Canada Research Chair in Shared Decision Making and Knowledge Translation

The article of our colleague Gloria Ayivi-Vinz on Use of the CPD-REACTION Questionnaire to Evaluate Continuing Professional Development Activities for Health Professionals is now available

Continuing professional development (CPD) is essential for physicians to maintain and enhance their knowledge, competence, skills, and performance. Web-based CPD plays an essential role. However, validated theory-informed measures of their impact are lacking. The CPD-REACTION questionnaire is a validated theory-informed tool that evaluates the impact of CPD activities on clinicians' behavioral intentions.
The authors aimed to review the use of the CPD-REACTION questionnaire, which measures the impact of CPD activities on health professionals' intention to change a clinical behavior. They sought CPD activity characteristics, ranges of intention, mean scores, score distributions, and psychometric properties.
The authors conducted a systematic review informed by Cochrane review methodology. They searched 8 databases from 01/01/2014 to 04/20/2021. Grey literature was identified using Google Scholar and Research Gate. Eligibility criteria included: all healthcare professionals, any study design, and participants' completion of the CPD-REACTION questionnaire either before, after, or before and after a CPD activity. 
Sixty-five citations were eligible and referred to 52 primary studies. The number of primary studies reporting use of CPD-REACTION has increased continuously since 2014 from 1 to 16 publications per year (2021). It is available in English, French, Spanish and Dutch. Most studies were located in Canada (30/52). Forty different clinical behaviors were identified. The most common CPD format was e-learning (n=34/52). The original version of CPD-REACTION was used in 31/52 studies, and an adapted version in 18/52 studies. Sixteen studies (30.8%) measured both pre- and post-intervention scores. In 22 studies the CPD providers were university-based. Most studies targeted interprofessional groups of health professionals (31/52).
Authors concludes that use of CPD-REACTION has increased rapidly and across a wide range of clinical behaviors and formats, including web-based. Further research should investigate the most effective way to adapt the CPD-REACTION questionnaire to a variety of clinical behaviors and contexts.

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By Carole Thiébaut, 11/04/2022