications
Open Access
Protocol for an economic evaluation and budget impact assessment of a randomised, stepped-wedge controlled trial for practice change support to increase routine provision of antenatal care for maternal alcohol consumption Penny Reeves1,2, Zoe Szewczyk1,2* , Melanie Kingsland1,2,3, Emma Doherty1,2,3, Elizabeth Elliott4,5, Adrian Dunlop6, Andrew Searles1,2 and John Wiggers1,2,3
Abstract Background: Antenatal clinical practice guidelines recommend routine assessment of women’s alcohol consumption during pregnancy. The delivery of advice and referral when necessary are also recommended. However, evidence suggests there are barriers to the uptake of best-care guidelines. Effective, cost-effective and affordable implementation strategies are needed to ensure the intended benefits of guidelines are realised through addressing identified barriers. This paper describes the protocol for evaluating the efficiency and affordability of a practice change intervention compared to the usual practice in an implementation trial. (Continued on next page)
* Correspondence: [email protected] 1 Hunter Medical Research Institute (HMRI), Lot 1, Kookaburra Circuit, New Lambton Heights, New South Wales 2305, Australia 2 School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, New South Wales 2308, Australia Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Reeves et al. Implementation Science Communications
(2020) 1:91
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Methods: The effectiveness of the intervention will be evaluated in a stepped-wedge randomised controlled implementation trial, conducted in an Australian setting. An economic evaluation will be conducted alongside the trial to assess intervention efficiency. A budget impact assessment will be conducted to assess affordability. The prospective trial-based economic eva
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