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Abstract
Background: Courriels Cochrane are French translations of P.E.A.R.L.S., excerpts taken from abstracts of Cochrane reviews disseminated by email to primary care physicians. We linked the Information Assessment Method (IAM) to Courriels Cochrane to stimulate physicians’ reflection and document ratings of relevance, cognitive impact, information use, and patient health benefits. Objectives: To disseminate IAM in French and to assess the impact of Courriels Cochrane on physicians. Methods: Out of 125 P.E.A.R.L.S., 40 were selected based on two criteria: relevance and newsworthiness to primary care, and translated into French. After an editorial process, which included contextualization, only 30 were retained. Participants were recruited among physicians who subscribe to cma.ca in French. By email, participants received one Courriel Cochrane per week. We assessed outcomes using IAM. For each completed questionnaire, physicians earned continuing medical education credit. Results: From October 2009 to January 2010, 14 Courriels Cochrane were emailed to 899 physicians. Of those, 98 physicians submitted 474 ratings. The most frequently reported items were: Cognitive Impact: ‘I learned something new’ N = 178 (38%) and ‘information confirmed I did (am doing) the right thing’ N = 169 (36%); Relevance for at least one patient N = 374 (79%), Application: ‘to justify or maintain patient management’ N = 181 (48%); Expected Health Outcomes: ‘avoiding unnecessary or inappropriate interventions’ N = 118 (32%). Dissatisfaction was reported in 12 cases (3%), due to a problem with the information in 10 cases (2%). Conclusions: Courriels Cochrane can have a positive impact on practice. Further research could confirm this finding.