Educating generalist physicians about chronic pain: Live experts and online education can provide durable benefits
Educating generalist physicians about chronic pain: Live experts and online education can provide durable benefits
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DOI：
10.1111/j.1526-4637.2007.00399.x
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发表时间：
2008-07-01
期刊：
影响因子：
3.1
通讯作者：
Fine, Perry G.
中科院分区：
文献类型：
--
作者：
Harris, John M., Jr.;Elliott, Thomas E.;Fine, Perry G.
Objective.确定国家专家的讲座和具有类似教育目标的公开在线课程是否可以改善对慢性疼痛管理重要的知识，态度和信念（KAB）。一个前测-后测随机设计，在两个不同的医生组和第三个医生组中进行两种积极的教育干预，第三个医生组接受不同主题的现场教育，以控制外部影响，包括重新测试的影响，对我们的评估。共有136名社区初级保健医生符合资格标准。所有医生都参加了他们被分配的教育计划。95名医生（70%）提供了完整的评价数据。在干预前、干预后即刻和干预后3个月，医生对标准化的50项疼痛管理KAB调查的反应。研究组和41名未提供结果信息的医生在年龄、性别、种族、参与初级保健的百分比和每周就诊的患者数量方面相似。两种疼痛教育计划后，医生调查评分立即改善（现场：138.0 -> 150.6，P < 0.001;在线：143.6 -> 150.4，P = 0.007），但对照组无明显变化（139.2 -> 142.5，P > 0.05）。3个月时发现持续存在。满意度测量值较高（1-5量表为4.00-4.72），组间无显著差异（P = 0.072-0.893）。当在类似条件下使用时，国家发言人和公开的在线CME计划与改善医生的疼痛管理KAB相关。福利期为3个月。这些发现支持继续使用这些疼痛教育策略。
Objective. Determine whether lectures by national experts and a publicly available online program with similar educational objectives can improve knowledge, attitudes, and beliefs (KAB) important to chronic pain management.Design. A pretest-posttest randomized design with two active educational interventions in two different physician groups and a third physician group that received live education on a different topic to control for outside influences, including retesting effects, on our evaluation.Participants. A total of 136 community-based primary care physicians met eligibility criteria. All physicians attended the educational program to which they were assigned. Ninety-five physicians (70%) provided complete data for evaluation.Measurements. Physician responses to a standardized 50-item pain management KAB survey before, immediately after, and 3 months following the interventions.Results. The study groups and the 41 physicians not providing outcomes information were similar with respect to age, sex, race, percent engaged in primary care, and number of patients seen per week. Physician survey scores improved immediately following both pain education programs (live: 138.0 -> 150.6, P < 0.001; online: 143.6 -> 150.4, P = 0.007), but did not change appreciably in the control group (139.2 -> 142.5, P > 0.05). Findings persisted at 3 months. Satisfaction measures were high (4.00-4.72 on 1-5 scale) and not significantly different (P = 0.072-0.893) between groups.Conclusions. When used under similar conditions, national speakers and a publicly available online CME program were associated with improved pain management KAB in physicians. The benefits lasted for 3 months. These findings support the continued use of these pain education strategies.