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Confidential Enquiry into Maternal and Child Health

Improving the health of mothers, babies and children

Overview Maternal and Perinatal Health
Maternal & Perinatal Mortality Surveillance
Saving Mothers' Lives
Obesity in Pregnancy
Neonatal Encephalopathy
Diabetes in Pregnancy
Access to Antenatal Care
CEMACH/UCL Diabetes Project
Local clinical audits

Child Health
Child Death Review
Head Injury Study



The national charity BLISS has funded CEMACH to carry out a study, the BLISS trial for the Effect of Active Dissemination of Information (BEADI). This will compare the impact of an active strategy for dissemination of research findings with more traditional approaches.

Background to the study

The CESDI Project 27/28 report identified variations in standards of care that might have contributed to death in preterm babies born at 27 or 28 weeks gestation. The report showed in particular delay in lung surfactant administration and frequent hypothermia in babies by the time they were admitted to a neonatal unit. It also showed that a temperature ≤36.0 C on admission was associated with a risk of dying for the premature baby, adjusted OR 1.7 (1.2-2.4). Gaps found between evidence and practice led to the development of recommendations for future practice. As a consequence, national recommendations were issued by CESDI. It is possible that a variety of ways of disseminating these new recommendations and guidelines will enhance the adoption of new policies and practices at local level.

Gaps between research knowledge and practice are well known. Translating audit and research findings into best practice is hampered by many barriers and obstacles at all level of care delivery.  An evaluation of innovative strategies for the dissemination of information was set up to potentially improve the standards of care premature babies receive in England and to avoid the potential waste of resources involved in collecting national data and producing a report with recommendations that may not be implemented as widely as possible. This evaluation uses a randomised controlled trial to compare the effects of different approaches to dissemination on policy and practice in the care of preterm babies in England.  Funding has been awarded from BLISS (www.bliss.org)  a neonatal charity through a peer-reviewed grant process. The research is entitled the BLISS cluster randomised controlled trial of the Effect of ‘Active Dissemination of Information’ on standards of care for premature babies in England (BEADI). 

Specific objectives

1) Assess whether an innovative ‘active’ strategy for the dissemination of neonatal research findings, recommendations and national neonatal guidelines is more likely to lead to changes in policy and practice than a more passive form of dissemination involving just sending the 27/28 Report and the slide package and putting the report on the website.

2) Achieve a better understanding of barriers and facilitators to information dissemination and implementation using a qualitative study at hospital level. 

For further information on this project, please contact Dominque Acolet or Rosie Houston on 020 7486 1191

Publications Information

Data Collection Forms and other useful documents