Using email reminders to engage physicians in an Internet-based CME intervention

被引:23
作者
Abdolrasulnia M. [1 ,2 ]
Collins B.C. [1 ]
Casebeer L. [1 ,2 ]
Wall T. [2 ,3 ]
Spettell C. [4 ]
Ray M.N. [2 ,5 ]
Weissman N.W. [2 ,5 ]
Allison J.J. [2 ,6 ]
机构
[1] Div. of Continuing Medical Education, University of Alabama at Birmingham, JNWB 406, Birmingham, AL 35294-0500
[2] Ctr. Outcomes Effectiveness Res. E., University of Alabama at Birmingham, MT 401, Birmingham, AL 35294-1170
[3] Department of Pediatrics, University of Alabama at Birmingham, MTC 201, Birmingham, AL 35294-0011
[4] Aetna Integrated Informatics, Inc., Hartford, CT 06156
[5] School of Health Related Professions, University of Alabama at Birmingham, Webb Building 564, Birmingham, AL 35294-3361
[6] Division of General Medicine, University of Alabama at Birmingham, FOT 720D, Birmingham, AL 35294-3407
关键词
Continue Medical Education; Female Physician; Email Reminder; Male Physician; Educational Module;
D O I
10.1186/1472-6920-4-17
中图分类号
学科分类号
摘要
Background: Engaging practicing physicians in educational strategies that reinforce guideline adoption and improve the quality of healthcare may be difficult. Push technologies such as email offer new opportunities to engage physicians in online educational reinforcing strategies. The objectives are to investigate 1) the effectiveness of email announcements in engaging recruited community-based primary care physicians in an online guideline reinforcement strategy designed to promote Chlamydia screening, 2) the characteristics of physicians who respond to email announcements, as well as 3) how quickly and when they respond to email announcements. Methods: Over a 45-week period, 445 recruited physicians received up to 33 email contacts announcing and reminding them of an online women's health guideline reinforcing CME activity. Participation was defined as physician log-on at least once to the website. Data were analyzed to determine participation, to compare characteristics of participants with recruited physicians who did not participate, and to determine at what point and when participants logged on. Results: Of 445 recruited physicians with accurate email addresses, 47.2% logged on and completed at least one module. There were no significant differences by age, race, or specialty between participants and non-participants. Female physicians, US medical graduates and MDs had higher participation rates than male physicians, international medical graduates and DOs. Physicians with higher baseline screening rates were significantly more likely to log on to the course. The first 10 emails were the most effective in engaging community-based physicians to complete the intervention. Physicians were more likely to log on in the afternoon and evening and on Monday or Thursday. Conclusions: Email course reminders may enhance recruitment of physicians to interventions designed to reinforce guideline adoption; physicians' response to email reminders may vary by gender, degree, and country of medical training. Repetition of email communications contributes to physician online participation. © 2004 Abdolrasulnia et al; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 16 条
[1]  
Davis D.A., Taylor-Vaisey A., Translating guidelines into practice. A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines, CMAJ, 157, 4, pp. 408-416, (1997)
[2]  
Davis D., Fox R., Barnes B.E., The horizon of continuing professional development: Five questions in knowledge translation, The Professional Development of Physicians: From Research to Practice, pp. 9-24, (2003)
[3]  
Bennett N.L., Casebeer L.L., Kristofco R.E., Strasser S.M., Physicians' information seeking behavior in Internet use, J Contin Educ Health Prof
[4]  
Casebeer L.L., Anderson J.G., Kristofco R.E., Carillo A., Facilitating adoption of clinical practice guidelines at the point of use: Bridging knowledge to the point of use, Proceedings of the American Medical Informatics Association's 1998 Spring Congress: 27-30 May 1998, (1998)
[5]  
Key Email Features - Email Is a Push Technology
[6]  
Flanagan J.R., Peterson M., Dayton C., Strommer Pace L., Plank A., Walker K., Carlson W., Email recruitment to use web decision support tools for pneumonia, Proceedings of the American Medical Informatics Association's 2002 Annual Symposium: 9-13 November
[7]  
San Antonio, pp. 255-259, (2002)
[8]  
Casebeer L.L., Spettell C., Allison J., Designing tailored web-based instruction to improve practicing physicians' chlamydial screening rates, Acad Med, 77, 9, (2002)
[9]  
Casebeer L.L., Bennett N., Kristofco R., Carillo A., Centor R., Physician Internet medical information seeking and on-line continuing education use patterns, J Contin Educ Health Prof, 22, 1, pp. 33-42, (2002)
[10]  
Norman G.R., Schmidt H.G., Effectiveness of problem-based learning curricula: Theory, practice and paper darts, Medical Education, 34, pp. 721-728, (2000)