Trial reportBMC medical education2004
Critical appraisal skills training for health care professionals: a randomized controlled trial [ISRCTN46272378].
Trial report in BMC medical education, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
49 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Interventions for recurrent embryo implantation failure: An umbrella review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Pooled it
- Prescribers' Knowledge and Skills for Interpreting Research Results: A Systematic Review.The Journal of continuing education in the health professions · 2017Pooled it
- Which positive factors determine the GP satisfaction in clinical practice? A systematic literature review.BMC family practice · 2016Pooled it
- A systematic review of how studies describe educational interventions for evidence-based practice: stage 1 of the development of a reporting guideline.BMC medical education · 2014Pooled it
- Teaching critical appraisal skills in healthcare settings.The Cochrane database of systematic reviews · 2011Pooled it
- Evidence based practice in postgraduate healthcare education: a systematic review.BMC health services research · 2007Pooled it
- Increasing the capacity of policy agencies to use research findings: a stepped-wedge trial.Health research policy and systems · 2019Trial
- Effectiveness of the tailored Evidence Based Practice training program for Filipino physical therapists: a randomized controlled trial.BMC medical education · 2014Trial
- Supporting Policy In health with Research: an Intervention Trial (SPIRIT)-protocol for a stepped wedge trial.BMJ open · 2014Trial
- Teaching of evidence-based medicine to medical students in Mexico: a randomized controlled trial.BMC medical education · 2012Trial
- Does mentoring new peer reviewers improve review quality? A randomized trial.BMC medical education · 2012Trial
- A new combined strategy to implement a community occupational therapy intervention: designing a cluster randomized controlled trial.BMC geriatrics · 2011Trial
- Impact of Evidence-Based Dentistry Education on Dental Students' Critical Appraisal Skills: A Prospective Cohort Study.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026Article
- Evaluation of an evidence-based practice education workshop focused on critical appraisal for advanced practice nurses: A before-after intervention study.BMC medical education · 2024Article
- Navigating the integration of knowledge and research evidence in clinical practice for children's foot health: A multi-professional survey.Journal of foot and ankle research · 2024Article
- Critical appraisal skills training to undergraduate medical students: A Randomized Control Study.Journal of advances in medical education & professionalism · 2022Article
- Outcomes of Universal Newborn Screening Programs: Systematic Review.Journal of clinical medicine · 2021Review
- Effects of an educational intervention based on the multi-theory model on promoting the quality of life in postmenopausal women: a protocol.Przeglad menopauzalny = Menopause review · 2019Article
- A description of a tailored knowledge translation intervention delivered by knowledge brokers within public health departments in Canada.Health research policy and systems · 2019Article
- A systematic mixed methods review: Recovering from a hip fracture in a health promoting perspective.Nursing open · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCritical appraisal skills are believed to play a central role in an evidence-based approach to health practice. The aim of this study was to evaluate the effectiveness and costs of a critical appraisal skills educational intervention aimed at health care professionals.
methodsThis prospective controlled trial randomized 145 self-selected general practitioners, hospital physicians, professions allied to medicine, and healthcare managers/administrators from the South West of England to a half-day critical appraisal skills training workshop (based on the model of problem-based small group learning) or waiting list control. The following outcomes were assessed at 6-months follow up: knowledge of the principles necessary for appraising evidence; attitudes towards the use of evidence about healthcare; evidence seeking behaviour; perceived confidence in appraising evidence; and ability to critically appraise a systematic review article.
resultsAt follow up overall knowledge score [mean difference: 2.6 (95% CI: 0.6 to 4.6)] and ability to appraise the results of a systematic review [mean difference: 1.2 (95% CI: 0.01 to 2.4)] were higher in the critical skills training group compared to control. No statistical significant differences in overall attitude towards evidence, evidence seeking behaviour, perceived confidence, and other areas of critical appraisal skills ability (methodology or generalizability) were observed between groups. Taking into account the workshop provision costs and costs of participants time and expenses of participants, the average cost of providing the critical appraisal workshops was approximately pound 250 per person.
conclusionsThe findings of this study challenge the policy of funding 'one-off' educational interventions aimed at enhancing the evidence-based practice of health care professionals. Future evaluations of evidence-based practice interventions need to take in account this trial's negative findings and methodological difficulties.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.