Impact of the Canadian Diabetes Association guideline dissemination strategy on clinician knowledge and behaviour change outcomes

•Guideline awareness was high, although knowledge of specific content was lower.•Largest decrements to uptake occurred with adoption and adherence in practice.•Scaleable CPD models and seamless integration of tools into care may optimize uptake. Implementation of clinical practice guideline (CPG) into clinical practice remains limited. Using the Knowledge-To-Action framework, a guideline dissemination and implementation strategy for the Canadian Diabetes Association’s 2013 CPG was developed and launched to clinicians and people with diabetes. The RE-AIM framework guided evaluation of this strategy clinician; we report here one aspect of the effectiveness dimension using mixed methods. We measured impact of the strategy on clinican knowledge and behaviour change constructs using evaluation forms, national online survey and individual interviews. After attending a lecture, clinician confidence (n = 915) increased (3.7(SD 0.7) to 4.5 (SD 0.6) on a 5-point scale (p