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            "version": 2,
            "itemType": "journalArticle",
            "title": "Development and Validation of Questionnaires Exploring Health Care Professionals' Intention to Use Wiki-Based Reminders to Promote Best Practices in Trauma",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Patrick Michel",
                    "lastName": "Archambault"
                },
                {
                    "creatorType": "author",
                    "firstName": "Susie",
                    "lastName": "Gagnon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marie-Pierre",
                    "lastName": "Gagnon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Stéphane",
                    "lastName": "Turcotte"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jean",
                    "lastName": "Lapointe"
                },
                {
                    "creatorType": "author",
                    "firstName": "Richard",
                    "lastName": "Fleet"
                },
                {
                    "creatorType": "author",
                    "firstName": "Mario",
                    "lastName": "Côté"
                },
                {
                    "creatorType": "author",
                    "firstName": "Pierre",
                    "lastName": "Beaupré"
                },
                {
                    "creatorType": "author",
                    "firstName": "Natalie",
                    "lastName": "Le Sage"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marcel",
                    "lastName": "Émond"
                },
                {
                    "creatorType": "author",
                    "firstName": "France",
                    "lastName": "Légaré"
                }
            ],
            "abstractNote": "Background\nLittle is known about factors influencing professionals’ use of wikis.\n\nObjective\nWe developed and validated two questionnaires to assess health care professionals’ intention to use wiki-based reminders for the management of trauma patients.\n\nMethods\nWe developed questionnaires for emergency physicians (EPs) and allied health professions (AHPs) based on the Theory of Planned Behavior and adapted them to the salient beliefs of each, identified in an earlier study. Items measured demographics and direct and indirect theoretical constructs. We piloted the questionnaires with 2 focus groups (5 EPs and 5 AHPs) to identify problems of wording and length. Based on feedback, we adjusted the wording and combined certain items. A new convenience sample of 25 EPs and 26 AHPs then performed a test-retest of the questionnaires at a 2-week interval. We assessed internal consistency using Cronbach alpha coefficients and temporal stability of items with an agreement intraclass correlation coefficient (ICC).\n\nResults\nFive EPs and 5 AHPs (3 nurses, 1 respiratory therapist, and 1 pharmacist) formed 2 focus groups; 25 EPs and 26 AHPs (12 nurses, 7 respiratory therapists, and 7 pharmacists) completed the test and retest. The EP questionnaire test-retest scores for consistency (Cronbach alpha) and stability (ICC) were intention (test: Cronbach alpha=.94; retest: Cronbach alpha=.98; ICC=.89), attitude (.74, .72, .70), subjective norm (.79, .78, .75), perceived behavioral control (.67, .65, .66), attitudinal beliefs (.94, .86, .60), normative beliefs (.83, .87, .79), and control beliefs barriers (.58, .67, .78) and facilitators (.97, .85, .30). The AHP questionnaire scores for consistency and stability were: intention (test Cronbach alpha=.69, retest Cronbach alpha=.81, ICC=.48), attitude (.85, .87, .83), subjective norm (.47, .82, .62), perceived behavioral control (.55, .62, .60), attitudinal beliefs (.92, .91, .82), normative beliefs (.85, .90, .74), and control beliefs barriers (.58, .55, .66) and facilitators (.72, .94, –.05). To improve the psychometric properties of both questionnaires, we reformulated poorly consistent or unstable items.\n\nConclusions\nOur new theory-based questionnaires to measure health care professionals’ intention to use wiki-based reminders have adequate validity and reliability for use in large surveys. In the long run, they can be used to develop a theory-based implementation intervention for a wiki promoting best practices in trauma care.",
            "publicationTitle": "JMIR Research Protocols",
            "publisher": "",
            "place": "",
            "date": "2014-10-03",
            "volume": "3",
            "issue": "4",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "JMIR Res Protoc",
            "DOI": "10.2196/resprot.3762",
            "citationKey": "",
            "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4213801/",
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        "data": {
            "key": "MZ6GB8P3",
            "version": 2,
            "itemType": "journalArticle",
            "title": "Health Care Professionals’ Beliefs About Using Wiki-Based Reminders to Promote Best Practices in Trauma Care",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Patrick Michel",
                    "lastName": "Archambault"
                },
                {
                    "creatorType": "author",
                    "firstName": "Andrea",
                    "lastName": "Bilodeau"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marie-Pierre",
                    "lastName": "Gagnon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Karine",
                    "lastName": "Aubin"
                },
                {
                    "creatorType": "author",
                    "firstName": "André",
                    "lastName": "Lavoie"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jean",
                    "lastName": "Lapointe"
                },
                {
                    "creatorType": "author",
                    "firstName": "Julien",
                    "lastName": "Poitras"
                },
                {
                    "creatorType": "author",
                    "firstName": "Sylvain",
                    "lastName": "Croteau"
                },
                {
                    "creatorType": "author",
                    "firstName": "Martin",
                    "lastName": "Pham-Dinh"
                },
                {
                    "creatorType": "author",
                    "firstName": "France",
                    "lastName": "Légaré"
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            ],
            "abstractNote": "Background \nWikis are knowledge translation tools that could help health professionals implement best practices in acute care. Little is known about the factors influencing professionals’ use of wikis.\n\nObjectives \nTo identify and compare the beliefs of emergency physicians (EPs) and allied health professionals (AHPs) about using a wiki-based reminder that promotes evidence-based care for traumatic brain injuries.\n\nMethods \nDrawing on the theory of planned behavior, we conducted semistructured interviews to elicit EPs’ and AHPs’ beliefs about using a wiki-based reminder. Previous studies suggested a sample of 25 EPs and 25 AHPs. We purposefully selected participants from three trauma centers in Quebec, Canada, to obtain a representative sample. Using univariate analyses, we assessed whether our participants’ gender, age, and level of experience were similar to those of all eligible individuals. Participants viewed a video showing a clinician using a wiki-based reminder, and we interviewed participants about their behavioral, control, and normative beliefs—that is, what they saw as advantages, disadvantages, barriers, and facilitators to their use of a reminder, and how they felt important referents would perceive their use of a reminder. Two reviewers independently analyzed the content of the interview transcripts. We considered the 75% most frequently mentioned beliefs as salient. We retained some less frequently mentioned beliefs as well.\n\nResults \nOf 66 eligible EPs and 444 eligible AHPs, we invited 55 EPs and 39 AHPs to participate, and 25 EPs and 25 AHPs (15 nurses, 7 respiratory therapists, and 3 pharmacists) accepted. Participating AHPs had more experience than eligible AHPs (mean 14 vs 11 years; P = .04). We noted no other significant differences. Among EPs, the most frequently reported advantage of using a wiki-based reminder was that it refreshes the memory (n = 14); among AHPs, it was that it provides rapid access to protocols (n = 16). Only 2 EPs mentioned a disadvantage (the wiki added stress). The most frequently reported favorable referent was nurses for EPs (n = 16) and EPs for AHPs (n = 19). The most frequently reported unfavorable referents were people resistant to standardized care for EPs (n = 8) and people less comfortable with computers for AHPs (n = 11). The most frequent facilitator for EPs was ease of use (n = 19); for AHPs, it was having a bedside computer (n = 20). EPs’ most frequently reported barrier was irregularly updated wiki-based reminders (n = 18); AHPs’ was undetermined legal responsibility (n = 10).\n\nConclusions \nWe identified EPs’ and AHPs’ salient beliefs about using a wiki-based reminder. We will draw on these beliefs to construct a questionnaire to measure the importance of these determinants to EPs’ and AHPs’ intention to use a wiki-based reminder promoting evidence-based care for traumatic brain injuries.",
            "publicationTitle": "Journal of Medical Internet Research",
            "publisher": "",
            "place": "",
            "date": "2012-4-19",
            "volume": "14",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "J Med Internet Res",
            "DOI": "10.2196/jmir.1983",
            "citationKey": "",
            "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3376518/",
            "accessDate": "2015-04-20T21:00:51Z",
            "PMID": "",
            "PMCID": "",
            "ISSN": "1439-4456",
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            "extra": "PMID: 22515985\nPMCID: PMC3376518",
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            "dateModified": "2015-04-22T03:34:57Z"
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            "title": "Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Patrick M",
                    "lastName": "Archambault"
                },
                {
                    "creatorType": "author",
                    "firstName": "Alexis F",
                    "lastName": "Turgeon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Holly O",
                    "lastName": "Witteman"
                },
                {
                    "creatorType": "author",
                    "firstName": "François",
                    "lastName": "Lauzier"
                },
                {
                    "creatorType": "author",
                    "firstName": "Lynne",
                    "lastName": "Moore"
                },
                {
                    "creatorType": "author",
                    "firstName": "François",
                    "lastName": "Lamontagne"
                },
                {
                    "creatorType": "author",
                    "firstName": "Tanya",
                    "lastName": "Horsley"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marie-Pierre",
                    "lastName": "Gagnon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Arnaud",
                    "lastName": "Droit"
                },
                {
                    "creatorType": "author",
                    "firstName": "Matthew",
                    "lastName": "Weiss"
                },
                {
                    "creatorType": "author",
                    "firstName": "Sébastien",
                    "lastName": "Tremblay"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jean",
                    "lastName": "Lachaine"
                },
                {
                    "creatorType": "author",
                    "firstName": "Natalie",
                    "lastName": "Le Sage"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marcel",
                    "lastName": "Émond"
                },
                {
                    "creatorType": "author",
                    "firstName": "Simon",
                    "lastName": "Berthelot"
                },
                {
                    "creatorType": "author",
                    "firstName": "Ariane",
                    "lastName": "Plaisance"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jean",
                    "lastName": "Lapointe"
                },
                {
                    "creatorType": "author",
                    "firstName": "Tarek",
                    "lastName": "Razek"
                },
                {
                    "creatorType": "author",
                    "firstName": "Tom H",
                    "lastName": "van de Belt"
                },
                {
                    "creatorType": "author",
                    "firstName": "Kevin",
                    "lastName": "Brand"
                },
                {
                    "creatorType": "author",
                    "firstName": "Mélanie",
                    "lastName": "Bérubé"
                },
                {
                    "creatorType": "author",
                    "firstName": "Julien",
                    "lastName": "Clément"
                },
                {
                    "creatorType": "author",
                    "firstName": "Francisco Jose",
                    "lastName": "Grajales III"
                },
                {
                    "creatorType": "author",
                    "firstName": "Gunther",
                    "lastName": "Eysenbach"
                },
                {
                    "creatorType": "author",
                    "firstName": "Craig",
                    "lastName": "Kuziemsky"
                },
                {
                    "creatorType": "author",
                    "firstName": "Debbie",
                    "lastName": "Friedman"
                },
                {
                    "creatorType": "author",
                    "firstName": "Eddy",
                    "lastName": "Lang"
                },
                {
                    "creatorType": "author",
                    "firstName": "John",
                    "lastName": "Muscedere"
                },
                {
                    "creatorType": "author",
                    "firstName": "Sandro",
                    "lastName": "Rizoli"
                },
                {
                    "creatorType": "author",
                    "firstName": "Derek J",
                    "lastName": "Roberts"
                },
                {
                    "creatorType": "author",
                    "firstName": "Damon C",
                    "lastName": "Scales"
                },
                {
                    "creatorType": "author",
                    "firstName": "Tasnim",
                    "lastName": "Sinuff"
                },
                {
                    "creatorType": "author",
                    "firstName": "Henry T",
                    "lastName": "Stelfox"
                },
                {
                    "creatorType": "author",
                    "firstName": "Isabelle",
                    "lastName": "Gagnon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Christian",
                    "lastName": "Chabot"
                },
                {
                    "creatorType": "author",
                    "firstName": "Richard",
                    "lastName": "Grenier"
                },
                {
                    "creatorType": "author",
                    "firstName": "France",
                    "lastName": "Légaré"
                }
            ],
            "abstractNote": "Background\nTrauma is the most common cause of mortality among people between the ages of 1 and 45 years, costing Canadians 19.8 billion dollars a year (2004 data), yet half of all patients with major traumatic injuries do not receive evidence-based care, and significant regional variation in the quality of care across Canada exists. Accordingly, our goal is to lead a research project in which stakeholders themselves will adapt evidence-based trauma care knowledge tools to their own varied institutional contexts and cultures. We will do this by developing and assessing the combined impact of WikiTrauma, a free collaborative database of clinical decision support tools, and Wiki101, a training course teaching participants how to use WikiTrauma. WikiTrauma has the potential to ensure that all stakeholders (eg, patients, clinicians, and decision makers) can all contribute to, and benefit from, evidence-based clinical knowledge about trauma care that is tailored to their own needs and clinical setting.\n\nObjective\nOur main objective will be to study the combined effect of WikiTrauma and Wiki101 on the quality of care in four trauma centers in Quebec.\n\nMethods\nFirst, we will pilot-test the wiki with potential users to create a version ready to test in practice. A rapid, iterative prototyping process with 15 health professionals from nonparticipating centers will allow us to identify and resolve usability issues prior to finalizing the definitive version for the interrupted time series. Second, we will conduct an interrupted time series to measure the impact of our combined intervention on the quality of care in four trauma centers that will be selected—one level I, one level II, and two level III centers. Participants will be health care professionals working in the selected trauma centers. Also, five patient representatives will be recruited to participate in the creation of knowledge tools destined for their use (eg, handouts). All participants will be invited to complete the Wiki101 training and then use, and contribute to, WikiTrauma for 12 months. The primary outcome will be the change over time of a validated, composite, performance indicator score based on 15 process performance indicators found in the Quebec Trauma Registry.\n\nResults\nThis project was funded in November 2014 by the Canadian Medical Protective Association. We expect to start this trial in early 2015 and preliminary results should be available in June 2016. Two trauma centers have already agreed to participate and two more will be recruited in the next months.\n\nConclusions\nWe expect that this study will add important and unique evidence about the effectiveness, safety, and cost savings of using collaborative platforms to adapt knowledge implementation tools across jurisdictions.",
            "publicationTitle": "JMIR Research Protocols",
            "publisher": "",
            "place": "",
            "date": "2015-2-19",
            "volume": "4",
            "issue": "1",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "JMIR Res Protoc",
            "DOI": "10.2196/resprot.4024",
            "citationKey": "",
            "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376233/",
            "accessDate": "2015-04-20T20:55:16Z",
            "PMID": "",
            "PMCID": "",
            "ISSN": "1929-0748",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care",
            "language": "",
            "libraryCatalog": "PubMed Central",
            "callNumber": "",
            "rights": "",
            "extra": "PMID: 25699546\nPMCID: PMC4376233",
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            "dateModified": "2015-04-22T03:34:57Z"
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            "creatorSummary": "Archambault et al.",
            "parsedDate": "2015-02",
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        "data": {
            "key": "BBPKUEGE",
            "version": 2,
            "itemType": "journalArticle",
            "title": "Emergency medicine residents’ beliefs about contributing to an online collaborative slideshow",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Patrick M.",
                    "lastName": "Archambault"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jasmine",
                    "lastName": "Thanh"
                },
                {
                    "creatorType": "author",
                    "firstName": "Danielle",
                    "lastName": "Blouin"
                },
                {
                    "creatorType": "author",
                    "firstName": "Susie",
                    "lastName": "Gagnon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Julien",
                    "lastName": "Poitras"
                },
                {
                    "creatorType": "author",
                    "firstName": "Renée-Marie",
                    "lastName": "Fountain"
                },
                {
                    "creatorType": "author",
                    "firstName": "Richard",
                    "lastName": "Fleet"
                },
                {
                    "creatorType": "author",
                    "firstName": "Andrea",
                    "lastName": "Bilodeau"
                },
                {
                    "creatorType": "author",
                    "firstName": "Tom H.",
                    "lastName": "van de Belt"
                },
                {
                    "creatorType": "author",
                    "firstName": "France",
                    "lastName": "Légaré"
                }
            ],
            "abstractNote": "Objective Collaborative writing applications (CWAs), such as the Google DocsTM platform, can improve skill acquisition, knowledge retention, and collaboration in medical education. Using CWAs to support the training of residents offers many advantages, but stimulating them to contribute remains challenging. The purpose of this study was to identify emergency medicine (EM) residents’ beliefs about their intention to contribute summaries of landmark articles to a Google DocsTM slideshow while studying for their Royal College of Physicians and Surgeons of Canada (RCPSC) certification exam. Method Using the Theory of Planned Behavior, the authors interviewed graduating RCPSC EM residents about contributing to a slideshow. Residents were asked about behavioral beliefs (advantages/disadvantages), normative beliefs (positive/negative referents), and control beliefs (barriers/facilitators). Two reviewers independently performed qualitative content analysis of interview transcripts to identify salient beliefs in relation to the defined behaviors. Results Of 150 eligible EM residents, 25 participated. The main reported advantage of contributing to the online slideshow was learning consolidation (n=15); the main reported disadvantage was information overload (n=3). The most frequently reported favorable referents were graduating EM residents writing the certification exam (n=16). Few participants (n=3) perceived any negative referents. The most frequently reported facilitator was peer-reviewed high-quality scientific information (n=9); and the most frequently reported barrier was time constraints (n=22). Conclusion Salient beliefs exist regarding EM residents’ intention to contribute content to an online collaborative writing project using a Google DocsTM slideshow. Overall, participants perceived more advantages than disadvantages to contributing and believed that this initiative would receive wide support. However, participants reported several barriers that need to be addressed to increase contributions. Our intention is for the beliefs identified in this study to contribute to the design of a theory-based questionnaire to explore determinants of residents' intentions to contribute to an online collaborative writing project. This will help develop implementation strategies for increasing contributions to other CWAs in medical education. Résumé Objectif Les applications d’écriture collective (AEC), telles que la plateforme Google DocsTM, peuvent améliorer l’acquisition des compétences, la conservation du savoir et la collaboration en formation médicale. Ainsi, les AEC utilisées à l’appui de la formation donnée aux résidents offrent de nombreux avantages, mais la contribution au contenu relève du défi. L’étude décrite ici avait pour but de recueillir l’opinion des résidents en médecine d’urgence (MU) sur leur intention de présenter des résumés d’article novateur dans un diaporama Google Docs pendant qu’ils se préparaient à leur examen de certification du Collège royal des médecins et chirurgiens du Canada. Méthode Les auteurs, s’appuyant sur la théorie du comportement planifié, ont interrogé des résidents sortants en MU, en voie d’obtenir leur certificat du Collège royal sur leur intention de contribuer à un diaporama. Les premiers ont posé des questions aux seconds sur leur opinion concernant leurs croyances comportementales (avantages/inconvénients), leurs croyances normatives (groupes de référence favorables/défavorables) et leurs croyances de contrôle (obstacles/facteurs facilitants). Deux examinateurs ont procédé, chacun de leur côté, à une analyse qualitative du contenu à partir de la transcription des entrevues, afin d’en dégager les croyances saillantes en lien avec les comportements définis. Résultats Vingt-cinq résidents en MU sur une possibilité de 150 ont participé à l’étude. Le principal avantage mentionné de la contribution au diaporama en ligne était l’affermissement de l’apprentissage (n=15), tandis que le principal inconvénient était la surcharge d’information (n=3). Quant aux groupes de référence favorables, c’est celui des résidents sortants en MU, en voie de passer leur examen de certification du Collège royal qui a été mentionné le plus souvent (n=16). Peu de participants (n=3) ont fait état de groupes de référence défavorables. Le facteur facilitant mentionné le plus souvent était l’information scientifique de qualité évaluée par les pairs (n=9) et l’obstacle mentionné le plus souvent, les contraintes de temps (n=22). Conclusions Il se dégage de l’étude des croyances saillantes quant à l’intention des résidents en MU de contribuer au contenu d’un projet d’écriture collective en ligne, à l’aide d’un diaporama Google DocsTM. Les répondants ont perçu, dans l’ensemble, plus d’avantages que d’inconvénients à la contribution au contenu et ils étaient d’avis que l’initiative recevrait un large appui. Toutefois, les participants ont relevé plusieurs obstacles qu’il faudrait aplanir pour accroître la contribution. Les auteurs ont l’intention, à partir des opinions exprimées dans l’étude décrite ici, de participer à l’élaboration d’un questionnaire fondé sur la théorie, qui permettrait d’examiner les déterminants de l’intention des résidents de contribuer à un projet d’écriture collective en ligne. L’exercice aidera à l’élaboration de stratégies de mise en œuvre visant à accroître la contribution des étudiants à d’autres AEC en formation médicale.",
            "publicationTitle": "Canadian Journal of Emergency Medicine",
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            "title": "Wikis and Collaborative Writing Applications in Health Care: A Scoping Review",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Patrick M",
                    "lastName": "Archambault"
                },
                {
                    "creatorType": "author",
                    "firstName": "Tom H",
                    "lastName": "van de Belt"
                },
                {
                    "creatorType": "author",
                    "firstName": "Francisco J",
                    "lastName": "Grajales III"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marjan J",
                    "lastName": "Faber"
                },
                {
                    "creatorType": "author",
                    "firstName": "Craig E",
                    "lastName": "Kuziemsky"
                },
                {
                    "creatorType": "author",
                    "firstName": "Susie",
                    "lastName": "Gagnon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Andrea",
                    "lastName": "Bilodeau"
                },
                {
                    "creatorType": "author",
                    "firstName": "Simon",
                    "lastName": "Rioux"
                },
                {
                    "creatorType": "author",
                    "firstName": "Willianne LDM",
                    "lastName": "Nelen"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marie-Pierre",
                    "lastName": "Gagnon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Alexis F",
                    "lastName": "Turgeon"
                },
                {
                    "creatorType": "author",
                    "firstName": "Karine",
                    "lastName": "Aubin"
                },
                {
                    "creatorType": "author",
                    "firstName": "Irving",
                    "lastName": "Gold"
                },
                {
                    "creatorType": "author",
                    "firstName": "Julien",
                    "lastName": "Poitras"
                },
                {
                    "creatorType": "author",
                    "firstName": "Gunther",
                    "lastName": "Eysenbach"
                },
                {
                    "creatorType": "author",
                    "firstName": "Jan AM",
                    "lastName": "Kremer"
                },
                {
                    "creatorType": "author",
                    "firstName": "France",
                    "lastName": "Légaré"
                }
            ],
            "abstractNote": "Background\nCollaborative writing applications (eg, wikis and Google Documents) hold the potential to improve the use of evidence in both public health and health care. The rapid rise in their use has created the need for a systematic synthesis of the evidence of their impact as knowledge translation (KT) tools in the health care sector and for an inventory of the factors that affect their use.\n\nObjective\nThrough the Levac six-stage methodology, a scoping review was undertaken to explore the depth and breadth of evidence about the effective, safe, and ethical use of wikis and collaborative writing applications (CWAs) in health care.\n\nMethods\nMultiple strategies were used to locate studies. Seven scientific databases and 6 grey literature sources were queried for articles on wikis and CWAs published between 2001 and September 16, 2011. In total, 4436 citations and 1921 grey literature items were screened. Two reviewers independently reviewed citations, selected eligible studies, and extracted data using a standardized form. We included any paper presenting qualitative or quantitative empirical evidence concerning health care and CWAs. We defined a CWA as any technology that enables the joint and simultaneous editing of a webpage or an online document by many end users. We performed qualitative content analysis to identify the factors that affect the use of CWAs using the Gagnon framework and their effects on health care using the Donabedian framework.\n\nResults\nOf the 111 studies included, 4 were experimental, 5 quasi-experimental, 5 observational, 52 case studies, 23 surveys about wiki use, and 22 descriptive studies about the quality of information in wikis. We classified them by theme: patterns of use of CWAs (n=26), quality of information in existing CWAs (n=25), and CWAs as KT tools (n=73). A high prevalence of CWA use (ie, more than 50%) is reported in 58% (7/12) of surveys conducted with health care professionals and students. However, we found only one longitudinal study showing that CWA use is increasing in health care. Moreover, contribution rates remain low and the quality of information contained in different CWAs needs improvement. We identified 48 barriers and 91 facilitators in 4 major themes (factors related to the CWA, users’ knowledge and attitude towards CWAs, human environment, and organizational environment). We also found 57 positive and 23 negative effects that we classified into processes and outcomes.\n\nConclusions\nAlthough we found some experimental and quasi-experimental studies of the effectiveness and safety of CWAs as educational and KT interventions, the vast majority of included studies were observational case studies about CWAs being used by health professionals and patients. More primary research is needed to find ways to address the different barriers to their use and to make these applications more useful for different stakeholders.",
            "publicationTitle": "Journal of Medical Internet Research",
            "publisher": "",
            "place": "",
            "date": "2013-10-08",
            "volume": "15",
            "issue": "10",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "J Med Internet Res",
            "DOI": "10.2196/jmir.2787",
            "citationKey": "",
            "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3929050/",
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            "PMID": "",
            "PMCID": "",
            "ISSN": "1439-4456",
            "archive": "",
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            "shortTitle": "Wikis and Collaborative Writing Applications in Health Care",
            "language": "",
            "libraryCatalog": "PubMed Central",
            "callNumber": "",
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