Eng Janice J, Noonan Vanessa K, Townson Andrea F, Higgins Caroline E, Rogers Jess, Wolfe Dalton L
Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
J Med Internet Res. 2014 Dec 23;16(12):e296. doi: 10.2196/jmir.3453.
It is not known whether ongoing access to a broad-based Internet knowledge resource can influence the practice of health care providers. We undertook a study to evaluate the impact of a Web-based knowledge resource on increasing access to evidence and facilitating best practice of health care providers.
The objective of this study was to evaluate (1) the impact of the Spinal Cord Injury Rehabilitation Evidence (SCIRE) project on access to information for health care providers and researchers and (2) how SCIRE influenced health care providers' management of clients.
A 4-part mixed methods evaluation was undertaken: (1) monitoring website traffic and utilization using Google Analytics, (2) online survey of users who accessed the SCIRE website, (3) online survey of targeted end-users, that is, rehabilitation health care providers known to work with spinal cord injury (SCI) clients, as well as researchers, and (4) focus groups with health care providers who had previously accessed SCIRE.
The online format allowed the content for a relatively specialized field to have far reach (eg, 26 countries and over 6500 users per month). The website survey and targeted end-user survey confirmed that health care providers, as well as researchers perceived that the website increased their access to SCI evidence. Access to SCIRE not only improved knowledge of SCI evidence but helped inform changes to the health providers' clinical practice and improved their confidence in treating SCI clients. The SCIRE information directly influenced the health providers' clinical decision making, in terms of choice of intervention, equipment needs, or assessment tool.
A Web-based knowledge resource may be a relatively inexpensive method to increase access to evidence-based information, increase knowledge of the evidence, inform changes to the health providers' practice, and influence their clinical decision making.
持续访问广泛的互联网知识资源是否会影响医疗保健提供者的实践尚不清楚。我们开展了一项研究，以评估基于网络的知识资源对增加医疗保健提供者获取证据和促进最佳实践的影响。
本研究的目的是评估（1）脊髓损伤康复证据（SCIRE）项目对医疗保健提供者和研究人员获取信息的影响，以及（2）SCIRE如何影响医疗保健提供者对患者的管理。
进行了一项分为四个部分的混合方法评估：（1）使用谷歌分析监测网站流量和利用率；（2）对访问SCIRE网站的用户进行在线调查；（3）对目标最终用户进行在线调查，即已知与脊髓损伤（SCI）患者合作的康复医疗保健提供者以及研究人员；（4）与之前访问过SCIRE的医疗保健提供者进行焦点小组讨论。
在线形式使一个相对专业领域的内容能够广泛传播（例如，每月有来自26个国家的超过6500名用户）。网站调查和目标最终用户调查证实，医疗保健提供者以及研究人员认为该网站增加了他们获取SCI证据的机会。访问SCIRE不仅提高了对SCI证据的了解，还有助于为医疗保健提供者的临床实践变革提供信息，并增强了他们治疗SCI患者的信心。SCIRE信息在干预选择、设备需求或评估工具方面直接影响了医疗保健提供者的临床决策。
基于网络的知识资源可能是一种相对廉价的方法，可增加获取循证信息的机会，提高对证据的了解，为医疗保健提供者的实践变革提供信息，并影响他们的临床决策。
