Healthy Individuals (Clinicians)
Conditions
Brief summary
The use of the best evidence available for decision-making is nowadays an undisputed goal in health care. However, this is not always achieved in the context of clinical practice. Two of the potential solutions to bridge the gap between evidence and the clinical practice are the evidence summaries and the evidence based recommendations. However, it is not clear, and frequently controversial, to what extent clinicians consider helpful recommendations accompanying evidence summaries. The investigators will explore this question by conducting a study where clinicians will be randomized to receive a clinical scenario accompanied by an evidence summary plus a recommendation and a second clinical scenario accompanied by only for an evidence summary (group A) or vice versa (Group B). The outcome will be clinicians' preferences.
Interventions
OTHEREvidence summary alone plus a recommendation
OTHEREvidence summary alone
Sponsors
McMaster University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Were trained as Medical Doctors * Practice primary care or general internal medicine.
Exclusion criteria
none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preferences | Immediately after the intervention (Survey) | Preference: for the evidence summary plus the accompanying recommendation or for the evidence summary alone. We will assess this outcome with a 7-point Lickert scale This outcome will be assessed after the presentation of the two clinical scenarios. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Understanding | Immediately after the intervention (Survey) | Understanding: Percentage of correct answers regarding the understanding of the evidence: understanding of baseline risk, risk difference, confidence interval and quality of the evidence assessment. |
| Interpretation of benefits and harms | Immediately after the intervention (Survey) | Interpretation of benefits and harms: Distribution of the interpretation of the magnitude of the benefits in comparison with harms |
| Intended course of action | Immediately after the intervention (Survey) | Intended course of action: For the clinical questions related with strong recommendations, we will compare the percentage of appropriate decisions (i.e. decisions that match the strong recommendation). |
Countries
Canada
Outcome results
None listed