E-mail and Web-Based Physician Education Program on the Dissemination of Off-Labe

描述（由申请方提供）：本项目的目的是提高非典型抗精神病药标签外用药患者护理的质量、安全性和有效性。该提案描述了通过电子邮件提供的交互式学习模块的新应用程序的开发，以帮助医生了解标签外药物使用的风险，益处和成本，从而提供最安全，最有效的患者护理。美国精神病学协会教育部建议传播关于在特定DSM IV TR诊断患者治疗中超说明书使用抗精神病药物的关键信息，以促进医生对这些药物有效使用的知识和临床意识，并告知临床实践。2011年AHRQ审查，非典型抗精神病药的标签外使用：更新将被用作提供标签外使用证据的最新信息以及实践指南和已发表研究的关键参考。多种学习策略的创新组合将用于教育执业精神科医生在FDA标签外临床情况下使用非典型抗精神病药物的证据，包括电子邮件和基于网络的视频和图形，在线CME课程，核心的创新教育活动将是通过电子邮件分发临床小插曲（使用文本和视频），这将提供医生学习者临床决策的选择，并立即同行比较所有医生的反应。它将为精神科医生提供一个获得CME学分以及美国精神病学和神经病学委员会自我评估学分的机会，第二部分是认证的维持。为本次电子邮件活动创建的课程将成为在线CME课程和互动会议的基础。我们将使用多种策略来评估这个教育计划。鉴于强效药物标签外使用的益处和危害，医生必须了解其使用的临床证据。拟议研究的具体目的是：1）教育精神科医生关于非典型抗精神病药物超说明书使用的现有证据; 2）使用技术和教育方法的创新组合来增强知识的学习和保留; 3）评估该教育计划。

DESCRIPTION (provided by applicant): The purpose of this project is to improve the quality, safety, and effectiveness of patient care with regard to the off-label use of atypical antipsychotics. This proposal describes the development of a novel application of interactive learning modules delivered via e-mail to help educate physicians on the risks, benefits, and costs of off-label medication use, in order to provide the safest and most effective patient care. The American Psychiatric Association Division of Education proposes to disseminate critical information about the off label use of antipsychotics in the treatment of patients with specific DSM IV TR diagnoses in order to promote physician knowledge and clinical awareness about the effective uses of these medications and inform clinical practice. The 2011 AHRQ Review, Off-Label Use of Atypical Antipsychotics: An Update will be used as a key reference in providing up-to-date information about the evidence for off-label use, in addition to Practice Guidelines and published studies. An innovative combination of multiple learning strategies will be used to educate practicing psychiatrists about evidence for use of atypical antipsychotic medications in FDA off- label clinical situations, including email and web-based video and graphics, an online CME course, and in-person interactive training The core innovative education activity will be email distribution of clinical vignettes (using text and video) that will offer physician learners clinical decision making choices, and immediate peer comparisons of all physician responses. It will offer psychiatrists an opportunity to earn CME credits as well as American Board of Psychiatry and Neurology credit for Self-Assessment, Part 2 of Maintenance of Certification. The curriculum created for this email activity will be the basis of an online CME course and interactive meeting sessions. We will use multiple strategies to evaluate this educational program. Given the benefits and harms of off-label use of powerful medications, physicians must be made aware of the available clinical evidence for their use. The specific aims of the proposed study are 1) To educate psychiatrists about existing evidence for off label use of atypical antipsychotics; 2) To use technology and innovative combinations of educational methods to enhance learning and retention of knowledge; 3) To evaluate this educational program.