They consist of didactic materials and guidelines for healthy adolescent diets available to primary care practitioners, some of which are recommended by the Brazilian Ministry of Health.
Sessions included a mix of didactic information delivery (guidelines and recommendations, strategies to increase PA and healthy foods, overcoming barriers, food budgeting) and practical activities (e.g., label reading, recipe modification, demonstration and practice of resistance exercises, setting step goals for the home-based walking program).
Nineteen were multi-faceted in that clinicians received combinations of academic detailing, audit and feedback, didactic lectures and written guidelines in addition to decision support.
Traditional training approaches– including didactic sessions, manuals, and guidelines—have not been shown to improve adoption of evidence-based practice [ 7, 9].
[ 13- 16] Didactic lectures and written guidelines, even those including a brief summary of relevant points for clinicians, are known to be ineffective in promoting change in practice [ 17].
Centrally produced materials, booklets, and step-by-step guidelines was perceived didactic by some participants that constraints adult participatory learning, and problem solving capabilities of the students.
However, in Iran, some younger and higher educated 'behvarz' reported that centrally produced step-by-step guidelines were too didactic and constrained participatory learning.
It is unlikely that publication of consensus recommendations or didactic dissemination of clinical practice guidelines alone are or will be sufficient to improve osteoporosis management in patients at high risk for recurrent fractures and morbidity.
Although the most recently published version of these guidelines is less didactic [ 45], they still show how consensus opinion can influence clinical management even though the evidence base is so poor.
