Developing a theory-based instrument to assess the impact of continuing professional development activities on clinical practice: A study protocol

France Légaré; Francine Borduas; André Jacques; Réjean Laprise; Gilles Voyer; Andrée Boucher; Francesca Luconi; Michel Rousseau; Michel Labrecque; Joan Sargeant; Jeremy Grimshaw; Gaston Godin

doi:10.1186/1748-5908-6-17

Developing a theory-based instrument to assess the impact of continuing professional development activities on clinical practice: A study protocol

France Légaré, Francine Borduas, André Jacques, Réjean Laprise, Gilles Voyer, Andrée Boucher, Francesca Luconi, Michel Rousseau, Michel Labrecque, Joan Sargeant, Jeremy Grimshaw, Gaston Godin

Medicine

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26 Citas (Scopus)

Resumen

Background: Continuing professional development (CPD) is one of the principal means by which health professionals (i.e. primary care physicians and specialists) maintain, improve, and broaden the knowledge and skills required for optimal patient care and safety. However, the lack of a widely accepted instrument to assess the impact of CPD activities on clinical practice thwarts researchers' comparisons of the effectiveness of CPD activities. Using an integrated model for the study of healthcare professionals' behaviour, our objective is to develop a theory-based, valid, reliable global instrument to assess the impact of accredited CPD activities on clinical practice.Methods: Phase 1: We will analyze the instruments identified in a systematic review of factors influencing health professionals' behaviours using criteria that reflect the literature on measurement development and CPD decision makers' priorities. The outcome of this phase will be an inventory of instruments based on social cognitive theories. Phase 2: Working from this inventory, the most relevant instruments and their related items for assessing the concepts listed in the integrated model will be selected. Through an e-Delphi process, we will verify whether these instruments are acceptable, what aspects need revision, and whether important items are missing and should be added. The outcome of this phase will be a new global instrument integrating the most relevant tools to fit our integrated model of healthcare professionals' behaviour. Phase 3: Two data collections are planned: (1) a test-retest of the new instrument, including item analysis, to assess its reliability and (2) a study using the instrument before and after CPD activities with a randomly selected control group to explore the instrument's mere-measurement effect. Phase 4: We will conduct individual interviews and focus groups with key stakeholders to identify anticipated barriers and enablers for implementing the new instrument in CPD practice. Phase 5: Drawing on the results from the previous phases, we will use consensus-building methods to develop with the decision makers a plan to implement the new instrument.Discussion: This project proposes to give stakeholders a theory-based global instrument to validly and reliably measure the impacts of CPD activities on clinical practice, thus laying the groundwork for more targeted and effective knowledge-translation interventions in the future.

Idioma original	English
Número de artículo	17
Publicación	Implementation Science
Volumen	6
N.º	1
DOI	https://doi.org/10.1186/1748-5908-6-17
Estado	Published - mar. 7 2011

Nota bibliográfica

Funding Information:
This study is funded by a Partnership for Health System Improvement grant from the Canadian Institutes of Health Research (CIHR; 2010-2013; grant # 200911PHE-216868-PHE-CFBA-19158) and by the Ministère de la Santé et des Services Sociaux du Québec (MSSS). The following CME organisations are providing funding to this study: Consortium pédagogique Secteur DPC, Faculté de Médecine, Université Laval, Québec, QC, Canada; Practice Enhancement Division, Collège des médecins du Québec, Montréal, QC, Canada; Fédération des médecins spécialistes du Québec, Montréal, QC, Canada; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada; Université de Montréal, Montréal, QC, Canada; and Center for Continuing Health Professional Education, McGill University, Montréal, QC, Canada. FL is Canada Research Chair in Implementation of Shared Decision Making in Primary Healthcare. GG is Canada Research Chair in Health Behaviours and Canada Research Chair in Knowledge Transfer and Uptake. JG is director of Knowledge Translation Canada (http:// ktclearinghouse.ca/ktcanada). FL, GG, and ML are members of Knowledge Translation Canada. Ethics approval for the project was received from the Research Ethics Board Committee of the Centre Hospitalier Universitaire de Québec (CHUQ) on 30 June 2010 (project# S10-06-033).

ASJC Scopus Subject Areas

Health Policy
Health Informatics
Public Health, Environmental and Occupational Health

PubMed: MeSH publication types

Journal Article
Research Support, Non-U.S. Gov't

ODS de las Naciones Unidas

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Légaré, F., Borduas, F., Jacques, A., Laprise, R., Voyer, G., Boucher, A., Luconi, F., Rousseau, M., Labrecque, M., Sargeant, J., Grimshaw, J., & Godin, G. (2011). Developing a theory-based instrument to assess the impact of continuing professional development activities on clinical practice: A study protocol. Implementation Science, 6(1), Artículo 17. https://doi.org/10.1186/1748-5908-6-17

Légaré, F, Borduas, F, Jacques, A, Laprise, R, Voyer, G, Boucher, A, Luconi, F, Rousseau, M, Labrecque, M, Sargeant, J, Grimshaw, J & Godin, G 2011, 'Developing a theory-based instrument to assess the impact of continuing professional development activities on clinical practice: A study protocol', Implementation Science, vol. 6, n.º 1, 17. https://doi.org/10.1186/1748-5908-6-17

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abstract = "Background: Continuing professional development (CPD) is one of the principal means by which health professionals (i.e. primary care physicians and specialists) maintain, improve, and broaden the knowledge and skills required for optimal patient care and safety. However, the lack of a widely accepted instrument to assess the impact of CPD activities on clinical practice thwarts researchers' comparisons of the effectiveness of CPD activities. Using an integrated model for the study of healthcare professionals' behaviour, our objective is to develop a theory-based, valid, reliable global instrument to assess the impact of accredited CPD activities on clinical practice.Methods: Phase 1: We will analyze the instruments identified in a systematic review of factors influencing health professionals' behaviours using criteria that reflect the literature on measurement development and CPD decision makers' priorities. The outcome of this phase will be an inventory of instruments based on social cognitive theories. Phase 2: Working from this inventory, the most relevant instruments and their related items for assessing the concepts listed in the integrated model will be selected. Through an e-Delphi process, we will verify whether these instruments are acceptable, what aspects need revision, and whether important items are missing and should be added. The outcome of this phase will be a new global instrument integrating the most relevant tools to fit our integrated model of healthcare professionals' behaviour. Phase 3: Two data collections are planned: (1) a test-retest of the new instrument, including item analysis, to assess its reliability and (2) a study using the instrument before and after CPD activities with a randomly selected control group to explore the instrument's mere-measurement effect. Phase 4: We will conduct individual interviews and focus groups with key stakeholders to identify anticipated barriers and enablers for implementing the new instrument in CPD practice. Phase 5: Drawing on the results from the previous phases, we will use consensus-building methods to develop with the decision makers a plan to implement the new instrument.Discussion: This project proposes to give stakeholders a theory-based global instrument to validly and reliably measure the impacts of CPD activities on clinical practice, thus laying the groundwork for more targeted and effective knowledge-translation interventions in the future.",

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AU - Légaré, France

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AU - Jacques, André

AU - Laprise, Réjean

AU - Voyer, Gilles

AU - Boucher, Andrée

AU - Luconi, Francesca

AU - Rousseau, Michel

AU - Labrecque, Michel

AU - Sargeant, Joan

AU - Grimshaw, Jeremy

AU - Godin, Gaston

N1 - Funding Information: This study is funded by a Partnership for Health System Improvement grant from the Canadian Institutes of Health Research (CIHR; 2010-2013; grant # 200911PHE-216868-PHE-CFBA-19158) and by the Ministère de la Santé et des Services Sociaux du Québec (MSSS). The following CME organisations are providing funding to this study: Consortium pédagogique Secteur DPC, Faculté de Médecine, Université Laval, Québec, QC, Canada; Practice Enhancement Division, Collège des médecins du Québec, Montréal, QC, Canada; Fédération des médecins spécialistes du Québec, Montréal, QC, Canada; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada; Université de Montréal, Montréal, QC, Canada; and Center for Continuing Health Professional Education, McGill University, Montréal, QC, Canada. FL is Canada Research Chair in Implementation of Shared Decision Making in Primary Healthcare. GG is Canada Research Chair in Health Behaviours and Canada Research Chair in Knowledge Transfer and Uptake. JG is director of Knowledge Translation Canada (http:// ktclearinghouse.ca/ktcanada). FL, GG, and ML are members of Knowledge Translation Canada. Ethics approval for the project was received from the Research Ethics Board Committee of the Centre Hospitalier Universitaire de Québec (CHUQ) on 30 June 2010 (project# S10-06-033).

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N2 - Background: Continuing professional development (CPD) is one of the principal means by which health professionals (i.e. primary care physicians and specialists) maintain, improve, and broaden the knowledge and skills required for optimal patient care and safety. However, the lack of a widely accepted instrument to assess the impact of CPD activities on clinical practice thwarts researchers' comparisons of the effectiveness of CPD activities. Using an integrated model for the study of healthcare professionals' behaviour, our objective is to develop a theory-based, valid, reliable global instrument to assess the impact of accredited CPD activities on clinical practice.Methods: Phase 1: We will analyze the instruments identified in a systematic review of factors influencing health professionals' behaviours using criteria that reflect the literature on measurement development and CPD decision makers' priorities. The outcome of this phase will be an inventory of instruments based on social cognitive theories. Phase 2: Working from this inventory, the most relevant instruments and their related items for assessing the concepts listed in the integrated model will be selected. Through an e-Delphi process, we will verify whether these instruments are acceptable, what aspects need revision, and whether important items are missing and should be added. The outcome of this phase will be a new global instrument integrating the most relevant tools to fit our integrated model of healthcare professionals' behaviour. Phase 3: Two data collections are planned: (1) a test-retest of the new instrument, including item analysis, to assess its reliability and (2) a study using the instrument before and after CPD activities with a randomly selected control group to explore the instrument's mere-measurement effect. Phase 4: We will conduct individual interviews and focus groups with key stakeholders to identify anticipated barriers and enablers for implementing the new instrument in CPD practice. Phase 5: Drawing on the results from the previous phases, we will use consensus-building methods to develop with the decision makers a plan to implement the new instrument.Discussion: This project proposes to give stakeholders a theory-based global instrument to validly and reliably measure the impacts of CPD activities on clinical practice, thus laying the groundwork for more targeted and effective knowledge-translation interventions in the future.

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Developing a theory-based instrument to assess the impact of continuing professional development activities on clinical practice: A study protocol

Resumen

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ASJC Scopus Subject Areas

PubMed: MeSH publication types

ODS de las Naciones Unidas

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