Skip to main content
. Author manuscript; available in PMC: 2014 Sep 16.
Published in final edited form as: Cochrane Database Syst Rev. 2009 Jul 8;(3):CD004749. doi: 10.1002/14651858.CD004749.pub2
Methods CRCT
Participants Total randomized: 139; IG: 72; CG 67
Age (mean): IG: 27.3; CG 26.9
Sex (% female): IG: 69.4; CG: 73.1
Providers: Physicians (recently qualified)
Setting: Primary health centres
Country: Finland
Interventions Intervention: Physicians were randomized to receive a computerized version of the Evidence-Based Medicine Guidelines (EBMG)
Comparison: Physicians were randomized to receive textbook based version of the Evidence-Based Medicine Guidelines (EBMG)
Duration: 1 month
Follow up: NR
EPOC: Distribution of educational materials; other - paper versus computerized (CD-ROM) guidelines
Outcomes Primary outcome: Physicians compliance with guideline recommendations (including laboratory, radiological, physical and other examinations, procedures, nonpharmacologic and pharmacologic treatments, physiotherapy and referrals)
Notes Targeted behavior: clinical prevention services; diagnosis; test ordering; referrals; general management of a problem/treatment; procedures; prescribing
Risk of bias
Item Authors’ judgement Description
Adequate sequence generation? Yes Quote: “Students agreeing to participate in the study were randomised centrally using computer-generated numbers.” Note: they entered the study after they qualified as physicians
Allocation concealment? Yes Quote: “Students agreeing to participate in the study were randomised centrally using computer-generated numbers.”
Blinding?
All outcomes
Yes Quote: “The anonymous patient records were then evaluated by one author (JJ, experienced primary care physician) blinded to the study group.”
Incomplete outcome data addressed?
All outcomes
Yes Quote: “Data on 4,633 patient encounters were abstracted, of which 3,484 were suitable for further analysis.”
Free of selective reporting? Yes The author supplied a reconstruction of the study plan and letters to the participating physicians (Appendix 3).

CG = control group

CRCT= Cluster randomized controlled trial

IG = intervention group

RHL = Reproductive Health Library

NR = not reported