PT  - JOURNAL ARTICLE
AU  - Ayivi-Vinz, Gloria
AU  - Souza, Lucas Gomes
AU  - Legare, France
TI  - Use of The CPD-Reaction Questionnaire to Evaluate Continuing Professional Development Activities for Health Professionals
AID  - 10.1370/afm.21.s1.4398
DP  - 2023 Jan 01
TA  - The Annals of Family Medicine
PG  - 4398
VI  - 21
IP  - Supplement 1
4099  - http://www.annfammed.org/content/21/Supplement_1/4398.short
4100  - http://www.annfammed.org/content/21/Supplement_1/4398.full
SO  - Ann Fam Med2023 Jan 01; 21
AB  - Context: 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.Objective: We aimed to review the use of the CPD-REACTION questionnaire, which measures the impact of CPD activities on health professionals’ intentions to change clinical behavior.Study Design: We conducted a systematic review informed by the Cochrane review methodology. We searched eight databases from January 1, 2014, to April 20, 2021. Gray literature was identified using Google Scholar and Research Gate.Setting: Eligibility criteria included all health care professionals, any study design, and participants’ completion of the CPD-REACTION questionnaire either before, after, or before and after a CPD activity. Study selection, data extraction, and study quality evaluation were independently performed by two reviewers.Outcome: We extracted data on characteristics of studies, the CPD activity, and CPD-REACTION use.Instrument: We used the Mixed Methods Appraisal Tool to evaluate the methodological quality of the studies. The results are presented as a narrative synthesis reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.Results: Overall, 65 citations were eligible and referred to 52 primary studies. The number of primary studies reporting the 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 of the studies were conducted in Canada (30/52, 58%). Furthermore, 40 different clinical behaviors were identified. The most common CPD format was e-learning (34/52, 65%). The original version of the CPD-REACTION questionnaire was used in 31 of 52 studies, and an adapted version in 18 of 52 studies. In addition, 31% (16/52) of the studies measured both the pre- and post-intervention scores. In 22 studies, CPD providers were university-based. Most studies targeted interprofessional groups of health professionals (31/52, 60%).Conclusions: The use of CPD-REACTION has increased rapidly and across a wide range of clinical behaviors and formats, including a web-based format.