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dc.contributor.authorCrenshaw, Katie
dc.contributor.authorCurry, William
dc.contributor.authorSalanitro, Amanda H.
dc.contributor.authorSafford, Monika M.
dc.contributor.authorHouston, Thomas K.
dc.contributor.authorAllison, Jeroan J.
dc.contributor.authorEstrada, Carlos A.
dc.date2022-08-11T08:10:44.000
dc.date.accessioned2022-08-23T17:18:16Z
dc.date.available2022-08-23T17:18:16Z
dc.date.issued2010-08-26
dc.date.submitted2011-01-27
dc.identifier.citationAcad Med. 2010 Sep;85(9):1511-7. <a href="http://dx.doi.org/10.1097/ACM.0b013e3181eac036">Link to article on publisher's site</a>
dc.identifier.issn1040-2446 (Linking)
dc.identifier.doi10.1097/ACM.0b013e3181eac036
dc.identifier.pmid20736679
dc.identifier.urihttp://hdl.handle.net/20.500.14038/47818
dc.description.abstractPURPOSE: To investigate the association between physician participants' levels of engagement in a Web-based educational intervention and their patients' baseline diabetes measures. METHOD: The authors conducted a randomized trial of online CME activities designed to improve diabetes care provided by family, general, and internal medicine physicians in rural areas of 11 southeastern states between September 2006 and July 2008. Using incidence rate ratios derived from negative binomial models, the relationship between physicians' engagement with the study Web site and baseline proportion of their patients having controlled diabetes (hemoglobin A1c < or = 7%) was explored. RESULTS: One hundred thirty-three participants (intervention = 64; control = 69) provided information for 1,637 patients with diabetes. In the intervention group, physicians in practices in the worst quartiles of A1c control were least engaged with the study Web site in nearly all dimensions. Total number of pages viewed decreased as quartile of A1c control worsened (137, 73, 68, 57; P = .007); similarly, for a given 10% increase in proportion of patients with controlled A1c, participants viewed 1.13 times more pages (95% CI: 1.02-1.26, P = .02). In the control group, engagement was neither correlated with A1c control nor different across quartiles of A1c control. CONCLUSIONS: Engagement in Web-based interventions is measurable and has important implications for research and education. Because physicians of patients with the greatest need for improvement in A1c control may not use online educational resources as intensely as others, other strategies may be necessary to engage these physicians in professional development activities.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=20736679&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1097/ACM.0b013e3181eac036
dc.subjectDiabetes Mellitus
dc.subject*Education, Medical, Continuing
dc.subjectHemoglobin A, Glycosylated
dc.subjectHumans
dc.subject*Internet
dc.subjectPhysician's Practice Patterns
dc.subjectRural Health
dc.subjectSoutheastern United States
dc.subjectStatistics, Nonparametric
dc.subjectBioinformatics
dc.subjectBiostatistics
dc.subjectEpidemiology
dc.subjectHealth Services Research
dc.titleIs physician engagement with Web-based CME associated with patients' baseline hemoglobin A1c levels? The Rural Diabetes Online Care study
dc.typeJournal Article
dc.source.journaltitleAcademic medicine : journal of the Association of American Medical Colleges
dc.source.volume85
dc.source.issue9
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/933
dc.identifier.contextkey1749240
html.description.abstract<p>PURPOSE: To investigate the association between physician participants' levels of engagement in a Web-based educational intervention and their patients' baseline diabetes measures.</p> <p>METHOD: The authors conducted a randomized trial of online CME activities designed to improve diabetes care provided by family, general, and internal medicine physicians in rural areas of 11 southeastern states between September 2006 and July 2008. Using incidence rate ratios derived from negative binomial models, the relationship between physicians' engagement with the study Web site and baseline proportion of their patients having controlled diabetes (hemoglobin A1c < or = 7%) was explored.</p> <p>RESULTS: One hundred thirty-three participants (intervention = 64; control = 69) provided information for 1,637 patients with diabetes. In the intervention group, physicians in practices in the worst quartiles of A1c control were least engaged with the study Web site in nearly all dimensions. Total number of pages viewed decreased as quartile of A1c control worsened (137, 73, 68, 57; P = .007); similarly, for a given 10% increase in proportion of patients with controlled A1c, participants viewed 1.13 times more pages (95% CI: 1.02-1.26, P = .02). In the control group, engagement was neither correlated with A1c control nor different across quartiles of A1c control.</p> <p>CONCLUSIONS: Engagement in Web-based interventions is measurable and has important implications for research and education. Because physicians of patients with the greatest need for improvement in A1c control may not use online educational resources as intensely as others, other strategies may be necessary to engage these physicians in professional development activities.</p>
dc.identifier.submissionpathqhs_pp/933
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pages1511-7


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