Table 4: Examples of strategies to implement CPGs demonstrating probability of effectiveness

Probability of effectiveness	Development strategy	Dissemination methods	Implementation methods
Low	External, national	Mass media, journals, courses	None
Fair	External, local	Targeted mailings, courses	General reminders, focused
Good	Mixed, external plus internal buy-in	Targeted mailings, courses	Audit or feedback, follow-up courses, memos, small groups
High	Internal, local	Targeted mailings, courses	Academic detailing, specific reminders, peer feedback

Source: Adapted from Mittman⁷³ and Grimshaw and Russell.³⁶

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