Trial reportAcademic medicine : journal of the Association of American Medical Colleges2010
Is physician engagement with Web-based CME associated with patients' baseline hemoglobin A1c levels? The Rural Diabetes Online Care study.
Trial report in Academic medicine : journal of the Association of American Medical Colleges, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Health professions digital education on clinical practice guidelines: a systematic review by Digital Health Education collaboration.BMC medicine · 2019Pooled it
- Digital Health Professions Education on Diabetes Management: Systematic Review by the Digital Health Education Collaboration.Journal of medical Internet research · 2019Pooled it
- E-learning for health professionals.The Cochrane database of systematic reviews · 2018Pooled it
- Using multiple imputations to accommodate time-outs in online interventions.Journal of medical Internet research · 2013Trial
- A web-based diabetes intervention for physician: a cluster-randomized effectiveness trial.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2011Trial
- The design and rationale of a multicenter real-world trial: The Southeastern Collaboration to Improve Blood Pressure Control in the US Black Belt - Addressing the Triple Threat.Contemporary clinical trials · 2023Article
- Perceptions and behaviors of learner engagement with virtual educational platforms.American journal of surgery · 2022Article
- Patterns for Patient Engagement with the Hypertension Management and Effects of Electronic Health Care Provider Follow-up on These Patterns: Cluster Analysis.Journal of medical Internet research · 2021Article
- The relationship between learner engagement and teaching effectiveness: a novel assessment of student engagement in continuing medical education.BMC medical education · 2020Article
- Knowledge of physicians regarding the management of Type two Diabetes in a primary care setting: the impact of online continuous medical education.BMC medical education · 2020Article
- Leveraging Providers' Preferences to Customize Instructional Content in Information and Communications Technology-Based Training Interventions: Retrospective Analysis of a Mobile Phone-Based Intervention in India.JMIR mHealth and uHealth · 2020Article
- Physician engagement: a concept analysis.Journal of healthcare leadership · 2019Article
- Innovations in Professional Inpatient Diabetes Education.Current diabetes reports · 2018Review
- Engagement in an Online Cultural Competency Training.Southern medical journal · 2018Article
- Quality of diabetes mellitus care by rural primary care physicians.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2012Article
- Medication intensification in diabetes in rural primary care: a cluster-randomised effectiveness trial.BMJ open · 2012Article
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 at 2 institutions in 2 countries.
Funding
Abstract
purposeTo investigate the association between physician participants' levels of engagement in a Web-based educational intervention and their patients' baseline diabetes measures.
methodThe authors conducted a randomized trial of online CME activities designed to improve diabetes care provided by family, general, and internal medicine physicians in rural areas of 11 southeastern states between September 2006 and July 2008. Using incidence rate ratios derived from negative binomial models, the relationship between physicians' engagement with the study Web site and baseline proportion of their patients having controlled diabetes (hemoglobin A1c < or = 7%) was explored.
resultsOne hundred thirty-three participants (intervention = 64; control = 69) provided information for 1,637 patients with diabetes. In the intervention group, physicians in practices in the worst quartiles of A1c control were least engaged with the study Web site in nearly all dimensions. Total number of pages viewed decreased as quartile of A1c control worsened (137, 73, 68, 57; P = .007); similarly, for a given 10% increase in proportion of patients with controlled A1c, participants viewed 1.13 times more pages (95% CI: 1.02-1.26, P = .02). In the control group, engagement was neither correlated with A1c control nor different across quartiles of A1c control.
conclusionsEngagement in Web-based interventions is measurable and has important implications for research and education. Because physicians of patients with the greatest need for improvement in A1c control may not use online educational resources as intensely as others, other strategies may be necessary to engage these physicians in professional development activities.
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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.