Evidence map›Paper›PMID 37653419›Full record

ArticleBMC medical informatics and decision making2023

The effect of capacity building evidence-based medicine training on its implementation among healthcare professionals in Southwest Ethiopia: a controlled quasi-experimental outcome evaluation.

Habtamu Setegn Ngusie, Mohammadjud Hasen Ahmed, Shegaw Anagaw Mengiste, Mihretu M Kebede, Shuayib Shemsu, Shuma Gosha Kanfie, Sisay Yitayih Kassie, Mulugeta Hayelom Kalayou, Monika Knudsen Gullslett

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Article in BMC medical informatics and decision making, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

9 authors.

Habtamu Setegn NgusieDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Woldia University, Woldia, Ethiopia. habtamuhi3@gmail.com.
Mohammadjud Hasen AhmedDepartment of Health Informatics, College of Health Sciences, Mettu University, Mettu, Ethiopia.
Shegaw Anagaw MengisteUniversity of South-Eastern Norway, Post office box 235, N-3603, Kongsberg, Norway.
Mihretu M KebedeGerman Cancer Research Center (DKFZ), Heidelberg, Germany.
Shuayib ShemsuDepartment of Public Health, College of Health Sciences, Mettu University, Mettu, Ethiopia.
Shuma Gosha KanfieDepartment of Health Informatics, College of Health Sciences, Mettu University, Mettu, Ethiopia.
Sisay Yitayih KassieDepartment of Health Informatics, College of Health Sciences, Mettu University, Mettu, Ethiopia.
Mulugeta Hayelom KalayouDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Monika Knudsen GullslettFaculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence-based medicine (EBM) bridges research and clinical practice to enhance medical knowledge and improve patient care. However, clinical decisions in many African countries don't base on the best available scientific evidence. Hence, this study aimed to determine the effect of training interventions on background knowledge and awareness of EBM sources, attitude, competence, and practice of EBM among healthcare professionals.

methodWe designed a controlled group quasi-experimental pre-post test study to evaluate the effect of capacity-building EBM training. A total of 192 healthcare professionals were recruited in the study (96 from the intervention and 96 from the control group). We used a difference-in-differences (DID) analysis to determine the effect of the training. Along the way, we used a fixed effect panel-data regression model to assess variables that could affect healthcare professionals' practice of EBM. The cut point to determine the significant effect of EBM training on healthcare professionals' background knowledge and awareness of EBM sources, attitude, and competence was at a P-value < 0.05.

resultThe DID estimator showed a significant net change of 8.0%, 17.1%, and 11.4% at P < 0.01 on attitude, competence, and practice of EBM, respectively, whereas no significant increment in the background knowledge and awareness of EBM sources. The fixed effect regression model showed that the attitude [OR = 2.288, 95% CI: (1.049, 4.989)], competence [OR = 4.174, 95% CI: 1.984, 8.780)], technical support [OR = 2.222, 95% CI: (1.043, 3.401)], and internet access [OR = 1.984, 95% CI: (1.073, 4.048)] were significantly affected EBM practice.

conclusionThe capacity-building training improved attitude, competence, and EBM practice. Policymakers, government, and other concerned bodies recommended focusing on a well-designed training strategy to enhance the attitude, competence, and practice towards EBM among healthcare professionals. It was also recommended to enhance internet access and set mechanisms to provide technical support at health facilities.

Indexed as

Capacity BuildingEvidence-Based MedicineDelivery of Health CareEthiopiaGovernmentHumansCapacity building trainingCompetenceEvidence-based medicineEvidence-based practiceHealthcare professionals

Identifiers

PMID37653419
PMCPMC10472735

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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.