Cristin-resultat-ID: 1432793
Sist endret: 14. februar 2018 12:32
NVI-rapporteringsår: 2017
Resultat
Vitenskapelig oversiktsartikkel/review
2017

Multilayered and digitally structured presentation formats of trustworthy recommendations: a combined survey and randomised trial

Bidragsytere:
  • Linn Brandt
  • Per Olav Vandvik
  • Pablo Alonso-Coello
  • Elie A. Akl
  • Judith Thornton
  • David Rigau
  • mfl.

Tidsskrift

BMJ Open
ISSN 2044-6055
e-ISSN 2044-6055
NVI-nivå 1

Om resultatet

Vitenskapelig oversiktsartikkel/review
Publiseringsår: 2017
Publisert online: 2017
Trykket: 2017
Volum: 7
Hefte: 2
Sider: 1 - 10
Open Access

Importkilder

Scopus-ID: 2-s2.0-85012273660

Beskrivelse Beskrivelse

Tittel

Multilayered and digitally structured presentation formats of trustworthy recommendations: a combined survey and randomised trial

Sammendrag

Objectives To investigate practicing physicians' preferences, perceived usefulness and understanding of a new multilayered guideline presentation format—compared to a standard format—as well as conceptual understanding of trustworthy guideline concepts. Design Participants attended a standardised lecture in which they were presented with a clinical scenario and randomised to view a guideline recommendation in a multilayered format or standard format after which they answered multiple-choice questions using clickers. Both groups were also presented and asked about guideline concepts. Setting Mandatory educational lectures in 7 non-academic and academic hospitals, and 2 settings involving primary care in Lebanon, Norway, Spain and the UK. Participants 181 practicing physicians in internal medicine (156) and general practice (25). Interventions A new digitally structured, multilayered guideline presentation format and a standard narrative presentation format currently in widespread use. Primary and secondary outcome measures Our primary outcome was preference for presentation format. Understanding, perceived usefulness and perception of absolute effects were secondary outcomes. Results 72% (95% CI 65 to 79) of participants preferred the multilayered format and 16% (95% CI 10 to 22) preferred the standard format. A majority agreed that recommendations (multilayered 86% vs standard 91%, p value=0.31) and evidence summaries (79% vs 77%, p value=0.76) were useful in the context of the clinical scenario. 72% of participants randomised to the multilayered format vs 58% for standard formats reported correct understanding of the recommendations (p value=0.06). Most participants elected an appropriate clinical action after viewing the recommendations (98% vs 92%, p value=0.10). 82% of the participants considered absolute effect estimates in evidence summaries helpful or crucial. Conclusions Clinicians clearly preferred a novel multilayered presentation format to the standard format. Whether the preferred format improves decision-making and has an impact on patient important outcomes merits further investigation.

Bidragsytere

Aktiv cristin-person

Linn Brandt

  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Div Gjøvik ved Sykehuset Innlandet HF
Aktiv cristin-person

Per Olav Vandvik

  • Tilknyttet:
    Forfatter
    ved Div Gjøvik ved Sykehuset Innlandet HF
  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo

Pablo Alonso-Coello

  • Tilknyttet:
    Forfatter
    ved McMaster University
  • Tilknyttet:
    Forfatter
    ved Centro de Investigación Biomédica en Red de Epidemiología y Salud Públ

Elie A. Akl

  • Tilknyttet:
    Forfatter
    ved American University of Beirut
  • Tilknyttet:
    Forfatter
    ved McMaster University

Judith Thornton

  • Tilknyttet:
    Forfatter
    ved National Institute for Health Research
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