Knowledge transfer for the management of dementia: a cluster randomised trial of blended learning in general practice
- PMID: 20047652
- PMCID: PMC2881109
- DOI: 10.1186/1748-5908-5-1
Knowledge transfer for the management of dementia: a cluster randomised trial of blended learning in general practice
Abstract
Background: The implementation of new medical knowledge into general practice is a complex process. Blended learning may offer an effective and efficient educational intervention to reduce the knowledge-to-practice gap. The aim of this study was to compare knowledge acquisition about dementia management between a blended learning approach using online modules in addition to quality circles (QCs) and QCs alone.
Methods: In this cluster-randomised trial with QCs as clusters and general practitioners (GPs) as participants, 389 GPs from 26 QCs in the western part of Germany were invited to participate. Data on the GPs' knowledge were obtained at three points in time by means of a questionnaire survey. Primary outcome was the knowledge gain before and after the interventions. A subgroup analysis of the users of the online modules was performed.
Results: 166 GPs were available for analysis and filled out a knowledge test at least two times. A significant increase of knowledge was found in both groups that indicated positive learning effects of both approaches. However, there was no significant difference between the groups. A subgroup analysis of the GPs who self-reported that they had actually used the online modules showed that they had a significant increase in their knowledge scores.
Conclusion: A blended learning approach was not superior to a QCs approach for improving knowledge about dementia management. However, a subgroup of GPs who were motivated to actually use the online modules had a gain in knowledge.
Trial registration: Current Controlled Trials ISRCTN36550981.
Similar articles
-
Knowledge translation on dementia: a cluster randomized trial to compare a blended learning approach with a "classical" advanced training in GP quality circles.BMC Health Serv Res. 2007 Jun 22;7:92. doi: 10.1186/1472-6963-7-92. BMC Health Serv Res. 2007. PMID: 17587452 Free PMC article. Clinical Trial.
-
The effect of direct referral for fast CT scan in early lung cancer detection in general practice. A clinical, cluster-randomised trial.Dan Med J. 2015 Mar;62(3):B5027. Dan Med J. 2015. PMID: 25748876 Clinical Trial.
-
Improving the referral process for familial breast cancer genetic counselling: findings of three randomised controlled trials of two interventions.Health Technol Assess. 2005 Feb;9(3):iii-iv, 1-126. doi: 10.3310/hta9030. Health Technol Assess. 2005. PMID: 15694064 Review.
-
Continuing professional education for general practitioners on chronic obstructive pulmonary disease: feasibility of a blended learning approach in Bangladesh.BMC Fam Pract. 2020 Sep 28;21(1):203. doi: 10.1186/s12875-020-01270-2. BMC Fam Pract. 2020. PMID: 32988371 Free PMC article.
-
Collaborative online learning: a new approach to distance CME.Acad Med. 2002 Sep;77(9):928-9. Acad Med. 2002. PMID: 12228097 Review.
Cited by
-
Workshops on diagnosis and management of dementia for general practitioners: a pre-post intervention study of dementia knowledge.BMJ Open. 2019 Apr 9;9(4):e027804. doi: 10.1136/bmjopen-2018-027804. BMJ Open. 2019. PMID: 30967411 Free PMC article.
-
Effectiveness and Experience of Implementing Digital Interventions to Promote Smoking Cessation Among Adults With Severe Mental Illness: A Systematic Review and Meta-analysis.Nicotine Tob Res. 2025 May 22;27(6):951-961. doi: 10.1093/ntr/ntae237. Nicotine Tob Res. 2025. PMID: 39382401 Free PMC article.
-
Dementia diagnosis and management: a narrative review of changing practice.Br J Gen Pract. 2011 Aug;61(589):e513-25. doi: 10.3399/bjgp11X588493. Br J Gen Pract. 2011. PMID: 21801564 Free PMC article. Review.
-
Evidence-based care of older people with suspected cognitive impairment in general practice: protocol for the IRIS cluster randomised trial.Implement Sci. 2013 Aug 19;8:91. doi: 10.1186/1748-5908-8-91. Implement Sci. 2013. PMID: 23958469 Free PMC article. Clinical Trial.
-
Establishing the effectiveness of technology-enabled dementia education for health and social care practitioners: a systematic review.Syst Rev. 2021 Sep 21;10(1):252. doi: 10.1186/s13643-021-01781-8. Syst Rev. 2021. PMID: 34548101 Free PMC article.
References
-
- Butzlaff M, Lutz G, Falck-Ytter C. [Learning without end. The medical guideline--an instrument for further education in the future?] Dtsch Med Wochenschr. 1998;123(20):643–647. - PubMed
-
- Grimshaw J, Thomas R, MacLennan G. Effectivenness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess. 2004;8(6) - PubMed
-
- Bero LA, Grilli R, Grimshaw JM, Harvey E, Oxman AD, Thomson MA. Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. The Cochrane Effective Practice and Organization of Care Review Group. Bmj. 1998;317(7156):465–468. - PMC - PubMed
LinkOut - more resources
Full Text Sources
Miscellaneous