Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish resident

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Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project): a clinical trial by clusters Isabel del Cura-González1,2,4*, Juan A. López-Rodríguez1,3,4,10, Teresa Sanz-Cuesta1,4, Ricardo Rodríguez-Barrientos1,4,5, Jesús Martín-Fernández2,4,6, Gloria Ariza-Cardiel4,7, Elena Polentinos-Castro4,8, Begoña Román-Crespo7, Esperanza Escortell-Mayor1,4, Milagros Rico-Blázquez1,4, Virginia Hernández-Santiago5,9, Amaya Azcoaga-Lorenzo5,10, Elena Ojeda-Ruiz11, Ana I González-González1,4,12, José F Ávila-Tomas13,14, Jaime Barrio-Cortés15, José M Molero-García5,16, Raul Ferrer-Peña17,18, María Eugenia Tello-Bernabé4,19, Mar Trujillo-Martín4,20 and AND Educaguia Group

Abstract Background: Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many cases, incorporation of these recommendations into clinical practice also implies a need for changes in routine clinical practice. Using educational games as a strategy for implementing recommendations among health professionals has been demonstrated to be effective in some studies; however, evidence is still scarce. The primary objective of this study is to assess the effectiveness of a teaching strategy for the implementation of CPGs using educational games (e-learning EDUCAGUIA) to improve knowledge and skills related to clinical decision-making by residents in family medicine. The primary objective will be evaluated at 1 and 6 months after the intervention. The secondary objectives are to identify barriers and facilitators for the use of guidelines by residents of family medicine and to describe the educational strategies used by Spanish teaching units of family and community medicine to encourage implementation of CPGs. (Continued on next page)

* Correspondence: [email protected] 1 Unidad de Apoyo a la Investigación, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Calle San Martín de Porres, 6, 28035 Madrid, Spain 2 Área Medicina Preventiva y Salud Pública, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain Full list of author information is available at the end of the article

© 2016 del Cura-González et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

del Cura-González et al. Implementation Scie