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临床实践指南的信息图摘要:初级保健中对 BMJ 快速推荐进行用户测试的结果。

Infographic summaries for clinical practice guidelines: results from user testing of the BMJ Rapid Recommendations in primary care.

机构信息

Department of Public Health and Primary Care, KU Leuven, Leuven, Flanders, Belgium

Department of Public Health and Primary Care, KU Leuven, Leuven, Flanders, Belgium.

出版信息

BMJ Open. 2023 Nov 9;13(11):e071847. doi: 10.1136/bmjopen-2023-071847.

DOI:10.1136/bmjopen-2023-071847
PMID:37945307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10649784/
Abstract

OBJECTIVES

Infographics have the potential to enhance knowledge translation and implementation of clinical practice guidelines at the point of care. They can provide a synoptic view of recommendations, their rationale and supporting evidence. They should be understandable and easy to use. Little evaluation of these infographics regarding user experience has taken place. We explored general practitioners' experiences with five selected BMJ Rapid Recommendation infographics suited for primary care.

METHODS

An iterative, qualitative user testing design was applied on two consecutive groups of 10 general practitioners for five selected infographics. The physicians used the infographics before clinical encounters and we performed hybrid think-aloud interviews afterwards. 20 interviews were analysed using the Qualitative Analysis Guide of Leuven.

RESULTS

Many clinicians reported that the infographics were simple and rewarding to use, time-efficient and easy to understand. They were perceived as innovative and their knowledge basis as trustworthy and supportive for decision-making. The interactive, expandable format was preferred over a static version as general practitioners focused mainly on the core message. Rapid access through the electronic health record was highly desirable. The main issues were about the use of complex scales and terminology. Understanding terminology related to evidence appraisal as well as the interpretation of statistics and unfamiliar scales remained difficult, despite the infographics.

CONCLUSIONS

General practitioners perceive infographics as useful tools for guideline translation and implementation in primary care. They offer information in an enjoyable and user friendly format and are used mainly for rapid, tailored and just in time information retrieval. We recommend future infographic producers to provide information as concise as possible, carefully define the core message and explore ways to enhance the understandability of statistics and difficult concepts related to evidence appraisal.

TRIAL REGISTRATION NUMBER

MP011977.

摘要

目的

信息图有可能增强在护理点对临床实践指南的知识转化和实施。它们可以提供推荐、其原理和支持证据的概述。它们应该易于理解和使用。关于这些信息图的用户体验评估很少。我们探索了全科医生对五张适合初级保健的 BMJ 快速推荐信息图的体验。

方法

我们对两组连续的 10 名全科医生分别对五张选定的信息图进行了迭代、定性的用户测试设计。医生在临床就诊前使用信息图,之后我们进行了混合式出声思考访谈。使用莱顿定性分析指南对 20 次访谈进行了分析。

结果

许多临床医生报告说,信息图使用简单,使用效率高,易于理解,令人满意。他们认为这些信息图具有创新性,其知识基础值得信赖且支持决策。与静态版本相比,互动式可扩展格式更受欢迎,因为全科医生主要关注核心信息。通过电子健康记录快速访问是非常需要的。主要问题是关于复杂量表和术语的使用。尽管有信息图,但理解与证据评估相关的术语以及解释统计数据和不熟悉的量表仍然很困难。

结论

全科医生认为信息图是初级保健中指南转化和实施的有用工具。它们以一种愉快且用户友好的格式提供信息,主要用于快速、定制和及时的信息检索。我们建议未来的信息图制作者尽可能简洁地提供信息,仔细定义核心信息,并探索增强对统计数据和与证据评估相关的困难概念的理解性的方法。

试验注册号

MP011977。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e109/10649784/559aa3e67c1b/bmjopen-2023-071847f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e109/10649784/829560b0b9a1/bmjopen-2023-071847f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e109/10649784/559aa3e67c1b/bmjopen-2023-071847f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e109/10649784/829560b0b9a1/bmjopen-2023-071847f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e109/10649784/559aa3e67c1b/bmjopen-2023-071847f02.jpg

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