Grad Roland M, Pluye Pierre, Mercer Jay, Marlow Bernard, Beauchamp Marie-Eve, Shulha Michael, Johnson-Lafleur Janique, Wood-Dauphinee Sharon
Department of Family Medicine, McGill University, Montreal, Canada.
J Am Med Inform Assoc. 2008 Mar-Apr;15(2):240-5. doi: 10.1197/jamia.M2563. Epub 2007 Dec 20.
We conducted a prospective observational study to (1) determine usage and construct validity of a method to gauge the cognitive impact of information derived from daily e-mail, and (2) describe self-reported impacts of research-based synopses (InfoPOEMs) delivered as e-mail. Ratings of InfoPOEMs using an Impact assessment scale provided (a) data on usage of the impact assessment method, (b) reports of impact by InfoPOEM and by doctor and (c) data for analysis of construct validity of the scale. PARTICIPANTS were family physicians or general practitioners who rated at least five InfoPOEMs delivered on e-mail. For each InfoPOEM rated, 0.1 continuing education credit was awarded by the College of Family Physicians of Canada. Use of the impact assessment scale linked to a daily InfoPOEM was sustained during the 150-day study period. 1,007 participants submitted 61,493 reports of 'cognitive impact' by rating on average 61 InfoPOEMs (range 5-111). 'I learned something new' was most frequently reported. 'I was frustrated as there was not enough information or nothing useful' was the most frequently reported negative type of impact. The proportion of reports of 'No Impact' varied substantially across individual InfoPOEMs. Impact patterns suggested an 8 or 9-factor solution. Our Impact assessment method facilitates knowledge transfer by promoting two-way exchange between providers of health information and family doctors. Providers of health information can use this method to better understand the impact of research-based synopses. Sustaining current practice and increasing knowledge about new developments in medicine are important outcomes arising from research-based synopses delivered as e-mail, in addition to practice change.
我们开展了一项前瞻性观察性研究，以（1）确定一种衡量日常电子邮件所提供信息的认知影响的方法的使用情况和结构效度，以及（2）描述以电子邮件形式发送的基于研究的概要（信息诊疗要点）的自我报告影响。使用提供的影响评估量表对信息诊疗要点进行评分，可得出（a）影响评估方法的使用数据，（b）信息诊疗要点以及医生报告的影响情况，以及（c）用于分析该量表结构效度的数据。参与者为家庭医生或全科医生，他们对至少五封通过电子邮件发送的信息诊疗要点进行了评分。加拿大家庭医生学院为每封被评分的信息诊疗要点授予0.1个继续教育学分。在为期150天的研究期间，与每日信息诊疗要点相关联的影响评估量表的使用情况得以持续。1007名参与者提交了61493份关于“认知影响”的报告，平均对61份信息诊疗要点进行了评分（范围为5 - 111份）。“我学到了新东西”是最常被报告的内容。“由于信息不足或没有有用信息，我感到沮丧”是最常被报告的负面影响类型。“无影响”报告的比例在各个信息诊疗要点之间差异很大。影响模式表明存在一个8或9因素的解决方案。我们的影响评估方法通过促进健康信息提供者与家庭医生之间的双向交流，推动了知识转移。健康信息提供者可以使用这种方法更好地理解基于研究的概要的影响。除了实践改变之外，维持当前的做法以及增加对医学新进展的了解，是以电子邮件形式发送的基于研究的概要所产生的重要成果。
