Increasing the quantity and quality of searching for current best evidence to answer clinical questions: protocol and intervention design of the MacPLUS FS Factorial Randomized Controlled Trials

Autor: Pavel S Roshanov, Rick Parrish, Thomas Agoritsas, Nancy L. Wilczynski, Nicholas Hobson, Adam Cohen, Emma Iserman, Chris Cotoi, Natasha Cohen, Eleanor Pullenayegum, R. Brian Haynes, Alfonso Iorio, Miguel Perez
Rok vydání: 2014
Předmět:
Evidence-based medicine
Point-of-Care Systems
Information Storage and Retrieval/standards/statistics & numerical data
Psychological intervention
Information Storage and Retrieval
Health Informatics
Information needs
Audit
Personal Satisfaction
Health informatics
Teaching/methods
Knowledge translation
law.invention
Clinical Competence/standards
Feedback
Study Protocol
Randomized controlled trial
Nursing
law
Audit and feedback
Medicine
Humans
Ontario
Medicine(all)
Medical education
Internet
business.industry
Teaching
Health Policy
Health services research
Public Health
Environmental and Occupational Health
Education
Medical
Graduate/methods
General Medicine
Evidence-Based Medicine/education
3. Good health
Clinical trial
Education
Medical
Graduate
Search engines
ddc:618.97
Evidence retrieval
Clinical Competence
Diffusion of Innovation
business
Web-based resources
Zdroj: Implementation Science
Implementation Science, Vol. 9 (2014) P. 125
Implementation Science : IS
ISSN: 0203-8439
1748-5908
Popis: Background & aims Finding current best evidence for clinical decisions remains challenging. With 3,000 new studies published every day, no single evidence-based resource provides all answers or is sufficiently updated. McMaster Premium LiteratUre Service - Federated Search (MacPLUS FS) addresses this issue by looking in multiple high quality resources simultaneously and displaying results in a one-page pyramid with the most clinically useful at the top. Yet, additional logistical and educational barriers need to be addressed to enhance point-of-care evidence retrieval. This trial seeks to test three innovative interventions, among clinicians registered to MacPLUS FS, to increase the quantity and quality of searching for current best evidence to answer clinical questions. Methods & design In a user-centered approach, we designed three interventions embedded in MacPLUS FS: (A) a web-based Clinical Question Recorder; (B) an Evidence Retrieval Coach composed of eight short educational videos; (C) an Audit, Feedback and Gamification approach to evidence retrieval, based on the allocation of `badges’ and `reputation scores.’ We will conduct a randomized factorial controlled trial among all the 904 eligible medical doctors currently registered to MacPLUS FS at the hospitals affiliated with McMaster University, Canada. Postgraduate trainees (n = 429) and clinical faculty/staff (n = 475) will be randomized to each of the three following interventions in a factorial design (A x B x C). Utilization will be continuously recorded through clinicians’ accounts that track logins and usage, down to the level of individual keystrokes. The primary outcome is the rate of searches per month per user during the six months of follow-up. Secondary outcomes, measured through the validated Impact Assessment Method questionnaire, include: utility of answers found (meeting clinicians’ information needs), use (application in practice), and perceived usefulness on patient outcomes. Discussion Built on effective models for the point-of-care teaching, these interventions approach evidence retrieval as a clinical skill. If effective, they may offer the opportunity to enhance it for a large audience, at low cost, providing better access to relevant evidence across many top EBM resources in parallel. Trial registration ClinicalTrials.Gov NCT02038439. Electronic supplementary material The online version of this article (doi:10.1186/s13012-014-0125-9) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
Externí odkaz: