Development, implementation and evaluation of an online course on evidence-based healthcare for consumers.
Development, implementation and evaluation of an online course on evidence-based healthcare for consumers.
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DOI：
10.1186/s12913-020-05759-5
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发表时间：
2020-10-08
影响因子：
2.8
通讯作者：
Dickersin K
中科院分区：
文献类型：
--
作者：
Han G;Mayer M;Canner J;Lindsley K;Datar R;Le J;Bar-Cohen A;Bowie J;Dickersin K
循证医疗保健 (EBHC) 原则是患者和消费者（“消费者”）作为研究和研究实施利益相关者参与的基本知识。本研究的目的是评估参与免费、自定进度的在线课程是否会影响解释 EBHC 主题的信心。该课程包括六个模块和评估，总共需要大约 6 个小时才能完成。循证医疗保健消费者联合会 (CUE) 为消费者设计、测试并实施了免费在线课程“了解循证医疗保健：行动基础”（“了解 EBHC”）。该课程由约翰霍普金斯大学彭博公共卫生学院提供。参与者使用访问课程之前（“之前”）和完成所有六个课程模块之后（“之后”）提供的在线评估，按照 1（最低）到 5（最高）的等级对他们解释 EBHC 主题的信心进行评分。我们分析了2007年5月31日至2018年12月31日期间注册课程的人（n = 15,606）的数据，其中完成“之前”评估的11,522人和完成“之后”评估的4899人。我们的主要结果是课程完成者在“之前”和“之后”评估之间自我报告的 EBHC 相关主题置信水平的总体平均值变化（“总体平均值变化”）。我们的次要结果是 11 个主题中每个主题的平均人内变化（按主题的平均变化）。从2007年5月31日到2018年12月31日，共有15,606人注册了该课程：11,522人完成了“之前”评估，其中4899人完成了“之后”评估（即完成了课程）。从“之前”到“之后”评估，自我报告的置信水平（范围从 1 到 5）的总体平均变化为 1.27（95% CI，1.24-1.30）。按主题的平均变化范围为 1.00 (95% CI, 0.96–1.03) 到 1.90 (95% CI, 1.87–1.94)。那些寻求让消费者利益相关者参与的人可以提供“了解 EBHC”，作为实现有意义的消费者参与的一步。未来的研究应侧重于对像我们这样的在线课程的长期影响评估，以了解课程结束后是否保留信心并适当应用。
Evidence-based healthcare (EBHC) principles are essential knowledge for patient and consumer (“consumer”) engagement as research and research implementation stakeholders. The aim of this study was to assess whether participation in a free, self-paced online course affects confidence in explaining EBHC topics. The course comprises six modules and evaluations which together take about 6 h to complete. Consumers United for Evidence-based Healthcare (CUE) designed, tested and implemented a free, online course for consumers, Understanding Evidence-based Healthcare: A Foundation for Action (“Understanding EBHC”). The course is offered through the Johns Hopkins Bloomberg School of Public Health. Participants rated their confidence in explaining EBHC topics on a scale of 1 (lowest) to 5 (highest), using an online evaluation provided before accessing the course (“Before”) and after (“After”) completing all six course modules. We analyzed data from those who registered for the course from May 31, 2007 to December 31, 2018 (n = 15,606), and among those persons, the 11,522 who completed the “Before” evaluation and 4899 who completed the “After” evaluation. Our primary outcome was the overall mean of within-person change (“overall mean change”) in self-reported confidence levels on EBHC-related topics between “Before” and “After” evaluations among course completers. Our secondary outcomes were the mean within-person change for each of the 11 topics (mean change by topic). From May 31, 2007 to December 31, 2018, 15,606 individuals registered for the course: 11,522 completed the “Before” evaluation, and 4899 of these completed the “After” evaluation (i.e., completed the course). The overall mean change in self-reported confidence levels (ranging from 1 to 5) from the “Before” to “After” evaluation was 1.27 (95% CI, 1.24–1.30). The mean change by topic ranged from 1.00 (95% CI, 0.96–1.03) to 1.90 (95% CI, 1.87–1.94). Those who seek to involve consumer stakeholders can offer Understanding EBHC as a step toward meaningful consumer engagement. Future research should focus on long-term impact assessment of online course such as ours to understand whether confidence is retained post-course and applied appropriately.
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影响因子：
39.2
作者：
Chang, Stephanie M.;Carey, Timothy S.;Sanders, Gillian D.
通讯作者：
Sanders, Gillian D.
影响因子：
120.7
作者：
Basch, Ethan;Aronson, Naomi;Yancy, Clyde
通讯作者：
Yancy, Clyde
患者和公众对临床实践指南有何了解？他们想要什么？定性研究。
影响因子：
2.8
作者：
Fearns N;Kelly J;Callaghan M;Graham K;Loudon K;Harbour R;Santesso N;McFarlane E;Thornton J;Treweek S
通讯作者：
Treweek S
影响因子：
2.8
作者：
Loudon K;Santesso N;Callaghan M;Thornton J;Harbour J;Graham K;Harbour R;Kunnamo I;Liira H;McFarlane E;Ritchie K;Treweek S
通讯作者：
Treweek S
影响因子：
3.7
作者：
Austvoll-Dahlgren A;Bjørndal A;Odgaard-Jensen J;Helseth S
通讯作者：
Helseth S