TY - JOUR
T1 - Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project)
T2 - A clinical trial by clusters
AU - del Cura-González, Isabel
AU - López-Rodríguez, Juan A.
AU - Sanz-Cuesta, Teresa
AU - Rodríguez-Barrientos, Ricardo
AU - Martín-Fernández, Jesús
AU - Ariza-Cardiel, Gloria
AU - Polentinos-Castro, Elena
AU - Román-Crespo, Begoña
AU - Escortell-Mayor, Esperanza
AU - Rico-Blázquez, Milagros
AU - Hernandez Santiago, Virginia
AU - Azcoaga-Lorenzo, Amaya
AU - Ojeda-Ruiz, Elena
AU - González-González, Ana I.
AU - Ávila-Tomas, José F.
AU - Barrio-Cortés, Jaime
AU - Molero-García, José M.
AU - Ferrer-Peña, Raul
AU - Tello-Bernabé, María Eugenia
AU - Trujillo-Martín, Mar
AU - Barral, Araceli Garrido
AU - Moreno, Aurora Fernández
AU - Pérez, Paloma Casado
AU - Barba, Emilio Cervera
AU - Rodríguez Monje, María Teresa
AU - Iturbe, Ana Gorroñogoitia
AU - Crespo, Luis Ignacio Mendibil
AU - Mañeru, M. Eulalia Mariñelarena
AU - de Gómez Barragan, Ma Josefa Gil
AU - Elustondo, Sofía Garrido
AU - Fuertes, Rosario Riesgo
AU - Cabello Ballesteros, Luisa María
AU - Nido, Rocío álvarez
AU - Moreno, Cruz Bartolome
AU - Rojas, Guillermo Cairo
AU - Rivas, Jose Luis Lopez
AU - Pikatza, Amaya Zenarutzabeitia
AU - Celaya, Carmen Sánchez
AU - Montalvo, Mariel Morey
AU - Almeida, Lizzy Paola Cisneros
AU - álamo Rodríguez, Manuel Del
AU - García-Franco, Alberto López
AU - Weismann, Elisa Ceresuela
AU - álvarez, Remedios Martín
AU - Bustillo, Beatriz Medina
AU - del Pozo, Marta Sánchez Celaya
AU - Perruca, Luis Sánchez
AU - Salinero Fort, Miguel ángel
AU - de Burgos Luna, Carmen
AU - SanJuan, Angel Mataix
AU - Borrajo, Marta Alcaraz
AU - de Miguel Díaz, Javier
AU - Larrea, Nerea Fernández
AU - Gómez Gascón, Tomas
AU - Rodriguez-Moñino, Ana Pastor
AU - Soto Díaz, Sonia
AU - Fernández, Silvia Pulido
AU - Menéndez-Asenjo, Angel Alberquilla
AU - Olmos, Luis García
PY - 2016/5/17
Y1 - 2016/5/17
N2 - Background: Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many cases, incorporation of these recommendations into clinical practice also implies a need for changes in routine clinical practice. Using educational games as a strategy for implementing recommendations among health professionals has been demonstrated to be effective in some studies; however, evidence is still scarce. The primary objective of this study is to assess the effectiveness of a teaching strategy for the implementation of CPGs using educational games (e-learning EDUCAGUIA) to improve knowledge and skills related to clinical decision-making by residents in family medicine. The primary objective will be evaluated at 1 and 6months after the intervention. The secondary objectives are to identify barriers and facilitators for the use of guidelines by residents of family medicine and to describe the educational strategies used by Spanish teaching units of family and community medicine to encourage implementation of CPGs. Methods/design: We propose a multicenter clinical trial with randomized allocation by clusters of family and community medicine teaching units in Spain. The sample size will be 394 residents (197 in each group), with the teaching units as the randomization unit and the residents comprising the analysis unit. For the intervention, both groups will receive an initial 1-h session on clinical practice guideline use and the usual dissemination strategy by e-mail. The intervention group (e-learning EDUCAGUIA) strategy will consist of educational games with hypothetical clinical scenarios in a virtual environment. The primary outcome will be the score obtained by the residents on evaluation questionnaires for each clinical practice guideline. Other included variables will be the sociodemographic and training variables of the residents and the teaching unit characteristics. The statistical analysis will consist of a descriptive analysis of variables and a baseline comparison of both groups. For the primary outcome analysis, an average score comparison of hypothetical scenario questionnaires between the EDUCAGUIA intervention group and the control group will be performed at 1 and 6months post-intervention, using 95% confidence intervals. A linear multilevel regression will be used to adjust the model. Discussion: The identification of effective teaching strategies will facilitate the incorporation of available knowledge into clinical practice that could eventually improve patient outcomes. The inclusion of information technologies as teaching tools permits greater learning autonomy and allows deeper instructor participation in the monitoring and supervision of residents. The long-term impact of this strategy is unknown; however, because it is aimed at professionals undergoing training and it addresses prevalent health problems, a small effect can be of great relevance. Trial registration: ClinicalTrials.gov: NCT02210442.
AB - Background: Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many cases, incorporation of these recommendations into clinical practice also implies a need for changes in routine clinical practice. Using educational games as a strategy for implementing recommendations among health professionals has been demonstrated to be effective in some studies; however, evidence is still scarce. The primary objective of this study is to assess the effectiveness of a teaching strategy for the implementation of CPGs using educational games (e-learning EDUCAGUIA) to improve knowledge and skills related to clinical decision-making by residents in family medicine. The primary objective will be evaluated at 1 and 6months after the intervention. The secondary objectives are to identify barriers and facilitators for the use of guidelines by residents of family medicine and to describe the educational strategies used by Spanish teaching units of family and community medicine to encourage implementation of CPGs. Methods/design: We propose a multicenter clinical trial with randomized allocation by clusters of family and community medicine teaching units in Spain. The sample size will be 394 residents (197 in each group), with the teaching units as the randomization unit and the residents comprising the analysis unit. For the intervention, both groups will receive an initial 1-h session on clinical practice guideline use and the usual dissemination strategy by e-mail. The intervention group (e-learning EDUCAGUIA) strategy will consist of educational games with hypothetical clinical scenarios in a virtual environment. The primary outcome will be the score obtained by the residents on evaluation questionnaires for each clinical practice guideline. Other included variables will be the sociodemographic and training variables of the residents and the teaching unit characteristics. The statistical analysis will consist of a descriptive analysis of variables and a baseline comparison of both groups. For the primary outcome analysis, an average score comparison of hypothetical scenario questionnaires between the EDUCAGUIA intervention group and the control group will be performed at 1 and 6months post-intervention, using 95% confidence intervals. A linear multilevel regression will be used to adjust the model. Discussion: The identification of effective teaching strategies will facilitate the incorporation of available knowledge into clinical practice that could eventually improve patient outcomes. The inclusion of information technologies as teaching tools permits greater learning autonomy and allows deeper instructor participation in the monitoring and supervision of residents. The long-term impact of this strategy is unknown; however, because it is aimed at professionals undergoing training and it addresses prevalent health problems, a small effect can be of great relevance. Trial registration: ClinicalTrials.gov: NCT02210442.
KW - Experimental
KW - Games
KW - Health personnel/education
KW - Practice guidelines as a topic
KW - Problem solving
KW - Professional competence
UR - http://www.scopus.com/inward/record.url?scp=84969523541&partnerID=8YFLogxK
U2 - 10.1186/s13012-016-0425-3
DO - 10.1186/s13012-016-0425-3
M3 - Article
C2 - 27189180
AN - SCOPUS:84969523541
SN - 1748-5908
VL - 11
SP - 1
EP - 10
JO - Implementation Science
JF - Implementation Science
IS - 1
M1 - 71
ER -