Evidence map›Paper›PMID 39999431›Full record

ArticleJMIR research protocols2025

Developing and Evaluating an Interactive, Case-Based, Web-Based Active Learning Tool for Primary Care Physicians (Community Fracture Capture Learning Hub): Protocol for an Acceptability and Engagement Study.

Ahmed M Fathalla, Cherie Chiang, Ralph Audehm, Alexandra Gorelik, Shanton Chang, Christopher J Yates, Steve Snow, Rahul Barmanray, Sarah Price, Lucy Collins and 1 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Postmenopausal osteoporosis continuing education needed for healthcare professionals? A quality improvement project.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ahmed M FathallaDepartment of Medicine, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia.ORCID 0000-0001-8719-0596
Cherie ChiangDepartment of Medicine, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-9392-6771
Ralph AudehmDepartment of General Practice and Primary care, University of Melbourne, Melbourne, Australia.ORCID 0000-0001-9136-8772
Alexandra GorelikDepartment of Medicine, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia.ORCID 0000-0003-1032-0457
Shanton ChangSchool of Computing and Information Systems, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-2163-3910
Christopher J YatesDepartment of Medicine, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia.ORCID 0000-0003-4559-4482
Steve SnowPraxhub, Melbourne, Australia.ORCID 0009-0004-2451-8282
Rahul BarmanrayDepartment of Diabetes and Endocrinology, The Royal Melbourne Hospital, Melbourne Health, Melbourne, Australia.ORCID 0000-0002-1433-2239
Sarah PriceDepartment of Medicine, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia.ORCID 0000-0001-7722-3171
Lucy CollinsDepartment of Endocrinology, Royal Children's Hospital, Melbourne, Australia.ORCID 0000-0002-4957-1483
John D WarkDepartment of Medicine, The Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia.ORCID 0000-0003-2431-7902

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe lack of osteoporosis treatment initiation after fragility fractures is a significant gap, especially in primary care. It is unclear whether barriers for primary care physicians (PCPs) arise from uncertainty about investigations, treatment initiation, or medication side effects. Key questions remain about whether active learning platforms improve treatment initiation rates better than passive methods and how PCP demographics affect learning outcomes. With PCPs increasingly using web-based platforms for continuing professional development due to time constraints and heavy workloads, an interactive community fracture capture (CFC) tool may serve as an effective alternative to in-person learning. Our CFC pilot study tested this new program's design and content, showing promising potential.

objectiveWe aim to evaluate the interactive, case-based, web-based CFC Learning Hub, examining user acceptance and engagement with the platform, focusing on participants' interactions, satisfaction levels, and overall experience.

methodsParticipating PCPs are recruited through Praxhub, a web-based medical education platform, and provide electronic consent for data use after deidentification. They have been allocated into small groups (12-20 members) and join the CFC Learning Hub, a secure web-based community. This hub includes a web-based discussion forum with participant-contributed case studies and a knowledge repository. Over the 6-week program, participants will receive weekly modules with instructions, resources, discussion threads, and quizzes, along with interactive discussions moderated by experienced PCPs and physicians. The platform also hosts web-based surveys that, in combination with platform analytics, allow assessment of baseline knowledge gaps, level of activity or engagement, and improvements following the course completion. This study protocol demonstrates the creation and proposed evaluation of the CFC Learning Hub, featuring an interactive, case-based, small-group web-based learning platform equipped with flexibly scheduled, tailored modules to address the fracture treatment gap within the community. Both qualitative (via thematic analysis) and quantitative (by using 2-tailed paired t tests, Wilcoxon signed rank tests, and multivariable regression analysis) analyses will be used to assess levels of engagement and acceptance and changes in PCPs' knowledge and confidence after engagement with the CFC Learning Hub.

resultsRecruitment of participants started in May 2022. Data collection, analysis, and reporting will be completed following the completion of four 6-week cycles of the program.

conclusionsThe study described in this protocol will provide important insights into the function and effectiveness of the CFC Learning Hub. This information will guide the expansion of the program. This initiative offers a simple digital solution for promoting current bone health practices tailored to PCPs' needs and thereafter to expand the rollout of the e-learning hub and implementation of fracture liaison models at a primary care level in Australia and elsewhere. Future applications may extend to other clinical areas and professions. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/57511.

Indexed as

Education, Medical, ContinuingPhysicians, Primary CareProblem-Based LearningHumansInternetOsteoporosisPilot Projectscase-based educationcommunity-based fracture capture bone hubcontinuing professional developmentosteoporosisprimary care physiciansvirtual communities of practiceweb-based learning platform

Identifiers

PMID39999431
PMCPMC11897679

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.