Deenadayalan Y, Grimmer-Somers K, Prior M, Kumar S
University of South Australia, City East Campus, Adelaide, Australia.
J Eval Clin Pract. 2008 Oct;14(5):898-911. doi: 10.1111/j.1365-2753.2008.01050.x.
Health-based journal clubs have been in place for over 100 years. Participants meet regularly to critique research articles, to improve their understanding of research design, statistics and critical appraisal. However, there is no standard process of conducting an effective journal club. We conducted a systematic literature review to identify core processes of a successful health journal club.
We searched a range of library databases using established keywords. All research designs were initially considered to establish the body of evidence. Experimental or comparative papers were then critically appraised for methodological quality and information was extracted on effective journal club processes.
We identified 101 articles, of which 21 comprised the body of evidence. Of these, 12 described journal club effectiveness. Methodological quality was moderate. The papers described many processes of effective journal clubs. Over 80% papers reported that journal club intervention was effective in improving knowledge and critical appraisal skills. Few papers reported on the psychometric properties of their outcome instruments. No paper reported on the translation of evidence from journal club into clinical practice.
Characteristics of successful journal clubs included regular and anticipated meetings, mandatory attendance, clear long- and short-term purpose, appropriate meeting timing and incentives, a trained journal club leader to choose papers and lead discussion, circulating papers prior to the meeting, using the internet for wider dissemination and data storage, using established critical appraisal processes and summarizing journal club findings.
基于健康的期刊俱乐部已经存在了100多年。参与者定期会面，对研究文章进行批判性分析，以增进对研究设计、统计学和批判性评价的理解。然而，目前尚无开展有效期刊俱乐部的标准流程。我们进行了一项系统的文献综述，以确定成功的健康期刊俱乐部的核心流程。
我们使用既定关键词检索了一系列图书馆数据库。所有研究设计最初都被纳入考虑以构建证据库。随后，对实验性或比较性论文的方法学质量进行批判性评价，并提取有关有效期刊俱乐部流程的信息。
我们共识别出101篇文章，其中21篇构成了证据库。在这些文章中，12篇描述了期刊俱乐部的有效性。方法学质量中等。这些论文描述了有效期刊俱乐部的许多流程。超过80%的论文报告称，期刊俱乐部干预在提高知识水平和批判性评价技能方面是有效的。很少有论文报告其结果工具的心理测量特性。没有论文报告从期刊俱乐部到临床实践的证据转化情况。
成功的期刊俱乐部的特点包括定期且预先安排好的会议、强制参会、明确的长期和短期目标、合适的会议时间和激励措施、由经过培训的期刊俱乐部负责人挑选论文并主持讨论、在会议前分发论文、利用互联网进行更广泛的传播和数据存储、采用既定的批判性评价流程以及总结期刊俱乐部的研究结果。
