Effect of a primary care continuing education program on clinical practice of chronic obstructive pulmonary disease: Translating theory into practice

Sandra G Adams, Jennifer Pitts, JoEllen Wynne, Barbara P. Yawn, Edward J. Diamond, Shuko Lee, Ed Dellert, Nicola A. Hanania

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objectives: To describe the development and implementation process and assess the effect on self-reported clinical practice changes of a multidisciplinary, collaborative, interactive continuing medical education (CME)/continuing education (CE) program on chronic obstructive pulmonary disease (COPD). Methods: Multidisciplinary subject matter experts and education specialists used a systematic instructional design approach and collaborated with the American College of Chest Physicians and American Academy of Nurse Practitioners to develop, deliver, and reproduce a 1-day interactive COPD CME/CE program for 351 primary care clinicians in 20 US cities from September 23, 2009, through November 13, 2010. Results: We recorded responses to demographic, self-confidence, and knowledge/comprehension questions by using an audience response system. Before the program, 173 of 320 participants (54.1%) had never used the Global Initiative for Chronic Obstructive Lung Disease recommendations for COPD. After the program, clinician self-confidence improved in all areas measured. In addition, participant knowledge and comprehension significantly improved (mean score, 77.1%-94.7%; P<.001). We implemented the commitment-to-change strategy in courses 6 through 20. A total of 271 of 313 participants (86.6%) completed 971 commitment-to-change statements, and 132 of 271 (48.7%) completed the follow-up survey. Of the follow-up survey respondents, 92 of 132 (69.7%) reported completely implementing at least one clinical practice change, and only 8 of 132 (6.1%) reported inability to make any clinical practice change after the program. Conclusion: A carefully designed, interactive, flexible, dynamic, and reproducible COPD CME/CE program tailored to clinicians' needs that involves diverse instructional strategies and media can have short-term and long-term improvements in clinician self-confidence, knowledge/comprehension, and clinical practice.

Original languageEnglish (US)
Pages (from-to)862-870
Number of pages9
JournalMayo Clinic Proceedings
Volume87
Issue number9
DOIs
StatePublished - 2012

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Continuing Education
Chronic Obstructive Pulmonary Disease
Primary Health Care
Continuing Medical Education
Nurse Practitioners
Demography
Education
Surveys and Questionnaires

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Effect of a primary care continuing education program on clinical practice of chronic obstructive pulmonary disease : Translating theory into practice. / Adams, Sandra G; Pitts, Jennifer; Wynne, JoEllen; Yawn, Barbara P.; Diamond, Edward J.; Lee, Shuko; Dellert, Ed; Hanania, Nicola A.

In: Mayo Clinic Proceedings, Vol. 87, No. 9, 2012, p. 862-870.

Research output: Contribution to journalArticle

Adams, Sandra G ; Pitts, Jennifer ; Wynne, JoEllen ; Yawn, Barbara P. ; Diamond, Edward J. ; Lee, Shuko ; Dellert, Ed ; Hanania, Nicola A. / Effect of a primary care continuing education program on clinical practice of chronic obstructive pulmonary disease : Translating theory into practice. In: Mayo Clinic Proceedings. 2012 ; Vol. 87, No. 9. pp. 862-870.
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abstract = "Objectives: To describe the development and implementation process and assess the effect on self-reported clinical practice changes of a multidisciplinary, collaborative, interactive continuing medical education (CME)/continuing education (CE) program on chronic obstructive pulmonary disease (COPD). Methods: Multidisciplinary subject matter experts and education specialists used a systematic instructional design approach and collaborated with the American College of Chest Physicians and American Academy of Nurse Practitioners to develop, deliver, and reproduce a 1-day interactive COPD CME/CE program for 351 primary care clinicians in 20 US cities from September 23, 2009, through November 13, 2010. Results: We recorded responses to demographic, self-confidence, and knowledge/comprehension questions by using an audience response system. Before the program, 173 of 320 participants (54.1{\%}) had never used the Global Initiative for Chronic Obstructive Lung Disease recommendations for COPD. After the program, clinician self-confidence improved in all areas measured. In addition, participant knowledge and comprehension significantly improved (mean score, 77.1{\%}-94.7{\%}; P<.001). We implemented the commitment-to-change strategy in courses 6 through 20. A total of 271 of 313 participants (86.6{\%}) completed 971 commitment-to-change statements, and 132 of 271 (48.7{\%}) completed the follow-up survey. Of the follow-up survey respondents, 92 of 132 (69.7{\%}) reported completely implementing at least one clinical practice change, and only 8 of 132 (6.1{\%}) reported inability to make any clinical practice change after the program. Conclusion: A carefully designed, interactive, flexible, dynamic, and reproducible COPD CME/CE program tailored to clinicians' needs that involves diverse instructional strategies and media can have short-term and long-term improvements in clinician self-confidence, knowledge/comprehension, and clinical practice.",
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