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@ARTICLE{Ngusie:282457,
      author       = {H. S. Ngusie and M. H. Ahmed and S. A. Mengiste and M. M.
                      Kebede$^*$ and S. Shemsu and S. G. Kanfie and S. Y. Kassie
                      and M. H. Kalayou and M. K. Gullslett},
      title        = {{T}he effect of capacity building evidence-based medicine
                      training on its implementation among healthcare
                      professionals in {S}outhwest {E}thiopia: a controlled
                      quasi-experimental outcome evaluation.},
      journal      = {BMC medical informatics and decision making},
      volume       = {23},
      number       = {1},
      issn         = {1472-6947},
      address      = {London},
      publisher    = {BioMed Central},
      reportid     = {DKFZ-2023-01772},
      pages        = {172},
      year         = {2023},
      abstract     = {Evidence-based medicine (EBM) bridges research and clinical
                      practice to enhance medical knowledge and improve patient
                      care. However, clinical decisions in many African countries
                      don't base on the best available scientific evidence. Hence,
                      this study aimed to determine the effect of training
                      interventions on background knowledge and awareness of EBM
                      sources, attitude, competence, and practice of EBM among
                      healthcare professionals.We designed a controlled group
                      quasi-experimental pre-post test study to evaluate the
                      effect of capacity-building EBM training. A total of 192
                      healthcare professionals were recruited in the study (96
                      from the intervention and 96 from the control group). We
                      used a difference-in-differences (DID) analysis to determine
                      the effect of the training. Along the way, we used a fixed
                      effect panel-data regression model to assess variables that
                      could affect healthcare professionals' practice of EBM. The
                      cut point to determine the significant effect of EBM
                      training on healthcare professionals' background knowledge
                      and awareness of EBM sources, attitude, and competence was
                      at a P-value < 0.05.The DID estimator showed a significant
                      net change of $8.0\%,$ $17.1\%,$ and $11.4\%$ at P < 0.01 on
                      attitude, competence, and practice of EBM, respectively,
                      whereas no significant increment in the background knowledge
                      and awareness of EBM sources. The fixed effect regression
                      model showed that the attitude [OR = 2.288, $95\%$ CI:
                      (1.049, 4.989)], competence [OR = 4.174, $95\%$ CI: 1.984,
                      8.780)], technical support [OR = 2.222, $95\%$ CI: (1.043,
                      3.401)], and internet access [OR = 1.984, $95\%$ CI: (1.073,
                      4.048)] were significantly affected EBM practice.The
                      capacity-building training improved attitude, competence,
                      and EBM practice. Policymakers, government, and other
                      concerned bodies recommended focusing on a well-designed
                      training strategy to enhance the attitude, competence, and
                      practice towards EBM among healthcare professionals. It was
                      also recommended to enhance internet access and set
                      mechanisms to provide technical support at health
                      facilities.},
      keywords     = {Capacity building training (Other) / Competence (Other) /
                      Evidence-based medicine (Other) / Evidence-based practice
                      (Other) / Healthcare professionals (Other)},
      cin          = {C020},
      ddc          = {610},
      cid          = {I:(DE-He78)C020-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:37653419},
      doi          = {10.1186/s12911-023-02272-7},
      url          = {https://inrepo02.dkfz.de/record/282457},
}