Prioritising long-term outcomes for preterm babies: A survey of consumers and clinicians.

Aim: To determine if consumers and clinicians believe intelligence or health outcomes are more important long-term outcomes for babies born preterm.

Methods: Prospective, online survey of six outcomes ranked using a hierarchy ladder, Likert scale and a hypothetical scenario: education (complete secondary school); longevity (70 years of age or more); money (sufficient for rent and food); normal weight; good health and intelligence. Participants were clinicians taking care of preterm babies, parents of preterm babies, ex-preterm adults and adult controls.

The challenges of keeping clinicians unaware of their participation in a national, cluster-randomised, implementation trial.

Background: Implementation of recommendations from clinical practice guidelines is essential for evidence based clinical practice. However, the most effective methods of implementation are unclear. We conducted a national, cluster-randomised, blinded implementation trial to determine if midwife or doctor local implementation leaders are more effective in implementing a guideline for use of oral dextrose gel to treat hypoglycaemic babies on postnatal wards.