Program delivery required partnering with 5 organizations. Participants valued Courriels Cochrane. IAM ratings documented their reflective learning. The aggregation of IAM ratings documented 3 levels of CME outcomes: participation, learning, and performance. This evaluation study demonstrates the feasibility of the Courriels Cochrane as an approach to further disseminate Cochrane systematic literature reviews to clinicians and document self-reported knowledge translation associated with Cochrane reviews.

associations between specific types of cognitive impact and information use for a specific patient. For example, when the physician reported "My practice was changed and improved" as a result of this clinical information, the odds that information was used for a specific patient increased threefold. Our findings provide empirical data to support the applicability of the acquisitioncognition-application model, as operationalized through the Information Assessment Method, in primary healthcare. Capturing the use of research-based information in medicine opens the door to further study of the relationships between clinical information and health outcomes.

BackgroundThe Information Assessment Method (IAM) is a popular tool for continuing education and knowledge translation. After a search for information, the IAM allows the health professional to report what was the search objective, its cognitive impact, as well as any use and patient health benefit associated with the retrieved health information. In continuing education programs, professionals read health information, rate it using the IAM, and earn continuing education credit for this brief individual reflective learning activity. IAM items have been iteratively developed using literature reviews and qualitative studies. Thus, our research question was: what is the content validity of IAM items from the users’ perspective?MethodsA two-step content validation study was conducted. In Step 1, we followed a mixed methods research design, and assessed the relevance and representativeness of IAM items. In this step, data from a longitudinal quantitative study and a qualitative multiple case study involving 40 family physicians were analyzed. In Step 2, IAM items were analyzed and modified based on a set of guiding principles by a multi-disciplinary expert panel.ResultsThe content validity of 16 IAM items was supported, and these items were not changed. Nine other items were modified. Three new items were added, including two that were extensions of an existing item.ConclusionA content validated version of the IAM (IAM 2011) is available for the continuing education of health professionals.

Background Evidence-Based Medicine is built on the premise that clinicians can be more confident when their decisions are grounded in high-quality evidence. Furthermore, evidence from studies involving patient-oriented outcomes is preferred when making decisions about tests or treatments. Ideally, the findings of relevant and valid trials should be stable over time, that is, unlikely to be reversed in subsequent research. Objective To evaluate the stability of evidence from trials relevant to primary healthcare and to identify study characteristics associated with their reversal. Methods We studied synopses of randomized controlled trials (RCTs) published from 2002 to 2005 as “Daily POEMs” (Patient Oriented Evidence that Matters). The initial evidence (E1) from these POEMs (2002–2005) was compared with the updated evidence (E2) on that same topic in a summary resource (DynaMed 2019). Two physician-raters independently categorized each POEM-RCT as (i) reversed when E1 ≠ E2, or as (ii) not reversed, when E1 = E2. For all “Evidence Reversals” (E1 ≠ E2), we assessed the direction of change in the evidence. Results We evaluated 408 POEMs on RCTs. Of those, 35 (9%; 95% confidence interval [6–12]) were identified as reversed, 359 (88%) were identified as not reversed, and 14 (3%) were indeterminate. On average, this represents about 2 evidence reversals per annum for POEMs about RCTs. Conclusions Over 12–17 years, 9% of RCTs summarized as POEMs are reversed. Information alerting services that apply strict criteria for relevance and validity of clinical information are likely to identify RCTs whose findings are stable over time.