Communicating with Older Drivers: A Web-based Course

描述（由申请人提供）：此SBIR建议开发和评估一个基于Web的，CME批准的程序，在医患沟通有关驾驶停止。该计划将提供有关提供者-老年患者沟通，驾驶事故的流行病学和风险因素的信息，并将教授从业者在讨论驾驶安全和停止时与老年患者使用有效的沟通策略。第一阶段的具体目标是：1）为整个方案制定一个内容大纲; 2）制定基于网络的方案的设计和格式; 3）为原型章节制定一个脚本和故事板; 4）在网络上制作这个原型章节; 5）对原型进行可行性评估; 6）制定第二阶段课程制作和继续医学教育认证的计划和时间表。第一阶段的目标已经实现。重要的是，第一阶段评估确定了该计划和测试方法的可行性。医生参与者对老年驾驶员问题的了解平均提高了25%（ES=1.6）。第二阶段的具体目标包括：1）开发完整计划（10章）的内容; 2）根据这些材料，编写每章内容的脚本和故事板; 3）制作基于Web的计划; 4）评估CME计划的有效性; 5）在NERI的电子商务网站上传播CME计划。完成CME计划的目标是增加医生对老年人驾驶安全问题的了解，并提高与患者和家人就这些问题的沟通技巧。CME计划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，包括知识问题和与标准化患者的录音访谈。样本将由初级保健医生组成，最终产品的目标用户样本，通过AMA医生主文件确定。该项目涉及NERI，波士顿大学医学院和老年驾驶员和车祸风险因素领域的专家顾问的密切合作。基于网络的计划将作为一个CME产品，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的医生销售。

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.