Discussion Questions - A behavioral intervention to improve obstetric care

1. Have you heard of the term implementation science? Give a short description of the concept.

2. At the end, the control hospitals received the intervention but “without the coordinated support” and “at the discretion of the hospital authorities,” but most of the components were not implemented and the rates remained unchanged at follow up.
a) What exactly were all the components of the intervention? How much did this cost?
b) In your opinion, if this type of intervention were to be replicated, what were the essential components that led to such substantive and significant changes one year later in the intervention group?

3. Can the results of the trial be generalized to other settings (lower income/limited resources countries, other geographic areas)? Please explain why/how it can be or cannot be?

4. Would an individual randomization have been a better approach?

5. In your opinion, what is the main message of this study?

6. Previous to reading this article what was your opinion about the effect of dissemination of knowledge among health professionals to adopt new evidence based intervention in their practice?

7. After reading this article, has your opinion changed?

8. Previous to reading this article what was your opinion about the effect of dissemination of knowledge among health professionals to change an intervention that providers adopted but evidence shows that this intervention could be useless and even harmful.

9. How do you see the implementation of this intervention in your setting? Of interest? Do you think that would produce changes and benefits for the population?

10. Which next steps should be done on this subject? Practice? Research?