ArticlePloS one2014
Development of a simple 12-item theory-based instrument to assess the impact of continuing professional development on clinical behavioral intentions.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 54 papers, 1 of them a synthesis that pooled it.
What it found
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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.
RCT Protocol for Evaluating an Online Training Program on Shared Decision-making About Screening for Down Syndrome
CONSTELLATIONS Living Lab: Development, Implementation and Evaluation of a Patient-oriented Quality Improvement Program Targeting Care Transitions of Older Adults Living with Major Neurocognitive Disorders and Their Caregivers.
Who cites it
54 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of E-Learning in a Continuing Education Context on Nursing Care: Systematic Review of Systematic Qualitative, Quantitative, and Mixed-Studies Reviews.Journal of medical Internet research · 2019Pooled it
- Trial
- Impact of MyDiabetesPlan, a Web-Based Patient Decision Aid on Decisional Conflict, Diabetes Distress, Quality of Life, and Chronic Illness Care in Patients With Diabetes: Cluster Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Variations in factors associated with healthcare providers' intention to engage in interprofessional shared decision making in home care: results of two cross-sectional surveys.BMC health services research · 2020Trial
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- Experience and Influence of Lifestyle RedesignCanadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026Article
- Supporting Feedback and Trust in CBME: A Conjoint WBA Workshop for Trainers and Trainees.The clinical teacher · 2026Article
- Effect of an Online Continuing Professional Development Course on Physicians' Intention to Approach a Colleague in Difficulty: Mixed Methods Convergent Study.JMIR medical education · 2026Observational
- Development of an evidence-based knowledge translation intervention to promote behavioral change in cerebral palsy diagnosis.Frontiers in public health · 2026Article
- Implementation and evaluation of a knowledge translation process to optimize the adoption of harm reduction in cannabis use by practitioners working with youth in Quebec: a mixed-methods study.Health research policy and systems · 2025Article
- Involving Physiotherapists in the Conduct of Research: A Mixed Methods Study of Physiotherapist Experiences, Perceptions, and Clinical Practice in a Research Project Using a Standardized Clinical Measure of Standing Balance.Physiotherapy Canada. Physiotherapie Canada · 2025Article
- Recognising and Managing Distress Among Farming Clients: An Evaluation of Brief Training for Rural Financial Counsellors and Other Non-Clinical Rural Support Workers.The Australian journal of rural health · 2025Article
- Childbirth Educators' Attitudes Toward Implicit Bias and Intention to Self-Monitor Behavior.The Journal of perinatal education · 2025Article
- Changes in intention to use an interprofessional approach to decision-making following training: a cluster before-and-after study.BMC health services research · 2024Article
- Impact of Educational Activity Formats, Online or In-Person, on the Intention of Medical Specialists to Adopt a Clinical Behaviour: A Comparative Study.Journal of CME · 2024Article
- Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals' Intention to Have Serious Illness Conversations: A Cluster Randomised Trial.Journal of CME · 2024Article
- Exploring Perceptions and Practices of Interprofessional Shared Decision-Making Education in Palliative Care Settings.Advances in medical education and practice · 2024Article
- Engagement of Older Adults Receiving Home Care Services and Their Caregivers in Health Decisions in Partnership With Clinical Teams: Protocol for a Multimethod Study to Prioritize and Culturally Adapt Decision Aids for Home Care.JMIR research protocols · 2023Article
- Research protocol of the Laval-ROSA Transilab: a living lab on transitions for people living with dementia.BMC health services research · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundDecision-makers in organizations providing continuing professional development (CPD) have identified the need for routine assessment of its impact on practice. We sought to develop a theory-based instrument for evaluating the impact of CPD activities on health professionals' clinical behavioral intentions. METHODS AND
findingsOur multipronged study had four phases. 1) We systematically reviewed the literature for instruments that used socio-cognitive theories to assess healthcare professionals' clinically-oriented behavioral intentions and/or behaviors; we extracted items relating to the theoretical constructs of an integrated model of healthcare professionals' behaviors and removed duplicates. 2) A committee of researchers and CPD decision-makers selected a pool of items relevant to CPD. 3) An international group of experts (n = 70) reached consensus on the most relevant items using electronic Delphi surveys. 4) We created a preliminary instrument with the items found most relevant and assessed its factorial validity, internal consistency and reliability (weighted kappa) over a two-week period among 138 physicians attending a CPD activity. Out of 72 potentially relevant instruments, 47 were analyzed. Of the 1218 items extracted from these, 16% were discarded as improperly phrased and 70% discarded as duplicates. Mapping the remaining items onto the constructs of the integrated model of healthcare professionals' behaviors yielded a minimum of 18 and a maximum of 275 items per construct. The partnership committee retained 61 items covering all seven constructs. Two iterations of the Delphi process produced consensus on a provisional 40-item questionnaire. Exploratory factorial analysis following test-retest resulted in a 12-item questionnaire. Cronbach's coefficients for the constructs varied from 0.77 to 0.85.
conclusionA 12-item theory-based instrument for assessing the impact of CPD activities on health professionals' clinical behavioral intentions showed adequate validity and reliability. Further studies could assess its responsiveness to behavior change following CPD activities and its capacity to predict health professionals' clinical performance.
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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.