Diagnostic imaging guidelines implementation study for spinal disorders: a randomized trial with postal follow-ups.
Purpose: Implementation strategies of imaging guidelines can assist in reducing the number of radiographic examinations. This study aimed to compare the perceived need for diagnostic imaging before and after an educational intervention strategy. Methods: One hundred sixty Swiss chiropractors attendi...
| Published in: | Journal of Chiropractic Education (Association of Chiropractic Colleges) Vol. 24; no. 1; pp. 2 - 19 |
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| Main Authors: | , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
Association of Chiropractic Colleges
Spring2010
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105152658&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105152658 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10425055 G1A jtl: Journal of Chiropractic Education (Association of Chiropractic Colleges) issn: 10425055 maglogo: N pubinfo: dt: Spring2010 vid: 24 iid: 1 pid: 12048 pub: Association of Chiropractic Colleges place: Arlington, Virginia artinfo: ui: 105152658 105152658 2010602259 10.7899/1042-5055-24.1.2 NLM20480010 PMC2870986 105152658 ppf: 2 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Diagnostic imaging guidelines implementation study for spinal disorders: a randomized trial with postal follow-ups. aug: au: Bussières A Laurencelle L Peterson C sug: subj: Education, Chiropractic Spinal Diseases Diagnosis Spinal Diseases Radiography Chi Square Test Chiropractors Confidence Intervals Descriptive Statistics Education, Continuing Educational Measurement Funding Source Guideline Adherence Human Internet Outcomes of Education Post Hoc Analysis Pretest-Posttest Design Prospective Studies Questionnaires Radiography Education Radiography Standards Random Assignment Seminars and Workshops Single-Blind Studies Switzerland Unpaired T-Tests ab: Purpose: Implementation strategies of imaging guidelines can assist in reducing the number of radiographic examinations. This study aimed to compare the perceived need for diagnostic imaging before and after an educational intervention strategy. Methods: One hundred sixty Swiss chiropractors attending a conference were randomized to either receive a radiology workshop, reviewing appropriate indications for diagnostic imaging for adult spine disorders (n D 80), or be in a control group (CG). One group of 40 individuals dropped out from the CG due to logistic reasons. Participants in the intervention group were randomly assigned to three subgroups to evaluate the effect of an online reminder at midpoint. All participants underwent a pretest and a final test at 14-16 weeks. A posttest was administered to two subgroups at 8-10 weeks. Results: There was no difference between baseline scores, and overall scores for the pretest and the final tests for all four groups were not significantly different. However, the subgroup provided with access to a reminder performed significantly better than the subgroup with whom they were compared (F D 4.486; df D 1 and 30; p D .043). Guideline adherence was 50.5% (95% CI, 39.1-61.8) for the intervention group and 43.7% (95% CI, 23.7-63.6) for the CG at baseline. Adherence at follow-up was lower, but mean group differences remained insignificant. Conclusions: Online access to specific recommendations while making a clinical decision may favorably influence the intention to either order or not order imaging studies. However, a didactic presentation alone did not appear to change the perception for the need of diagnostic imaging studies. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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