RT Journal Article SR Electronic T1 Web-based learning strategies in combination with published guidelines to change practice of primary care professionals JF British Journal of General Practice JO Br J Gen Pract FD British Journal of General Practice SP 104 OP 109 DO 10.3399/bjgp09X395102 VO 59 IS 559 A1 Jean Robson YR 2009 UL http://bjgp.org/content/59/559/104.abstract AB Background Published clinical guidelines need to be combined with effective educational interventions to produce change in practice. Problem-based learning (PBL) groups are effective; however, research studies have not looked at change in practice following PBL that is independent of group interaction.Aim To determine whether clinical guidelines combined with modified PBL e-learning modules, in which dialogue between learners is replaced by interaction with a computer, could increase knowledge, result in changes in practice, and be acceptable to participants as a mode of modifying practice.Design of study Quantitative and qualitative methods.Setting Web-based application.Results Online PBL modules were studied by 45 primary care clinicians. Replacement of group functions by interaction with the computer was found to be an acceptable form of learning, and resulted in reported changes in practice among GPs choosing this method of study. This study shows that changes were independent of demonstrable knowledge gains.Conclusion Online PBL modules could complement other arms of guideline-implementation strategies. More work is needed to determine which groups would benefit most.