Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
Subst Abus. 2011 Oct;32(4):175-9. doi: 10.1080/08897077.2011.598399.
A pocket guide on management of substance use during pregnancy was developed by a group of Canadian care providers. One hundred and fifteen family medicine residents in 6 Canadian teaching sites were randomized to receive either the pocket guide or a paper summary on similar clinical topics, based on UpToDate, a comprehensive Web-based resource. At baseline, both groups completed a survey containing questions on beliefs, attitudes, experience, and training on pregnancy and substance use. Participants then answered 28 multiple choice questions about substance use in pregnancy, using either the pocket guide or UpToDate. Finally participants were asked to rate ease of use for the 2 resources. The results showed that the pocket guide group had higher knowledge scores than the UpToDate group overall and at each study site (61.27% vs. 42.86%, P < .001). The residents found the pocket guide easier to use than UpToDate (mean = 2.73 vs. 4.36, P < .001), and were more likely to want to use it again (96% for pocket card, 78% for UpToDate, P = .005). It is concluded that the pocket guide is a practical source of clinical information at point of care, particularly for "orphan" subjects such as substance use in pregnancy.
一本关于妊娠期间物质使用管理的袖珍指南由一组加拿大护理提供者编写。在 6 个加拿大教学点，115 名家庭医学住院医师被随机分配接受袖珍指南或基于 UpToDate（一个全面的基于网络的资源）的类似临床主题的纸质摘要。在基线时，两组都完成了一份包含关于妊娠和物质使用的信念、态度、经验和培训问题的调查。然后，参与者使用袖珍指南或 UpToDate 回答了 28 个关于妊娠期间物质使用的多项选择题。最后，要求参与者对这两种资源的易用性进行评分。结果表明，总体而言以及在每个研究地点，袖珍指南组的知识得分都高于 UpToDate 组（61.27%比 42.86%，P <.001）。居民发现袖珍指南比 UpToDate 更容易使用（平均值=2.73 比 4.36，P <.001），并且更愿意再次使用它（96%的人选择袖珍卡，78%的人选择 UpToDate，P =.005）。结论是，袖珍指南是在护理点获取临床信息的实用资源，特别是对于妊娠期间物质使用等“孤儿”主题。
