Evidence map›Paper›PMID 16565124›Full record

Trial reportBMJ (Clinical research ed.)2006

Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study.

Murna Downs, Stephen Turner, Michelle Bryans, Jane Wilcock, John Keady, Enid Levin, Ronan O'Carroll, Kate Howie, Steve Iliffe

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 17 pooled it
8.2field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 17 syntheses or guidelines pooled it, 217 citations in OpenAlex.

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  9. Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2015
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 1 country.

Murna DownsBradford Dementia Group, Division of Dementia Studies, School of Health Studies, University of Bradford, Bradford BD5 0BB. m.downs@bradford.ac.uk
Stephen Turner
Michelle Bryans
Jane Wilcock
John Keady
Enid Levin
Ronan O'Carroll
Kate Howie
Steve Iliffe
University of Stirling · GBNorthumbria University · GBRoyal Edinburgh Hospital · GBSocial Care Institute for Excellence · GBThe Royal Free Hospital · GBUniversity College London · GBUniversity of Bradford · GBUniversity of Dundee · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo test the effectiveness of educational interventions in improving detection rates and management of dementia in primary care.

designUnblinded, cluster randomised, before and after controlled study.

settingGeneral practices in the United Kingdom (central Scotland and London) between 1999 and 2002.

interventionsThree educational interventions: an electronic tutorial carried on a CD Rom; decision support software built into the electronic medical record; and practice based workshops.

participants36 practices participated in the study. Eight practices were randomly assigned to the electronic tutorial; eight to decision support software; 10 to practice based workshops; and 10 to control. Electronic and manual searches yielded 450 valid and usable medical records.

main outcome measuresRates of detection of dementia and the extent to which medical records showed evidence of improved concordance with guidelines regarding diagnosis and management.

resultsDecision support software (P = 0.01) and practice based workshops (P = 0.01) both significantly improved rates of detection compared with control. There were no significant differences by intervention in the measures of concordance with guidelines.

conclusionsDecision support systems and practice based workshops are effective educational approaches in improving detection rates in dementia.

Indexed as

AgedCD-ROMClinical CompetenceCluster AnalysisComputer-Assisted InstructionDecision Support TechniquesDementiaEducation, Medical, GraduateFamily PracticeHumansLondonScotland

Identifiers

PMID16565124
PMCPMC1410839
OpenAlexW2141878479

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.