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dc.contributor.authordel Cura-González, Isabel
dc.contributor.authorLópez-Rodríguez, Juan A.
dc.contributor.authorSanz-Cuesta, Teresa
dc.contributor.authorRodríguez-Barrientos, Ricardo
dc.contributor.authorMartín-Fernández, Jesús
dc.contributor.authorAriza-Cardiel, Gloria
dc.contributor.authorPolentinos-Castro, Elena
dc.contributor.authorRomán-Crespo, Begoña
dc.contributor.authorEscortell-Mayor, Esperanza
dc.contributor.authorRico-Blázquez, Milagros
dc.contributor.authorHernández-Santiago, Virginia
dc.contributor.authorAzcoaga-Lorenzo, Amaya
dc.contributor.authorOjeda-Ruiz, Elena
dc.contributor.authorGonzález-González, Ana I.
dc.contributor.authorÁvila-Tomas, José F.
dc.contributor.authorBarrio-Cortés, Jaime
dc.contributor.authorMolero-García, José M.
dc.contributor.authorFerrer-Peña, Raul
dc.contributor.authorTello-Bernabé, María Eugenia
dc.contributor.authorTrujillo-Martín, Mar
dc.contributor.authorBarral, Araceli Garrido
dc.contributor.authorMoreno, Aurora Fernández
dc.contributor.authorPérez, Paloma Casado
dc.contributor.authorBarba, Emilio Cervera
dc.contributor.authorRodríguez Monje, María Teresa
dc.contributor.authorIturbe, Ana Gorroñogoitia
dc.contributor.authorCrespo, Luis Ignacio Mendibil
dc.contributor.authorMañeru, M. Eulalia Mariñelarena
dc.contributor.authorde Gómez Barragan, Ma Josefa Gil
dc.contributor.authorElustondo, Sofía Garrido
dc.contributor.authorFuertes, Rosario Riesgo
dc.contributor.authorCabello Ballesteros, Luisa María
dc.contributor.authorNido, Rocío álvarez
dc.contributor.authorMoreno, Cruz Bartolome
dc.contributor.authorRojas, Guillermo Cairo
dc.contributor.authorRivas, Jose Luis Lopez
dc.contributor.authorPikatza, Amaya Zenarutzabeitia
dc.contributor.authorCelaya, Carmen Sánchez
dc.contributor.authorMontalvo, Mariel Morey
dc.contributor.authorAlmeida, Lizzy Paola Cisneros
dc.contributor.authorálamo Rodríguez, Manuel Del
dc.contributor.authorGarcía-Franco, Alberto López
dc.contributor.authorWeismann, Elisa Ceresuela
dc.contributor.authorálvarez, Remedios Martín
dc.contributor.authorBustillo, Beatriz Medina
dc.contributor.authordel Pozo, Marta Sánchez Celaya
dc.contributor.authorPerruca, Luis Sánchez
dc.contributor.authorSalinero Fort, Miguel ángel
dc.contributor.authorde Burgos Luna, Carmen
dc.contributor.authorSanJuan, Angel Mataix
dc.contributor.authorEducaguia Group
dc.identifier.citationdel Cura-González , I , López-Rodríguez , J A , Sanz-Cuesta , T , Rodríguez-Barrientos , R , Martín-Fernández , J , Ariza-Cardiel , G , Polentinos-Castro , E , Román-Crespo , B , Escortell-Mayor , E , Rico-Blázquez , M , Hernández-Santiago , V , Azcoaga-Lorenzo , A , Ojeda-Ruiz , E , González-González , A I , Ávila-Tomas , J F , Barrio-Cortés , J , Molero-García , J M , Ferrer-Peña , R , Tello-Bernabé , M E , Trujillo-Martín , M , Barral , A G , Moreno , A F , Pérez , P C , Barba , E C , Rodríguez Monje , M T , Iturbe , A G , Crespo , L I M , Mañeru , M E M , de Gómez Barragan , M J G , Elustondo , S G , Fuertes , R R , Cabello Ballesteros , L M , Nido , R Á , Moreno , C B , Rojas , G C , Rivas , J L L , Pikatza , A Z , Celaya , C S , Montalvo , M M , Almeida , L P C , álamo Rodríguez , M D , García-Franco , A L , Weismann , E C , álvarez , R M , Bustillo , B M , del Pozo , M S C , Perruca , L S , Salinero Fort , M Á , de Burgos Luna , C , SanJuan , A M & Educaguia Group 2016 , ' 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 ' , Implementation Science , vol. 11 , 71 .
dc.identifier.otherPURE: 251478094
dc.identifier.otherPURE UUID: 72203236-92ee-4a5b-9a37-0d7581efd240
dc.identifier.otherScopus: 84969523541
dc.identifier.otherPubMed: 27189180
dc.identifier.otherORCID: /0000-0003-3307-878X/work/60631142
dc.identifier.otherORCID: /0000-0002-8544-1483/work/71560033
dc.descriptionThis study was funded by the Fondo de Investigaciones Sanitarias FIS Grant Number PI11/0477 ISCIII.-REDISSEC Proyecto RD12/0001/0012 AND FEDER Funding.en
dc.description.abstractBackground: 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 6months 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. Methods/design: We propose a multicenter clinical trial with randomized allocation by clusters of family and community medicine teaching units in Spain. The sample size will be 394 residents (197 in each group), with the teaching units as the randomization unit and the residents comprising the analysis unit. For the intervention, both groups will receive an initial 1-h session on clinical practice guideline use and the usual dissemination strategy by e-mail. The intervention group (e-learning EDUCAGUIA) strategy will consist of educational games with hypothetical clinical scenarios in a virtual environment. The primary outcome will be the score obtained by the residents on evaluation questionnaires for each clinical practice guideline. Other included variables will be the sociodemographic and training variables of the residents and the teaching unit characteristics. The statistical analysis will consist of a descriptive analysis of variables and a baseline comparison of both groups. For the primary outcome analysis, an average score comparison of hypothetical scenario questionnaires between the EDUCAGUIA intervention group and the control group will be performed at 1 and 6months post-intervention, using 95% confidence intervals. A linear multilevel regression will be used to adjust the model. Discussion: The identification of effective teaching strategies will facilitate the incorporation of available knowledge into clinical practice that could eventually improve patient outcomes. The inclusion of information technologies as teaching tools permits greater learning autonomy and allows deeper instructor participation in the monitoring and supervision of residents. The long-term impact of this strategy is unknown; however, because it is aimed at professionals undergoing training and it addresses prevalent health problems, a small effect can be of great relevance. Trial registration: NCT02210442.
dc.relation.ispartofImplementation Scienceen
dc.rights© 2016 del Cura-González et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, 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 ( applies to the data made available in this article, unless otherwise stated.en
dc.subjectHealth personnel/educationen
dc.subjectPractice guidelines as a topicen
dc.subjectProblem solvingen
dc.subjectProfessional competenceen
dc.subjectLB Theory and practice of educationen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectHealth Policyen
dc.subjectHealth Informaticsen
dc.subjectPublic Health, Environmental and Occupational Healthen
dc.titleEffectiveness 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 clustersen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.description.statusPeer revieweden

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