Mass mailing a printed bulletin which summarises systematic review evidence may improve evidence-based practice when there is a single clear message, if the change is relatively simple to accomplish, and there is a growing awareness by users of the evidence that a change in practice is required. If the intention is to develop awareness and knowledge of systematic review evidence, and the skills for implementing this evidence, a multifaceted intervention that addresses each of these aims may be required, though there is insufficient evidence to support this approach.
Summary-of-findings tables in Cochrane reviews improved understanding and rapid retrieval of key information.
To measure the effects of a summary-of-findings (SoF) table on user satisfaction, understanding, and time spent finding key results in a Cochrane review.
                We randomized participants in an evidence-based practice workshop (randomized controlled trial [RCT] I) and a Cochrane Collaboration entities meeting (RCT II) to receive a Cochrane review with or without an SoF table. In RCT I, we measured user satisfaction. In RCT II, we measured correct comprehension and time spent finding key results.
                RCT I: Participants with the SoF table (n=47) were more likely to "agree" or "strongly agree" that it was easy to find results for important outcomes than (n=25) participants without the SoF table-68% vs. 40% (P=0.021). RCT II: Participants with the SoF table (n=18) were more likely to correctly answer two questions regarding results than (n=15) those without the SoF table: 93% vs. 44% (P=0.003) and 87% vs. 11% (P<0.001). Participants with the SoF table spent an average of 90 seconds to find key information compared with 4 minutes for participants without the SoF table (P=0.002).
                In two small trials, we found that inclusion of an SoF table in a review improved understanding and rapid retrieval of key findings compared with reviews with no SoF table.