DOI: 10.5061/dryad.2qv30
title: Data from: Multilayered and digitally structured presentation formats of trustworthy recommendations: a combined survey and randomised trial

description: Objectives: To investigate practicing physicians preferences, perceived
 usefulness and understanding of a new multilayered guideline presentation
 format - compared to a standard format - as well as conceptual
 understanding of trustworthy guideline concepts. Design: Mixed survey and
 randomized controlled trial through a standardised lecture for physicians.
 We presented participants with a clinical scenario and randomised them to
 view a guideline recommendation in multilayered or standard format. Both
 groups were presented and asked about guideline concepts. Participants
 answered multiple-choice questions by use of clickers. Setting: Mandatory
 educational lectures in six non-academic and academic hospitals and three
 primary care centres in Lebanon, Norway, Spain and United Kingdom.
 Participants: 181 practicing physicians in internal medicine (156) and
 general practice (25) attending the lectures. Interventions: A new
 digitally structured, multilayered guideline presentation format and a
 standard narrative presentation format currently in widespread use.
 Primary and secondary outcome measures: Our primary outcome was preference
 for presentation format. Understanding, perceived usefulness and
 perception of absolute effects were secondary outcomes. Results: 72% (95%
 CI 65-79) of participants preferred the multilayered format and 16% (95%
 CI 10-22) preferred the standard format. A majority agreed that
 recommendations (multilayered 86% vs. standard 91%, p-value = 0.31) and
 evidence summaries (79% vs. 77%, p-value = 0.76) were useful in the
 context of the clinical scenario. 72% of participants randomised to the
 multilayered format vs. 58% for standard formats reported correct
 understanding of the recommendations (p-value = 0.06). Most participants
 elected an appropriate clinical action after viewing the recommendations
 (98% vs. 92%, p-value = 0.10). 82% of the participants considered absolute
 effect estimates in evidence summaries helpful or crucial. Conclusions:
 Clinicians clearly preferred a novel multilayered presentation format to
 the standard format. Whether the preferred format improves decision-making
 and has an impact on patient important outcomes merits further
 investigation. Trial registration: None.
description: Click-IT 1 Excel Summary
 of results March 2016The excel file of all
 collected data from the various centers. Sorted on center and analyzed for
 the different participant groups (GPs, Consultants, Residents, Students
 and Interns). Both pooled and un-pooled results are included for the
 questions where it is relevant.Click-IT 1 Summary of results-
 final version submitted to BMJ Open March
 2016.xlsxCLICK-IT Excel
 Turningpoint export of results by centerThis ZIP file contains
 Excel files with collected data from the various
 centers.CLICK-IT turningpoint Excel
 details.zipCLICK-IT PDF
 Turningpoint export of results and questions per centerA Zip file with PDF
 documents containing results from each center, shown together with the
 questions asked.CLICK-IT turningpoint
 PDF.zipCLICK-IT Turningpoint
 export of original files per centerA Zip file containing
 the Original data files captured with the Turningpoint software, sorted
 center by center: Diakonhjemmet, Norway, Hamar, Norway, Bærum, Norway,
 Gjøvik, Norway, Beirut, Libanon, Lovisenberg, Norway, Molde, Norway,
 Spain, NICE center, UK. The answers were recorded using TurningPoint
 software from Turning Technologies, and the data file can be accessed
 using the TurningPoint software (currently available for download at
 https://www.turningtechnologies.com/responsesystemsupport/downloads)CLICK-IT Turningpoint original files.zipCLICK-IT Excel Turningpoint export of results and questions by centerA Zip file containing excel files that contains results from each center, together with the question asked: Diakonhjemmet, Norway, Hamar, Norway, Bærum, Norway, Gjøvik, Norway, Beirut, Libanon, Lovisenberg, Norway, Molde, Norway, Spain, NICE center, UK.CLICK-IT turningpoint Excel Question by Question.zip