Improving compliance with colorectal cancer screening in family medicine residenc

描述(由申请人提供)：该教育传播项目包括以下目标：1)开发多管齐下的实践浸入式教育模式，以提高结直肠癌筛查率，并为实施活动准备场地；2)在四个地点实施教育模式；3)评估教育模式对结直肠癌筛查率的影响；以及4)向其他初级保健常驻教育工作者和感兴趣的团体传播教育模式。这种干预的基础是创新理论的传播。来自阿肯色州四个农村家庭医学住院医师项目的家庭医学住院医师(n=96)将接受关于如何优化他们患者的结直肠癌筛查率的培训。教育方法包括重新设计常驻诊所、关于有效沟通的研讨会、加强患者教育和导航，以及采用先进的电子病历(EMR)软件，包括提示和提醒以及质量改进报告。每个住院医师的诊所管理团队将接受GRANT教育支持团队的指导，指导他们如何更好地遵守美国癌症协会CRC筛查指南，并将参加在小石城举行的培训研讨会，以协助他们实施干预措施。干预后的传播工作将主要针对初级保健住院医师计划教职员工使用社会营销方法，并将通过年度研讨会、基于电子的交流(知识库和Web-CT会议)、出版物、初级保健教育会议的研讨会以及通过互联网和电话与教育团队进行咨询来进行。将使用层次分析来阐明可能影响居民学习和表现的不同因素的影响。这些因素将包括组织参数，如组织能力和管理层接受教育干预的准备情况；常驻因素，如多年的常驻培训和采用创新的准备情况，以及患者因素(人口统计数据、保险状况和变革准备情况)。我们将通过对受训者和工作人员进行多项计划评估来评估教育战略的价值，调查重点是教育计划的每个要素，以及与改善结直肠癌筛查相关的住院医生态度、知识和技能的变化(干预前/干预后)。将使用RE-AIM战略对传播进行评估，该战略通过演示和出版物评估该计划的影响范围，并评估其长期采用情况。

DESCRIPTION (provided by applicant): This educational dissemination project includes the following aims: 1) develop the multi-pronged practice immersion educational model to improve colorectal cancer (CRC) screening rates and prepare sites for implementation activities; 2) implement the educational model at four sites; 3) evaluate the educational model's impact on CRC screening rates; and 4) disseminate the educational model to other primary care residency educators and interested groups. The intervention is based on the Dissemination of Innovation theory. Family medicine residents (n = 96) from four rural Arkansas family medicine residency programs will receive training on how to optimize their patients' CRC screening rates. The educational approach involves residency clinic redesign, seminars on effective communications, augmentation of patient education and navigation, and adoption of advanced electronic medical record (EMR) software that includes prompts and reminders and quality improvement reports. Each residency's clinic management team will receive guidance from the grant educational support team on how to improve adherence with the American Cancer Society CRC screening guidelines, and will attend a training workshop in Little Rock to assist them in implementing the intervention. There will be a post-intervention dissemination effort that will use a social marketing approach aimed primarily at primary care residency program faculty, and will be delivered via an annual workshop, electronic-based communications (knowledge repositories and Web-CT conferences), publications, seminars at primary care education meetings, and consultation with the educational team via Internet and phone. Hierarchical analysis will be used to shed light on the influence of different factors that may impact on resident learning and performance. These factors will include organizational parameters such as organizational capacity and management's readiness to adopt the educational intervention; resident factors such as years of residency training and readiness to adopt innovations, and patient factors (demographics, insurance status, and readiness to change). We will evaluate the value of the educational strategy through multiple program evaluations using surveys of trainees and staff focusing on each element of the educational program, and changes in residents' attitudes, knowledge, and skills related to improving CRC screening (pre/post intervention). The dissemination will be evaluated using the RE-AIM strategy, which assesses the reach of the program through presentations and publications, as well as its long-term adoption.