PT - JOURNAL ARTICLE AU - Jean Robson TI - Web-based learning strategies in combination with published guidelines to change practice of primary care professionals AID - 10.3399/bjgp09X395102 DP - 2009 Feb 01 TA - British Journal of General Practice PG - 104--109 VI - 59 IP - 559 4099 - http://bjgp.org/content/59/559/104.short 4100 - http://bjgp.org/content/59/559/104.full SO - Br J Gen Pract2009 Feb 01; 59 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.