Abstract
Data sources
The following electronic databases were searched from 1986 to the present: Cochrane Library (Cochrane Database of Systematic Reviews, DARE and HTA Databases, and Cochrane CENTRAL Register of Controlled Trials), Medline In Process and Other Non-Indexed Citations and Medline (Ovid), Embase (Ovid), ERIC (CSA), Index to Theses (Expert Information Services), and ZETOC (British Library Electronic Table of Contents and conference proceedings). No language restrictions.
Study selection
Randomised controlled trials or quasi-experimental designs were eligible which evaluated continuing professional development (CPD) interventions in dentistry (for dentists and professions complimentary to dentistry) on learning gains, behaviour change or patient outcomes. These could be compared against no intervention or another CPD intervention. There were no minimum follow up times.
Data extraction and synthesis
The following data were extracted by two reviewers: bibliographic details, settings, characteristics about participants, intervention and control conditions, outcome measures, findings and conclusions. Studies were grouped thematically according to the intervention, and the studies were quality assessed using a custom system based on the CONSORT statement. The results were reported in a narrative form and no attempt was made to combine them in a meta-analysis.
Results
Ten studies were included. Eight studies were judged to be of high to moderately high quality. None of the studies measured patient outcomes, but a multifaceted black box intervention resulted in self-reported patient care and face-to-face contact to change antibiotic prescribing habits showed a change in clinician behaviour. The size of this effect for both of these is not reported here. There was some effect on knowledge but not on behaviour for courses and workshops, written material, computer-assisted learning and audit and feedback.
Conclusions
Multi-method and multi-phased dental CPD has potential for the greatest impact on practitioner behaviour.
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References
Cochrane Effective Practice and Organisation of Care Group. 2012 [updated 16/10/2012; cited 2013 23/02/2013]. Available from: http://epoc.cochrane.org/.
Forsetlund L, Bjorndal A, Rashidian A, et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2009; 15: CD003030. PubMed PMID: 19370580.
McCormack B, Kitson A, Harvey G, Rycroft-Malone J, Titchen A, Seers K . Getting evidence into practice: the meaning of ‘context’. J Adv Nurs 2002; 38: 94–104. PubMed PMID: 11895535.
Gabbay J, le May A . Evidence based guidelines or collectively constructed “mindlines?” Ethnographic study of knowledge management in primary care. Br Med J 2004; 329(7473):1013. PubMed PMID: 15514347. Pubmed Central PMCID: 524553.
Dopson S, FitzGerald L, Ferlie E, Gabbay J, Locock L . No magic targets! Changing clinical practice to become more evidence based. Health Care Manage Rev 2010; 35: 2–12. PubMed PMID: 20010008. Epub 2009/12/17. eng.
Cabana MD, Rand CS, Powe NR, et al. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999; 282: 1458–1465. PubMed PMID: 10535437. Epub 1999/10/27. eng.
Hopper L, Morris L, Tickle M . How primary care dentists perceive and are influenced by research. Community Dent Oral Epidemiol 2011; 39: 97–104. PubMed PMID: 21091753. Epub 2010/11/26. eng.
Baskerville NB, Liddy C, Hogg W . Systematic review and meta-analysis of practice facilitation within primary care settings. Ann Fam Med 2012; 10: 63–74. PubMed PMID: 22230833. Pubmed Central PMCID: 3262473.
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Additional information
Address for correspondence: Dr Carole J. Torgerson, School of Education, Durham University, Leazes Road, Durham, DH1 1TA, UK. Email: carole.torgerson@durham.ac.uk
Firmstone VR, Elley KM, Skrybant MT, Fry-Smith A, Bayliss S, Torgerson CJ. Systematic review of the effectiveness of continuing dental professional development on learning, behavior, or patient outcomes. J Dent Educ 2013; 77: 300–315.
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Hurst, D. Multifaceted and mixed didactic-interactive methods are more effective ways to learn and change behaviour. Evid Based Dent 14, 67–68 (2013). https://doi.org/10.1038/sj.ebd.6400944
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DOI: https://doi.org/10.1038/sj.ebd.6400944
