Evidence map›Paper›PMID 26067056›Full record

ArticleBMC medical education2015

Learning results of GP trainers in a blended learning course on EBM: a cohort study.

Ellen te Pas, Margreet Wieringa-de Waard, Wouter de Ruijter, Nynke van Dijk

Abstract read
In one paragraph

Article in BMC medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ellen te PasDepartment of General Practice/Family Medicine, Academic Medical Center, University of Amsterdam, location L0-310 Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands. e.tepas@amc.uva.nl.
Margreet Wieringa-de WaardDepartment of General Practice/Family Medicine, Academic Medical Center, University of Amsterdam, location L0-310 Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands. wieringamargreet@hotmail.nl.
Wouter de RuijterDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands. wderuijter@planet.nl.
Nynke van DijkDepartment of General Practice/Family Medicine, Academic Medical Center, University of Amsterdam, location L0-310 Meibergdreef 9, Amsterdam, 1105 AZ, The Netherlands. n.vandijk@amc.uva.nlz.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practitioners (GPs) experience barriers to the use of evidence-based medicine (EBM) related to a negative attitude and to insufficient knowledge and skills. We therefore designed a blended learning intervention to develop the competence of GP trainers in EBM. This study investigated the effectiveness of this intervention in increasing the trainers' EBM competencies (i.e. knowledge, skills, attitude and behaviour).

methodsIn total 129 GP trainers participated in the blended learning course on EBM consisting of four 3-h face-to-face meetings and an intensive preparatory e-course before each meeting over a 12-month period. The primary outcomes were changes in knowledge and skills (Fresno test), changes in attitude (McColl test) and intentions to change behaviour. Secondary outcomes were changes in self-rated knowledge, skills and attitude, and the relation between personal characteristics and changes in knowledge, skills and attitude. Data were collected before the start of the intervention (T0), at the end of the last day of the intervention (T1) and four months after the end of the intervention (T2).

resultsThe mean changes in scores on the Fresno test were ∆T1-T0 = 40.8 (SD ±36.7, p < .001) and ∆T2-T0 = 20.8 (±39.9, p < .001). The mean changes in scores on the McColl test were ∆T1-T0 = 2.2 (SD ±12.8, p = .16) and ∆T2-T0 = -.87 (±10.0, p = .49). Of the GP trainers, 16.7 % fulfilled their intentions to change in behaviour, 47.6 % partly fulfilled them and 35.7 % did not fulfil them at all. Female trainers scored significantly higher on the Fresno test after the intervention compared to male trainers. There was a weak positive correlation between self-rated knowledge and the scores on the Fresno test. A moderate correlation was found between the overall score on the McColl test and self-rated attitude.

conclusionAn intensive blended learning course on EBM for GP trainers induces an increase in knowledge and skills that, although decreased, remains after four months. Attitude and behaviour towards EBM show no differences before and after the intervention, although GPs' intention to use EBM more often in their practice is present.

Indexed as

Attitude of Health PersonnelFaculty, MedicalClinical CompetenceCohort StudiesCurriculumEvidence-Based MedicineFemaleGeneral PracticeHumansMaleSurveys and Questionnaires

Identifiers

PMID26067056
PMCPMC4472415

What OpenQuestion holds

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Registered trials

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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.