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Related Experiment Videos

Commitment to change statements can predict actual change in practice.

Jacqueline Wakefield1, Carol P Herbert, Malcolm Maclure

  • 1Education and Research Services, Foundation for Medical Practice Education, McMaster University, 1280 Main St. West, DTC Basement, Hamilton, ON L8S 4L8.

The Journal of Continuing Education in the Health Professions
|July 18, 2003
PubMed
Summary
This summary is machine-generated.

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Physicians who commit to practice changes after continuing medical education are more likely to alter their prescribing habits. This study validated self-reported commitments against actual prescribing data, confirming their impact on physician practice change.

Area of Science:

  • Medical Education
  • Continuing Medical Education
  • Health Professions Education

Background:

  • Commitment to change statements are used to assess continuing education effectiveness.
  • Self-reported outcomes may overestimate actual practice changes.
  • This study compared physician-reported intended changes with actual prescribing data.

Purpose of the Study:

  • To evaluate the link between physicians' stated commitment to change and actual practice alterations.
  • To assess the reliability of commitment to change as a measure of continuing education impact.
  • To examine changes in physician prescribing behavior following an educational intervention.

Main Methods:

  • Physicians participating in continuing medical education reported intended practice changes.

Related Experiment Videos

  • Prescribing data from a provincial pharmacy registry were analyzed.
  • Data covered 6-month periods before and after the educational intervention for four conditions.

    • Main Results:

    • 207 physicians participated in peer learning groups.
    • 91 physicians planned at least one practice change.
    • 71% of intended changes related to educational messages.
    • Physicians expressing commitment to change were more likely to alter prescribing in 3 of 4 conditions.

    Conclusions:

    • Commitment to change is a significant predictor of actual prescribing changes in most cases.
    • The effectiveness of commitment to change varied by medical condition.
    • Further research is needed on translating commitment into practice change.