An iterative evaluation of two shortened systematic review formats for clinicians: a focus group study.
OBJECTIVE
To conduct a series of focus groups with primary care physicians to determine the optimal format of a shortened, focused systematic review.


METHODS
Prototypes for two formats of a shortened systematic review were developed and presented to participants during focus group sessions. Focus groups were conducted with primary care physicians who were in full- or part-time practice. An iterative process was used so that the information learned from the first set of focus groups (Round 1) influenced the material presented to the second set of focus groups (Round 2). The focus group discussions were recorded, transcribed verbatim, and analyzed.


RESULTS
Each of the two rounds of testing included three focus groups. A total of 32 physicians participated (Round 1:16 participants; Round 2:16 participants). Analysis of the transcripts from Round 1 identified three themes including ease of use, clarity, and implementation. Changes were made to the prototypes based on the results so that the revised prototypes could be presented and discussed in the second round of focus groups. After analysis of transcripts from Round 2, four themes were identified, including ease of use, clarity, brevity, and implementation. Revisions were made to the prototypes based on the results.


CONCLUSIONS
Primary care physicians provided input on the refinement of two prototypes of a shortened systematic review for clinicians. Their feedback guided changes to the format, presentation, and layout of these prototypes in order to increase usability and uptake for end-users.
Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada Continuing Education and Professional Development, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Laure
L
Perrier
Faculty of Applied Science and Engineering, University of Toronto, Toronto, Ontario, Canada.
M Ryan
MR
Kealey
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
Sharon E
SE
Straus
D017144:Focus Groups; D058007:Physicians, Primary Care; D000078202:Systematic Reviews as Topic
evidence-based practice; focus groups; qualitative research; review literature as topic