Multicomponent Internet continuing medical education to promote chlamydia screening
Department of Quantitative Health Sciences
Medical Subject Headings
Adolescent; Adult; Chlamydia Infections; Chlamydia trachomatis; Education, Medical, Continuing; Female; Health Promotion; Humans; *Internet; Medicine; Physician's Practice Patterns; Specialization; United States
Bioinformatics | Biostatistics | Epidemiology | Health Services Research
BACKGROUND: Low Chlamydia trachomatis screening rates create an opportunity to test innovative continuing medical education (CME) programs. Few studies of Internet-based physician learning have been evaluated with objective data on practice patterns.
DESIGN: This randomized controlled trial tested a multicomponent Internet CME (mCME) intervention for increasing chlamydia screening of at-risk women aged 16 to 26 years.
SETTING: Eligible physician offices had > or =20 patients at risk for chlamydia as defined by the Health Plan Employer Data and Information Set (HEDIS), had at least one primary care physician (internal medicine, family medicine/general practice, pediatrics) with Internet access, and participated in the study managed care organization. The 191 randomized primary care offices represented 20 states.
INTERVENTION: The intervention, available from February to December 2001, consisted of four case-based learning modules, was tailored in real time to each physician based on theory of behavior change, and included office-level feedback of chlamydia screening rates.
MAIN OUTCOME MEASURE: HEDIS chlamydia screening rates for the pre-intervention (2000) and post-intervention (2002) periods. RESULTS: Pre-intervention screening rates for the intervention and comparison offices were 18.9% and 16.2% (p =0.135). Post-intervention screening rates for the intervention and comparison offices were 15.5% and 12.4%, respectively (p =0.044, adjusting for baseline performance).
CONCLUSIONS: The substantial decline in chlamydia screening rates observed in the comparison offices was significantly attenuated for the intervention offices. The mCME favorably influenced chlamydia screening by primary care physicians.
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Citation: Am J Prev Med. 2005 Apr;28(3):285-90. Link to article on publisher's site
Allison, Jeroan J.; Kiefe, Catarina I.; Wall, Terry; Casebeer, Linda; Ray, Midge N.; Spettell, Claire M.; Hook, Edward W.; Oh, M. Kim; Person, Sharina D.; and Weissman, Norman W., "Multicomponent Internet continuing medical education to promote chlamydia screening" (2005). Quantitative Health Sciences Publications and Presentations. 56.