Clinicians’ experience with infographic summaries from the BMJ Rapid Recommendations: a qualitative user-testing study among residents and interns at a large teaching hospital in Switzerland

Objective Clinicians need trustworthy clinical practice guidelines to succeed with evidence-based diagnosis and treatment at the bedside. The BMJ Rapid Recommendations explore innovative ways to enhance dissemination and uptake, including multilayered interactive infographics linked to a digitally s...

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Main Authors: Thomas Agoritsas, Per Vandvik, Tiffany Hirschel
Format: Article
Language:English
Published: BMJ Publishing Group 2025-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/2/e083032.full
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author Thomas Agoritsas
Per Vandvik
Tiffany Hirschel
author_facet Thomas Agoritsas
Per Vandvik
Tiffany Hirschel
author_sort Thomas Agoritsas
collection DOAJ
description Objective Clinicians need trustworthy clinical practice guidelines to succeed with evidence-based diagnosis and treatment at the bedside. The BMJ Rapid Recommendations explore innovative ways to enhance dissemination and uptake, including multilayered interactive infographics linked to a digitally structured authoring and publication platform (the MAGICapp). We aimed to assess user experiences of physicians in training in various specialties when they interact with these infographics.Design We conducted a qualitative user-testing study to assess user experience of a convenience sample of physicians in training. User testing was carried out through guided think-aloud sessions. We assessed six facets of user experience using a revised version of Morville’s framework: usefulness, understandability, usability, credibility, desirability and identification.Setting Setting include Geneva’s University Hospital, a large teaching hospital in Switzerland.Participants Participants include a convenience sample of residents and interns without restriction regarding medical field or division of care.Results Most users reported a positive experience. The infographics were understandable and useful to rapidly grasp the key elements of the recommendation, its rationale and supporting evidence, in a credible way. Some users felt intimidated by numbers or the amount of information, although they perceived there could be a learning curve while using generic formats. Plain language summaries helped complement the visuals but could be further highlighted. Despite their generally positive experience, several users had limited understanding of key GRADE (Grading of Recommendations Assessment, Development and Evaluation) domains of the quality of evidence and remained uncertain by the implication of weak or conditional recommendations.Conclusion Our study allowed to identify several aspects of guideline formats that improve their understandability and usefulness. Guideline organisations can use our findings to adapt their presentation format to enhance their dissemination and uptake in clinical practice. Avenues for research include the interplay between infographics and the digital authoring platform, multiple comparisons and living guidelines.
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spelling doaj-art-b2b3dcd8b2cd4a1699169dde37d2651a2025-02-11T08:20:10ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2023-083032Clinicians’ experience with infographic summaries from the BMJ Rapid Recommendations: a qualitative user-testing study among residents and interns at a large teaching hospital in SwitzerlandThomas Agoritsas0Per Vandvik1Tiffany Hirschel2MAGIC Evidence Ecosystem Foundation, Oslo, NorwayMAGIC Evidence Ecosystem Foundation, Oslo, NorwayAnesthesiology Division, Department of Acute Medicine, Geneva University Hospitals, Geneva, SwitzerlandObjective Clinicians need trustworthy clinical practice guidelines to succeed with evidence-based diagnosis and treatment at the bedside. The BMJ Rapid Recommendations explore innovative ways to enhance dissemination and uptake, including multilayered interactive infographics linked to a digitally structured authoring and publication platform (the MAGICapp). We aimed to assess user experiences of physicians in training in various specialties when they interact with these infographics.Design We conducted a qualitative user-testing study to assess user experience of a convenience sample of physicians in training. User testing was carried out through guided think-aloud sessions. We assessed six facets of user experience using a revised version of Morville’s framework: usefulness, understandability, usability, credibility, desirability and identification.Setting Setting include Geneva’s University Hospital, a large teaching hospital in Switzerland.Participants Participants include a convenience sample of residents and interns without restriction regarding medical field or division of care.Results Most users reported a positive experience. The infographics were understandable and useful to rapidly grasp the key elements of the recommendation, its rationale and supporting evidence, in a credible way. Some users felt intimidated by numbers or the amount of information, although they perceived there could be a learning curve while using generic formats. Plain language summaries helped complement the visuals but could be further highlighted. Despite their generally positive experience, several users had limited understanding of key GRADE (Grading of Recommendations Assessment, Development and Evaluation) domains of the quality of evidence and remained uncertain by the implication of weak or conditional recommendations.Conclusion Our study allowed to identify several aspects of guideline formats that improve their understandability and usefulness. Guideline organisations can use our findings to adapt their presentation format to enhance their dissemination and uptake in clinical practice. Avenues for research include the interplay between infographics and the digital authoring platform, multiple comparisons and living guidelines.https://bmjopen.bmj.com/content/15/2/e083032.full
spellingShingle Thomas Agoritsas
Per Vandvik
Tiffany Hirschel
Clinicians’ experience with infographic summaries from the BMJ Rapid Recommendations: a qualitative user-testing study among residents and interns at a large teaching hospital in Switzerland
BMJ Open
title Clinicians’ experience with infographic summaries from the BMJ Rapid Recommendations: a qualitative user-testing study among residents and interns at a large teaching hospital in Switzerland
title_full Clinicians’ experience with infographic summaries from the BMJ Rapid Recommendations: a qualitative user-testing study among residents and interns at a large teaching hospital in Switzerland
title_fullStr Clinicians’ experience with infographic summaries from the BMJ Rapid Recommendations: a qualitative user-testing study among residents and interns at a large teaching hospital in Switzerland
title_full_unstemmed Clinicians’ experience with infographic summaries from the BMJ Rapid Recommendations: a qualitative user-testing study among residents and interns at a large teaching hospital in Switzerland
title_short Clinicians’ experience with infographic summaries from the BMJ Rapid Recommendations: a qualitative user-testing study among residents and interns at a large teaching hospital in Switzerland
title_sort clinicians experience with infographic summaries from the bmj rapid recommendations a qualitative user testing study among residents and interns at a large teaching hospital in switzerland
url https://bmjopen.bmj.com/content/15/2/e083032.full
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