Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada Continuing Education and Professional Development, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Faculty of Applied Science and Engineering, University of Toronto, Toronto, Ontario, Canada.
J Am Med Inform Assoc. 2014 Oct;21(e2):e341-6. doi: 10.1136/amiajnl-2014-002660. Epub 2014 May 1.
To conduct a series of focus groups with primary care physicians to determine the optimal format of a shortened, focused systematic review.
Prototypes for two formats of a shortened systematic review were developed and presented to participants during focus group sessions. Focus groups were conducted with primary care physicians who were in full- or part-time practice. An iterative process was used so that the information learned from the first set of focus groups (Round 1) influenced the material presented to the second set of focus groups (Round 2). The focus group discussions were recorded, transcribed verbatim, and analyzed.
Each of the two rounds of testing included three focus groups. A total of 32 physicians participated (Round 1:16 participants; Round 2:16 participants). Analysis of the transcripts from Round 1 identified three themes including ease of use, clarity, and implementation. Changes were made to the prototypes based on the results so that the revised prototypes could be presented and discussed in the second round of focus groups. After analysis of transcripts from Round 2, four themes were identified, including ease of use, clarity, brevity, and implementation. Revisions were made to the prototypes based on the results.
Primary care physicians provided input on the refinement of two prototypes of a shortened systematic review for clinicians. Their feedback guided changes to the format, presentation, and layout of these prototypes in order to increase usability and uptake for end-users.
通过一系列基层医疗医师焦点小组讨论，确定缩短式重点系统综述的最佳格式。
制定两种缩短式系统综述格式的原型，并在焦点小组会议期间向参与者展示。焦点小组由全职或兼职执业的基层医疗医师组成。采用迭代过程，以便从第一组焦点小组（第 1 轮）获得的信息影响到第二组焦点小组（第 2 轮）所展示的内容。对焦点小组讨论进行录音、逐字记录和分析。
两轮测试每组均包括三个焦点小组。共有 32 名医师参与（第 1 轮：16 名参与者；第 2 轮：16 名参与者）。第 1 轮记录的转录本分析确定了三个主题，包括易用性、清晰度和实施。根据结果对原型进行了修改，以便在第二轮焦点小组中展示和讨论修订后的原型。对第 2 轮记录的转录本进行分析后，确定了四个主题，包括易用性、清晰度、简洁性和实施。根据结果对原型进行了修订。
基层医疗医师对两种缩短式临床医师用系统综述原型的完善提出了意见。他们的反馈指导了格式、演示和布局的更改，以提高最终用户的可用性和接受度。
