Communicating with Older Drivers: A Web-based Course

描述（由申请人提供）：本SBIR建议开发和评估一个基于网络的、cme批准的关于戒烟的医患沟通项目。该项目将提供有关提供者与老年患者沟通的信息，驾驶事故的流行病学和风险因素，并将教授从业人员在与老年患者讨论驾驶安全和戒烟时使用的有效沟通策略。第一阶段的具体目标是：1)为整个项目制定一个内容大纲；2)开发网络程序的设计和格式；3)为原型章节编写脚本和故事板；4)网络原型章节的制作；5)对样机进行可行性评估；6)为第二阶段的完整课程和CME认证制定计划和时间表。这些第一阶段的目标已经实现。重要的是，第一阶段的评估确定了项目的可行性和测试方法。医生参与者对老年司机问题的认识平均提高了25% （ES=1.6）。第二阶段的具体目标包括：1)开发完整课程的内容（10章）；2)在此基础上，撰写每章内容的剧本和分镜；3)网络节目制作；4)持续CME项目有效性评估；5)在NERI的电子商务网站上发布CME计划。完成CME项目的目标是增加医生对老年人驾驶安全问题的知识，并提高与患者和家属就这些问题的沟通技巧。CME项目在实现这些目标方面的有效性将通过前/后测试设计进行测试，包括知识问题和对标准化患者的录音访谈。样本将包括初级保健医生，最终产品的目标用户样本，通过AMA医师主文件确定。该项目涉及NERI、波士顿大学医学院以及老年驾驶员和汽车碰撞风险因素领域的专家顾问的密切合作。这个基于网络的项目将通过NERI的电子商务网站和波士顿大学医学院继续医学教育办公室作为医师继续医学教育产品进行营销。

DESCRIPTION (provided by applicant): This SBIR proposes to develop and evaluate a Web-based, CME-approved program in doctor-patient communication about driving cessation. The program will provide information about provider-older patient communication, the epidemiology of and risk factors for driving mishaps, and will teach practitioners effective communication strategies to use with their older patients when discussing driving safety and cessation. The Specific Aims of Phase I were to: 1) develop a content outline for the full program; 2) develop the design and format of the Web-based program; 3) Develop a script and storyboard for a prototype chapter; 4) production of this prototype chapter on the Web; 5) conduct a feasibility evaluation of the prototype; and 6) develop a plan and schedule for production of the full- length program and CME accreditation in Phase II. These Phase I Aims were achieved. Importantly, the Phase I evaluation established the feasibility of the program and the testing methodology. Knowledge about older driver issues improved on average 25% (ES=1.6) for the physician participants. The Specific Aims of Phase II include: 1) development of content for the full program (10 chapters); 2) based on this material, writing the script and storyboard for the content for each chapter; 3) production of the Web-based program; 4) evaluation of the CME program's effectiveness; and 5) dissemination of the CME program on NERI's E-commerce Website. The objectives of the completed CME program are to increase physician knowledge about issues of driving safety for older adults and to improve communication skills with patients and family about these issues. The effectiveness of the CME program in achieving these objectives will be tested with a pre/posttest design including knowledge questions and audiotaped interviews with a standardized patient. The sample will consist of primary care physicians, the target user sample of the final product, identified through the AMA Physician Masterfile. This project involves close collaboration of NERI, the Boston University School of Medicine, and expert consultants in the field of older drivers and risk factors for auto crashes. The Web-based program will be marketed as a CME product for physicians through NERI's E-commerce Website and the Boston University School of Medicine Office of Continuing Medical Education.