ArticleJournal of medical Internet research
Designing tailored Web-based instruction to improve practicing physicians' preventive practices.
Article in Journal of medical Internet research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00123396 (VHA Clinicians and Bioterror Events), which is not on this map. Cited by 25 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
VHA Clinicians and Bioterror Events: Interactive Web-based Learning
Who cites it
25 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Efficacy of adaptive e-learning for health professionals and students: a systematic review and meta-analysis.BMJ open · 2019Pooled it
- Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2015Pooled it
- Interventions to increase the use of electronic health information by healthcare practitioners to improve clinical practice and patient outcomes.The Cochrane database of systematic reviews · 2015Pooled it
- Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes.The Cochrane database of systematic reviews · 2010Pooled it
- Internet-based medical education: a realist review of what works, for whom and in what circumstances.BMC medical education · 2010Pooled it
- Electronic retrieval of health information by healthcare providers to improve practice and patient care.The Cochrane database of systematic reviews · 2009Pooled it
- Interventions for promoting information and communication technologies adoption in healthcare professionals.The Cochrane database of systematic reviews · 2009Pooled it
- Efficacy of a web-based intervention to improve and sustain knowledge and screening for amblyopia in primary care settings.Investigative ophthalmology & visual science · 2011Trial
- Adapting web-based instruction to residents' knowledge improves learning efficiency: a randomized controlled trial.Journal of general internal medicine · 2008Trial
- A community-based trial of an online intimate partner violence CME program.American journal of preventive medicine · 2006Trial
- Using email reminders to engage physicians in an Internet-based CME intervention.BMC medical education · 2004Trial
- Osteoporosis e-learning courses: A systematic review to develop a comprehensive virtual course for General Practitioners.Journal of diabetes and metabolic disorders · 2024Review
- On the advantages and disadvantages of virtual continuing medical education: a scoping review.Canadian medical education journal · 2023Article
- Quality of Web-Based Educational Interventions for Clinicians on Human Papillomavirus Vaccine: Content and Usability Assessment.JMIR cancer · 2018Article
- The effect of physician continuing medical education on patient-reported outcomes for identifying and optimally managing obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015Article
- Sustained effects of online genetics education: a randomized controlled trial on oncogenetics.European journal of human genetics : EJHG · 2014Article
- An interactive internet-based continuing education course on sexually transmitted diseases for physicians and midwives in Peru.PloS one · 2011Article
- The effect of physician workload on an educational intervention to increase vitamin D screening.WMJ : official publication of the State Medical Society of Wisconsin · 2010Article
- A comparative evaluation of the effect of Internet-based CME delivery format on satisfaction, knowledge and confidence.BMC medical education · 2010Article
- [PhD programmes in Family Medicine: A new university service for primary care doctors].Atencion primaria · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundThe World Wide Web has led to the rapid growth of medical information and continuing medical educational offerings. Ease of access and availability at any time are advantages of the World Wide Web. Existing physician-education sites have often been designed and developed without systematic application of evidence and cognitive-educational theories; little rigorous evaluation has been conducted to determine which design factors are most effective in facilitating improvements in physician performance and patient-health outcomes that might occur as a result of physician participation in Web-based education. Theory and evidence-based Web design principles include the use of: needs assessment, multimodal strategies, interactivity, clinical cases, tailoring, credible evidence-based content, audit and feedback, and patient-education materials. Ease of use and design to support the lowest common technology denominator are also important.
objectiveUsing these principles, design and develop a Web site including multimodal strategies for improving chlamydial-screening rates among primary care physicians.
methodsWe used office-practice data in needs assessment and as an audit/feedback tool. In the intervention introduced in 4 phases over 11 months, we provided a series of interactive, tailored, case vignettes with feedback on peer answers. We included a quality-improvement toolbox including clinical practice guidelines and printable patient education materials.
resultsIn the formative evaluation of the first 2 chlamydia modules, data regarding the recruitment, enrollment, participation, and reminders have been examined. Preliminary evaluation data from a randomized, controlled trial has tested the effectiveness of this intervention in improving chlamydia screening rates with a significant increase in intervention physicians' chlamydia knowledge, attitude, and skills compared to those of a control group.
conclusionsThe application of theory in the development and evaluation of a Web-based continuing medical education intervention offers valuable insight into World Wide Web technology's influence on physician performance and the quality of medical care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.