Evaluating the Impact of Continuing Professional Development Courses on Physician Behavioral Intention: A Pre-Post Study with Follow-Up at Six Months

Background Continuing professional development (CPD) for health professionals includes educational activities to maintain or improve skills. We evaluated the impact of a series of CPD courses by identifying factors influencing physicians' intention to adopt targeted behaviors and assessing self-reported behavior adoption six months later. Methods In this pre-post study, eligible participants attended at least one in-person course at the Fédération des Médecins Spécialistes du Québec annual meeting in November 2019. Before and afterwards, participants completed CPD-REACTION, a validated questionnaire based on Godin’s integrated model for health professional behavior change that measures intention and psychosocial factors influencing intention. We used Wilcoxon signed-rank test to compare pre- and post-course intention scores and linear regression analyses to identify factors influencing intention. We also compared the post-course intention scores of participants reporting a behavior change six months later with the scores of those reporting no behavior change six months later. Qualitative data were analyzed using the Theoretical Domains Framework. Results A total of 205/329 course attendees completed CPD-REACTION (response rate 62.3%). Among these participants, 158/329 (48%) completed the questionnaire before CPD courses, 129/329 (39.2%) only after courses and 47/329 (14.3%) at 6 months. Study population included 192 physicians of which 78/192 (40.6%) were female; 59/192 (30.7%) were between 50 and 59 years old; and 72/192 (37.5%) were surgical specialists. Mean intention scores before (n = 158) and after (n = 129) courses were 5.74 (SD = 1.52) and 6.35 (SD = 0.93) respectively. Differences in mean (DM) intention before and afterwards ranged from − 0.31 (p = 0.17) to 2.25 (p = 0.50). Multivariate analysis showed that beliefs about capabilities (β = 0.15, p = 0.001), moral norm (β = 0.75, p