The use of journal clubs to teach evidence-based medicine to health professionals : A systematic review and meta-analysis

Journal article


Ilic, Dragan, de Voogt, Annelies and Oldroyd, John. (2020). The use of journal clubs to teach evidence-based medicine to health professionals : A systematic review and meta-analysis. Journal of Evidence-Based Medicine. 13(1), pp. 42-56. https://doi.org/10.1111/jebm.12370
AuthorsIlic, Dragan, de Voogt, Annelies and Oldroyd, John
Abstract

Background
Journal clubs are an educational activity in which individuals meet to critique and discuss research articles. They are an established part of the medical education system and are considered to be a practical way to improve the content knowledge of health professionals.

Aims
To determine the effectiveness of journal clubs for increasing health professionals’ competency in EBM.

Methods
A systematic review of randomized controlled trials (RCTs) was performed. Electronic searches were conducted in October 2019 across MEDLINE, ERIC and Scopus databases. Two authors independently reviewed articles, and extracted data. A risk-of-bias tool, based on the Cochrane Collaboration's tool for assessing risk of bias in RCTs, was used to assess internal validity.

Results
A total of 151 citations were returned, from which five studies (n = 378 individuals) were included in the final review. No overall statistical difference in knowledge scores was observed between health professionals participating in journal clubs compared to other professional education modes (SMD 0.15, 95% CI –0.09, 0.39). Similarly, no significant difference in attitudes or implementation of evidence-based medicine practices was observed across studies.

Conclusions
There is insufficient evidence to support the effectiveness of journal clubs in improving the knowledge, attitudes, and implementation of evidence-based skills by health professionals in clinical practice. Further research is needed to test the effectiveness of other interventions to increase uptake of EBM in real world settings. Such interventions may include interactive components with auditing and feedback to facilitate more effective learning.

Keywordsevidence-based medicine; journal club; medical education; systematic review
Year2020
JournalJournal of Evidence-Based Medicine
Journal citation13 (1), pp. 42-56
PublisherBlackwell Publishing
ISSN1756-5383
Digital Object Identifier (DOI)https://doi.org/10.1111/jebm.12370
Scopus EID2-s2.0-85078626870
Research or scholarlyResearch
Page range42-56
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online17 Jan 2020
Publication process dates
Accepted17 Nov 2019
Deposited15 Jul 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8w605/the-use-of-journal-clubs-to-teach-evidence-based-medicine-to-health-professionals-a-systematic-review-and-meta-analysis

Restricted files

Publisher's version

  • 82
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Resting heart rate and heart rate variability in the year following acute coronary syndrome : How do women fare?
Scovelle, Anna J., Oldenburg, Brian, Taylor, C. Barr, Hare, David L., Thomas, Emma E., Toukhsati, Samia R., Oldroyd, John, Russell, Josephine D. and O’Neil, Adrienne. (2021). Resting heart rate and heart rate variability in the year following acute coronary syndrome : How do women fare? Heart, Lung and Circulation. 30(1), pp. 128-134. https://doi.org/10.1016/j.hlc.2020.06.019
Sex-specific differences in percutaneous coronary intervention outcomes after a cardiac event : A cohort study examining the role of depression, worry and autonomic function
O'Neil, Adrienne, Scovelle, Anna J., Thomas, Emma, Russell, Josephine D., Taylor, C. Barr, Hare, David L., Toukhsati, Samia, Oldroyd, John, Rangani, W. P. Thanuja, Dheerasinghe, D. S. Anoja F. and Oldenburg, Brian. (2020). Sex-specific differences in percutaneous coronary intervention outcomes after a cardiac event : A cohort study examining the role of depression, worry and autonomic function. Heart, Lung and Circulation. 29(10), pp. 1449-1458. https://doi.org/10.1016/j.hlc.2020.03.001
The relationship between phobic anxiety and 2-year readmission after acute coronary syndrome : What is the role of heart rate variability?
O'Neil, Adrienne, Taylor, C. Barr, Hare, David L., Thomas, Emma, Toukhsati, Samia R., Oldroyd, John, Scovelle, Anna J. and Oldenburg, Brian. (2019). The relationship between phobic anxiety and 2-year readmission after acute coronary syndrome : What is the role of heart rate variability? Journal of Affective Disorders. 247, pp. 73-80. https://doi.org/10.1016/j.jad.2018.12.078
Prevalence of symptomatic pelvic floor disorders in community-dwelling women in low and middle-income countries : A systematic review and meta-analysis
Islam, Rakibul M., Oldroyd, John, Rana, Juwel, Romero, Lorena and Karim, Md Nazmul. (2019). Prevalence of symptomatic pelvic floor disorders in community-dwelling women in low and middle-income countries : A systematic review and meta-analysis. International Urogynecology Journal and Pelvic Floor Dysfunction. 30(12), pp. 2001-2011. https://doi.org/10.1007/s00192-019-03992-z
Evaluating the impact of 2006 Australasian Clinical Practice Guidelines for nutrition in children with cystic fibrosis in Australia
Rasa Ruseckaite, Natalie Pekin, Susannah King, Erin Carr, Susannah Ahern, John Oldroyd, Arul Earnest, Claire Wainwright and David Armstrong. (2018). Evaluating the impact of 2006 Australasian Clinical Practice Guidelines for nutrition in children with cystic fibrosis in Australia. Respiratory Medicine. 142, pp. 7-14. https://doi.org/10.1016/j.rmed.2018.07.007
A group-based lifestyle intervention for diabetes prevention in low- and middle-income country: Implementation evaluation of the Kerala Diabetes Prevention Program
Aziz, Zahra, Mathews, Elezebeth, Absetz, Pilvikki, Sathish, Thirunavukkarasu, Oldroyd, John, Balachandran, Sajitha, Shetty, Suman S., Thankappan, K. R. and Oldenburg, Brian. (2018). A group-based lifestyle intervention for diabetes prevention in low- and middle-income country: Implementation evaluation of the Kerala Diabetes Prevention Program. Implementation Science. 13(1), pp. 1 - 14. https://doi.org/10.1186/s13012-018-0791-0
Systematic review and meta-analysis of prevalence of, and risk factors for, pelvic floor disorders in community-dwelling women in low and middle-income countries : A protocol study
Islam, Rakibul M., Oldroyd, John, Karim, Md Nazmul, Hossain, Sultana Monira, Md Emdadul Hoque, Dewan, Romero, Lorena and Fisher, Jane. (2017). Systematic review and meta-analysis of prevalence of, and risk factors for, pelvic floor disorders in community-dwelling women in low and middle-income countries : A protocol study. BMJ Open. 7(6), p. e015626. https://doi.org/10.1136/bmjopen-2016-015626
Descriptive characteristics and in-hospital mortality of critically bleeding patients requiring massive transfusion: Results from the Australian and New Zealand Massive Transfusion Registry
Ruseckaite, Rasa, McQuilten, Z. K., Oldroyd, John C., Richter, T. H., Cameron, Peter A., Isbister, J. P. and Wood, E. M.. (2017). Descriptive characteristics and in-hospital mortality of critically bleeding patients requiring massive transfusion: Results from the Australian and New Zealand Massive Transfusion Registry. Vox Sanguinis. 112(3), pp. 240 - 248. https://doi.org/10.1111/vox.12487
Barriers to cervical cancer and breast cancer screening uptake in low-income and middle-income countries: A systematic review
Islam, Rakibul M., Billah, Baki, Hossain, Md Nassif and Oldroyd, John. (2017). Barriers to cervical cancer and breast cancer screening uptake in low-income and middle-income countries: A systematic review. Asian Pacific Journal of Cancer Prevention. 18(7), pp. 1751 - 1763. https://doi.org/10.22034/APJCP.2017.18.7.1751
Program evaluation of the inner south community health oral health program for priority populations
Oldroyd, John C., White, Sue, Stephens, Mary, Neil, Andrew A. and Nanayakkara, Vajira. (2017). Program evaluation of the inner south community health oral health program for priority populations. Journal of Health Care for the Poor and Underserved. 28(3), pp. 1222 - 1239. https://doi.org/10.1353/hpu.2017.0107
Prevalence of, and risk factors for, symptomatic pelvic organ prolapse in Rural Bangladesh: A cross-sectional survey study
Akter, Farjana, Gartoulla, Pragya, Oldroyd, John and Islam, Rakibul M.. (2016). Prevalence of, and risk factors for, symptomatic pelvic organ prolapse in Rural Bangladesh: A cross-sectional survey study. International Urogynecology Journal. 27(11), pp. 1753 - 1759. https://doi.org/10.1007/s00192-016-3038-0
Improving outcomes for hospital patients with critical bleeding requiring massive transfusion: The Australian and New Zealand Massive Transfusion Registry study methodology
Oldroyd, John C., Venardos, K. M., Aoki, N. J., Zatta, A. J., McQuilten, Z. K., Phillips, L. E., Andrianopoulos, Nick, Cooper, D. J., Cameron, Peter A., Isbister, J. P. and Wood, E. M.. (2016). Improving outcomes for hospital patients with critical bleeding requiring massive transfusion: The Australian and New Zealand Massive Transfusion Registry study methodology. BMC Research Notes. 9(1), pp. 1 - 10. https://doi.org/10.1186/s13104-016-2261-6
The impact of intensive care in a private hospital on patients aged 80 and over: Health-related quality of life, functional status and burden versus benefit
Levinson, Michele, Mills, A., Oldroyd, John, Gellie, A., Barrett, J., Staples, Margaret and Stephenson, G.. (2016). The impact of intensive care in a private hospital on patients aged 80 and over: Health-related quality of life, functional status and burden versus benefit. Internal Medicine Journal. 46(6), pp. 694 - 702. https://doi.org/10.1111/imj.13079
A systematic review of real-world diabetes prevention programs: Learnings from the last 15 years
Aziz, Zahra, Absetz, Pilvikki, Oldroyd, John, Pronk, Nicolaas P. and Oldenburg, Brian. (2015). A systematic review of real-world diabetes prevention programs: Learnings from the last 15 years. Implementation Science. 10(1), pp. 1 - 17. https://doi.org/10.1186/s13012-015-0354-6
Circulating insulin-like growth factor-binding protein 3 levels, independent of insulin-like growth factor 1, associate with truncal fat and systolic blood pressure in South Asian and white European preschool children
Leena Patel, Andrew Whatmore, Jill Davies, Narinder Bansal, Avni Vyas, Isla Gemmell, John Oldroyd, John Kennedy Cruickshank and Peter Clayton. (2014). Circulating insulin-like growth factor-binding protein 3 levels, independent of insulin-like growth factor 1, associate with truncal fat and systolic blood pressure in South Asian and white European preschool children. Hormone Research in Paediatrics: from developmental endocrinology to clinical research. 81(2), pp. 109-117. https://doi.org/10.1159/000355824
Closing the gap in maternal and child health: A qualitative study examining health needs of migrant mothers in Dandenong, Victoria, Australia
Renzaho, Andre M. N. and Oldroyd, John C.. (2014). Closing the gap in maternal and child health: A qualitative study examining health needs of migrant mothers in Dandenong, Victoria, Australia. Maternal and Child Health Journal. 18(6), pp. 1391 - 1402. https://doi.org/10.1007/s10995-013-1378-7
A focus group study investigating medical decision making in octogenarians of high socioeconomic status with successful outcomes following cardiac surgery
Oldroyd, John C., Levinson, Michele R., Stephenson, Gemma, Rouse, Alice and Leeuwrik, Tina. (2014). A focus group study investigating medical decision making in octogenarians of high socioeconomic status with successful outcomes following cardiac surgery. Australasian Journal on Ageing. 33(3), pp. 174 - 179. https://doi.org/10.1111/ajag.12022