Information de reference pour ce titreAccession Number: | 00066683-201308000-00013.
|
Author: | Rosati, Paola MD MSc 1,a; Porzsolt, Franz MD PhD 2,b
|
Institution: | (1) Bambino Gesu Children's Hospital, IRCCS, Rome, Italy (2) Clinical Economics, University of Ulm, Ulm, Germany (a)Consultant Paediatrician (b)Professor
|
Title: | |
Source: | Journal of Evaluation in Clinical Practice. 19(4):648-652, August 2013.
|
Abstract: | Rationale, aims and objectives: Having a quick, practical, educational tool designed for busy child-care professionals to check whether systematic reviews (SRs) contain valid information would help them regularly update their evidence-based knowledge and apply it to their patients. Continuing our annual workshop courses encouraging paediatric hospital professionals to use evidence-based information, in a preliminary study, we compared the commonly used Critical Appraisal Skill Programme (CASP) questionnaire for appraising overall internal validity in SRs with a new, practical tool designed to check internal validity quickly.
Method: During a course in 2010, two 'teacher-brokers' taught experienced paediatric hospital professionals to use and compare the CASP and the new practical tool to appraise a Cochrane SR on beclomethasone for asthma in children by assessing internal validity only from the two most weighted randomized controlled trials in the forest plot. At 15 days and 6 months, participants then answered questionnaires designed to assess qualitative data including feelings about working together, memorization and possibly provide feedback for Cochrane reviewers.
Results: Using the CASP, participants agreed that the Cochrane SR analysed contained overall valid results. Conversely, using the new quick tool, they found poor internal validity. Participants worked well together in a group, took less time to apply the new tool than the CASP (1 vs. 2.5 hours) and provided Cochrane feedback.
Conclusions: Our quick practical tool for teaching critical appraisal encourages busy child-care hospital professionals to work together, carefully check validity in SRs, apply the findings in clinical practice and provide useful feedback for Cochrane reviewers.
Copyright (C) 2013 Blackwell Publishing Ltd.
|
Author Keywords: | appraisal; continuing medical education; evidence-based practice; meta-analysis (publication type); training.
|
References: | 1. Bastian, H., Glasziou, P., & Chalmers, I. (2010) Seventy-five trials and eleven systematic reviews a day: how will we ever keep up? PLoS Medicine, 7, e1000326. Available at: http://www.clinicaltrials.ploshu...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
2. Taylor, R. S., Reeves, B. C., Ewings, P. E., & Taylor, R. J. (2004) Critical appraisal skills training for health care professionals: a randomized controlled trial. BMC Medical Education, 4, 30. Available at: http://www.biomedcentral.com/147...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
3. Higgins, J. P. T., & Green, S. (2009) Cochrane handbook for systematic reviews of interventions. Version 5.1.0 [updated March 2011]. The Cochrane Collaboration. Available at: http://www.cochrane-handbook.org...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
4. Katrak, P., Bialocerkowski, A. E., Massy-Westropp, N., Saravana Kumar, V. S., & Grimmer, K. A. (2004) A systematic review of the content of critical appraisal tools. BMC Medical Research Methodology, 4, 22. Available at: http://www.biomedcentral.com/147...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
5. Public Health Resource Unit (2006) Critical appraisal skills programme (CASP). Available at: http://www.casp-uk.net/wp-conten...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
6. Gigerenzer, G., Gaissmaier, W., Kurz-Milcke, E., Schwartz, L. M., & Woloshin, S. (2008) Helping doctors and patients make sense of health statistics. Psychological Science in the Public Interest, 8, 53-96.
7. Maskrey, N., Underhill, J., Hutchinson, A., Shaughnessy, A., & Slawson, D. (2010) Getting a better grip on research: the maze of the most busy life. InnovAIT, 3, 172-179.
8. Sharek, P. J., Bergman, D., & Ducharme, F. (2000) Beclomethasone for asthma in children: effects on linear growth. Cochrane Database of Systematic Reviews,(1), CD001282. doi: 10.1002/14651858.CD001282. Available at: http://onlinelibrary.wiley.com/d...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
9. Doull, I. J., Freezer, N. J., & Holgate, S. T. (1995) Growth of prepubertal children with mild asthma treated with inhaled beclomethasone dipropionate. American Journal of Respiratory and Critical Care Medicine, 151 (6), 1715-1719.
10. Verberne, A. A. P. H., Frost, C., Jan Roorda, R., van der Laag, H., Kerrebijn, K. F., & The Dutch Paediatric Asthma Study Group (1997) One year treatment with salmeterol compared with beclomethasone in children with asthma. American Journal of Respiratory and Critical Care Medicine, 156, 688-695.
11. Lomas, J. (2007) The in-between world of knowledge brokering. British Medical Journal, 334, 129-132.
12. Simons, F. E. R., & The Canadian Beclomethasone Dipropionate-Salmeterol Xinafoate Study Group (1997) A comparison of beclomethasone, salmeterol, and placebo in children with asthma. New England Journal of Medicine, 337, 1659-1666.
13. Lundh, A., & G[phi]tzsche, P. C. (2008) Recommendations by Cochrane Review Groups for assessment of the risk of bias in studies. BMC Medical Research Methodology, 8, 22. Available at: http://www.biomedcentral.com/147...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
14. Marret, E., Elia, N., Dahl, J. B., McQuay, H. J., M[phi]iniche, S., Moore, R. A., Straube, S., & Tramer, M. R. (2009) Susceptibility to fraud in systematic reviews. Lessons from the Reuben case. Anesthesiology, 111, 1279-1289.
15. Vaughn, L., & Baker, R. (2001) Teaching in the medical setting: balancing teaching styles, learning styles and teaching methods. Medical Teacher, 23 (6), 610-612.
16. Horsley, T., Hyde, C., Santesso, N., Parkes, J., Milne, R., & Stewart, R. (2001) Teaching critical appraisal skills in health care settings. Cochrane Database of Systematic Reviews,(11), CD001270. doi: 10.1002/14651858.CD001270. pub2. Available at: http://onlinelibrary.wiley.com/d...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
17. Blume, B. D., Ford, J. K., Baldwin, T. T., & Huang, J. L. (2010) Transfer of training: a meta-analytic review. Journal of Management, 36, 1065-1105.
18. Levine, R. E., O'Boyle, M., Haidet, P., Lynn, D. J., Stone, M. M., Wolf, D. V., & Paniagua, F. A. (2004) Transforming a clinical clerkship with team learning. Teaching and Learning in Medicine, 16 (3), 270-275.
19. Shaneyfelt, T., Baum, K. D., Bell, D., Feldstein, D., Houston, T. K., Kaatz, S., Whelan, C., & Green, M. (2006) Instruments for evaluating education in evidence-based practice. A systematic review. Journal of the American Medical Association, 296, 1116-1127.
20. Kersten, H. B., Randis, T. M., & Giardino, A. P. (2005) Evidence-based medicine in pediatric residency programs: where are we now? Ambulatory Pediatrics, 5 (5), 302-305.
21. Lucchiari, C., & Pravettoni, G. (2012) Cognitive balanced model: a conceptual scheme of diagnostic decision making. Journal of Evaluation in Clinical Practice, 18 (1), 82-88.
22. Twersky, A., & Kahneman, D. (1974) Judgment under uncertainty; heuristics and biases. Science, 185, 1124-1131.
23. Rosati, P., Ciampalini, P., Grossi, A., et al. (2011) An alternate evaluation of evidence: results from a CASP workshop. In Beclomethasone for Asthma in Children: Effects on Linear Growth. (ed. John Wiley & Sons & The Cochrane Collaboration), pp. 21-22. London: Cochrane Airways Group: The Cochrane Library. CD001282. doi: 10.1002/14651858.CD001282 29. Available at: http://onlinelibrary.wiley.com/d...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
24. Luciano, G. L., Carter, B. L., Garb, J. L., & Rothberg, M. B. (2011) Residents-as-teachers: implementing a toolkit in morning report to redefine resident roles. Teaching and Learning in Medicine, 23 (4), 316-323.
25. Wallace, J. E., Lemaire, J. B., & Ghali, W. A. (2009) Physician wellness: a missing quality indicator. Lancet, 374, 1714-1721.
26. Wakeling, J., Staples, I., & Cameron, N. (2012) How should we train consultant appraisers? Description and evaluation of a pilot training model developed in Scotland. Journal of Evaluation in Clinical Practice, 18 (3), 547-554.
27. Light, R. J., & Smith, P. V. (1971) Accumulating evidence: procedures for resolving contradictions among research studies. Harvard Educational Review, 41, 429-471.
28. Vaughn, L., & Baker, R. (2008) Do different pairings of teaching styles and learning styles make a difference? Preceptor and resident perceptions. Teaching and Learning in Medicine, 20 (3), 239-247.
29. Busari, J. O., Berkenbosch, L., & Brouns, J. W. (2011) Physicians as managers of health care delivery and the implications for postgraduate medical training: a literature review. Teaching and Learning in Medicine, 23 (2), 186-196.
30. Perrier, L., Mrklas, K., Lavis, J. N., & Strauss, S. E. (2011) Interventions encouraging the use of systematic reviews by health policymakers and managers: a systematic review. Implementation Science, 6 (1), 43. Available at: http://www.implementationscience...- ouverture dans une nouvelle fenêtre (last accessed 27 May 2012).
31. Mamede, S., Schmidt, H. G., & Rikers, R. (2007) Diagnostic errors and reflective practice in medicine. Journal of Evaluation in Clinical Practice, 13, 138-145.
|
Language: | English.
|
Document Type: | Original Articles.
|
Journal Subset: | Clinical Medicine.
|
ISSN: | 1356-1294
|
NLM Journal Code: | cwd, 9609066
|
DOI Number: | https://dx.doi.org/10.1111/j.136...- ouverture dans une nouvelle fenêtre
|
Annotation(s) | |
|
|