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In total, 132 practices were called up to three times, of them 6 did not answer the phone.

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(1)

Assessed for eligibility: n=235 practices

Included: n=72 practices

Excluded: n=163 practices

•Not meeting inclusion criteria: n=3

•Declined to participate: n=153

•Inability to implement protocol: n=7

Potential eligible patients: n=3,478 (screening lists)

Thorough assessment for eligibility: n=1,346 (random sample of patients)

Included: n= 505 patients

Excluded: n=841 patients

•Not meeting inclusion criteria: n=110

•Declined to participate: n=150

•Not invited to participate: n=575

•Other reasons: n=6

Randomized: n= 72 practices (n= 505 patients)

Allocated to control (36 practices)

Received allocated control, practices (no./

median practice size/range): 36 / 7 / 6 to 8 Received allocated control, patients: 253 Didn‘t receive allocated control, patients: 0 Allocated to complex intervention (36 practices)

Received allocated intervention, practices (no./

median practice size/range): 36 / 7 / 6 to 8 Received allocated intervention, patients: 250 Didn‘t receive allocated intervention, patients: 2

Loss to Follow-up T1 (6 months after T0):

Practices: 0 Patients: 11 Loss to Follow-up T1 (6 months after T0):

Practices: 0 Patients: 9

Analyzed, practices (no./median practice size/range): 36 / 7 / 6 to 8

Excluded from analysis, practices: 0 Analyzed, patients: 253

Excluded from analysis, patients: 0 Analyzed, practices (no./median practice

size/range): 36 / 7 / 6 to 8

Excluded from analysis, practices: 0 Analyzed, patients: 252

Excluded from analysis, patients: 0

Loss to Follow-up T2 (9 months after T0):

Practices: 1 Patients: 15 Loss to Follow-up T2 (9 months after T0):

Practices: 0 Patients: 3

Analyzed, practices (no./median practice size/range): 36 / 7 / 6 to 8

Excluded from analysis, practices: 0 Analyzed, patients: 253

Excluded from analysis, patients: 0 Analyzed, practices (no./median practice

size/range): 36 / 7 / 6 to 8

Excluded from analysis, practices: 0 Analyzed, patients: 252

Excluded from analysis, patients: 0

(2)

No time / too much effort

No interest in study particpation in general Did not receive postal mail or did not remember Participation in another study

Organizational reasons (restructuring of the practice)

Non-GP practice Other reasons No reasons announced

Characteristics of non- responding practices

Participating practices

(total)

Non- responding

practices

Practices N=72 N=132

Location: no. (%) N=72 N=132

City (>100,000 inhabitants) 22 (31%) 46 (35%) Middle size town (20,000 to 100,000) 16 (22%) 37 (28%) Small town (5,000 to 20,000) 25 (35%) 47 (36%) Rural area (<5,000 inhabitants) 9 (13%) 2 (2%)

Practice type: no. (%) N=72 N=126

Single handed practices 41 (57%) 75 (60%) Group practice 27 (38%) 27 (21%)

Practice community 4 (6%) 6 (5%)

Not announced - 18 (14%)

In total, 132 practices were called up to three times, of them 6 did not answer the phone.

107/126 were active general practices, 7 were not, and 12 practices did not provide information about it at the phone.

55/107 (51%) of the general practices had internet access, 50/107 had not, 2 did not provide details.

36

13 18 2

2 1 8

26

Reasons for non-responding

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