Education, Research, and Quality Improvement: Education and Quality Improvement |

Tailored, Online Education in Pulmonary Arterial Hypertension: Success in Improving Knowledge and Clinical Decisions FREE TO VIEW

Nimish Mehta, PhD; Catherine Capparelli
Author and Funding Information

Medscape, LLC, Three Bridges, NJ

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;149(4_S):A240. doi:10.1016/j.chest.2016.02.249
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SESSION TITLE: Education and Quality Improvement

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: A study was conducted to measure the effectiveness of using responses to a single-question as a method to segment pulmonologist and cardiologist audiences and provide a tailored learning approach with respect to the management of pulmonary arterial hypertension (PAH).

METHODS: We utilized a unique online, single-question segmentation using branching logic to tailor education to the individual needs of the specialists. Participants were presented with 3 different single question branching points that tested their knowledge and competence related to management of PAH. Those who answered correctly were directed to an educational activity on differential diagnosis, treating complicated cases, or augmentation therapy. Those who answered incorrectly were directed to an activity on suspecting PAH and referral, early treatment, or monitoring. Online survey instruments using knowledge- and case-based, multiple-choice questions were administered to compare the same participants’ responses to identical questions before and after each activity. McNemar’s chi-squared test was used to determine statistical significance between responses. Cohen’s d was used to calculate the effect sizes of education. The activities launched between May 2014 and August 2014, and data were collected through October, 2014.

RESULTS: In total, more than 300 pulmonologist and cardiologist responses were analyzed in this study. Tailoring education designed to match individual deficiencies in knowledge and skills to specific educational activities on PAH resulted in large educational effect (effect sizes ranging from d = 1.18 to 1.82 across 6 activities, P < .001). Significant improvements were observed in several specific areas as a result of participation in these activities, including diagnostic tests for PAH (P < 0.001), differentiating PAH from other forms of pulmonary hypertension (P = 0.008), hemodynamic parameters (P = 0.008), determination of mortality risk (P < .05), selection of oral therapy (P < .001), and therapy augmentation (P < .0001).

CONCLUSIONS: This study demonstrated the success of using online branching logic to segment the participants based on specialists’ competency on PAH and providing education to meet their individual needs.

CLINICAL IMPLICATIONS: Recognizing that individual pulmonologists and cardiologists are at various stages of understanding and skills in application of best practices in managing PAH, this approach may be used to maximize translation of evidence-based recommendations into clinical decisions.

DISCLOSURE: The following authors have nothing to disclose: Nimish Mehta, Catherine Capparelli

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