Evidence-based consumer health information: developing teaching in critical appraisal skills.

OBJECTIVE To help people who give health information to the public develop the skills they need to make sense of evidence about effectiveness. DESIGN Educational approach, preceded by careful planning with representatives of possible participants. SETTING AND STUDY OF PARTICIPANTS: Staff in consumer health information services and members of maternity self-help groups in the UK in summer 1995. INTERVENTIONS Pairs of half-day workshops introducing participants to randomised controlled trials and systematic reviews and to their critical appraisal. The workshops were run participatively and had at their centre a critical appraisal session in small groups. MAIN OUTCOME MEASURES Attendance at workshops, satisfaction and enjoyment of workshops; comments at a follow-on event. RESULTS Four pairs of workshops were held (three for consumer health information services, one for maternity self-help groups), 54 people attended a pair of workshops and a further 34 attended individual workshops. The workshops were enjoyed and found to be a good use of time. CONCLUSIONS It is feasible to introduce critical appraisal skills to people whose primary role is to give health information to the public. There is a need for comparative evaluation of different approaches.

[1]  Gordon H. Guyatt,et al.  Users' Guides to the Medical Literature: I. How to Get Started , 1993 .

[2]  D. McLachlan,et al.  Intramuscular desferrioxamine in patients with Alzheimer's disease , 1991, The Lancet.

[3]  Kate Marsden But will it work, doctor? , 1994 .

[4]  R. Battista,et al.  Practice guidelines for preventive care: the Canadian experience. Canadian Task Force on the Periodic Health Examination. , 1993, The British journal of general practice : the journal of the Royal College of General Practitioners.

[5]  J P Allegrante,et al.  Supervised Fitness Walking in Patients with Osteoarthritis of the Knee , 1992, Annals of Internal Medicine.

[6]  J. Hayward Promoting clinical effectiveness , 1996, BMJ.

[7]  R. Peto,et al.  Low-dose aspirin for migraine prophylaxis. , 1990, JAMA.

[8]  W. Pickering Does medical treatment mean patient benefit? , 1996, The Lancet.

[9]  A. Oakley,et al.  Social support and pregnancy outcome , 1990 .

[10]  Melinda Letts But Will It Work, Doctor? , 1995 .

[11]  I. Chalmers,et al.  The UK Cochrane Centre and the NHS Centre for reviews and dissemination: respective roles within the information systems strategy of the NHS R&D programme, coordination and principles underlying collaboration. , 1994, Health economics.

[12]  D. Sackett,et al.  Commentary: The message is in the medium , 1995 .

[13]  Dorée D. Seligmann,et al.  The Message is the Medium , 1997, Comput. Networks.

[14]  D L Sackett,et al.  On the need for evidence-based medicine. , 1995, Therapie.

[15]  S. Oliver How can health service users contribute to the NHS research and development programme? , 1995, BMJ.