Evidence map›Paper›PMID 30526573›Full record

ArticleBMC medical education2018

Efficacy of evidence-based medicine training for primary healthcare professionals: a non-randomized controlled trial.

Jiaojiao Fei, Yanhua Li, Weifei Gao, Junwei Li

Open access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

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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 at 1 institution in 1 country.

Jiaojiao FeiGeneral Practice Department at the Second Hospital affiliated to Zhejiang Chinese Medical University, No. 318 Chaowang Road, Hangzhou, 310000, Zhejiang, China.
Yanhua LiGeneral Practice Department at the Second Hospital affiliated to Zhejiang Chinese Medical University, No. 318 Chaowang Road, Hangzhou, 310000, Zhejiang, China. Liyanhua330@163.com.
Weifei GaoGeneral Practice Department at the Second Hospital affiliated to Zhejiang Chinese Medical University, No. 318 Chaowang Road, Hangzhou, 310000, Zhejiang, China.
Junwei LiZhejiang Chinese Medical University, No. 548 Binwen Road, Hangzhou, Zhejiang, Hangzhou, 310000, Zhejiang, China.
Zhejiang Chinese Medical University · CN

Funding

Zhejiang province science and technology hall 2016C35026
6 · The paper itself

Abstract

backgroundThe impact of evidence-based medicine (EBM) training techniques in primary healthcare professionals remains to be determined.

methodsA non-randomized controlled trial (NRCT) was performed aiming to assess the two methods of evidence-based medicine training for primary healthcare professionals by assessing evidence based practice (EBP) related knowledge (EBP-K), attitude (EBP-A), personal application (EBP-P), anticipated future use (EBP-F), and community management of hypertension. Participants were recruited and assigned to either an EBM training group that receiving a weekly face-to-face EBM training course, or an EBM self-instruction course for eight weeks. A validated instrument was applied to evaluate the four aspects of EBP. Additionally, community management of hypertension was assessed by comparing the the rate of detection, blood pressure control, standard management, grading management and patient satisfaction between 2015 and 2016 to measure training efficacy. The difference between the impact of these two interventions was assessed statistically.

resultsOne hundred fifty-one participants (69 in the face-to-face EBM training group and 82 in the self-instruction group) were included. Compared to self-instruction, the face-to-face EBM training was associated with significantly improved EBP-Knowledge (26.14 ± 4.22 vs. 22.44 ± 4.47, P < 0.05), EBP-Personal application (22.52 ± 6.18 vs. 16.89 ± 5.99, P < 0.05), and EBP-Future use (44.04 ± 8.97 vs. 37.71 ± 8.39, P < 0.05). EBP-Attitude scores (10.89 ± 4.52 vs.14.93 ± 5.92, P < 0.000) were lower in the EBM training group. Stratified analyses showed that the results were consistent regardless of the participants' gender, professional role (doctors & apothecaries or nurses), rank (junior or senior doctors & apothecaries), or specialty (Traditional Chinese or Western Medicine). Assessment of community hypertension management revealed that the rate of blood pressure control, standardized hypertension management and patient satisfaction was significantly better in group A than group B (1.14% vs.0.69, 2.85% vs.1.68 and 2.41% vs.0.84%).

conclusionsA face-to-face EBM training course improved primary healthcare professionals' EBP knowledge, attitudes, personal application, and anticipated future use. Effective EBM training may improve the efficacy of primary health care services.

trial registrationNon-Randomized Controlled Trial ChiCTR1800017498 , August 1, 2018.

Indexed as

Education, Medical, ContinuingHealth PersonnelPrimary Health CareAdultAttitude of Health PersonnelEvidence-Based MedicineEvidence-Based PracticeFemaleHealth Knowledge, Attitudes, PracticeHumansHypertensionMaleEvidence-based medicineMedical educationPrimary healthcare

Identifiers

PMID30526573
PMCPMC6286505
OpenAlexW2904709886

What OpenQuestion holds

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LicenceCC BY
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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.