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Poor uptake of an online intervention in a cluster randomised controlled trial of online diabetes education for rural general practitioners.

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  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101263253 Publication Model: Electronic Cited Medium: Internet ISSN: 1745-6215 (Electronic) Linking ISSN: 17456215 NLM ISO Abbreviation: Trials Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: [London] : BioMed Central, 2006-
    • الموضوع:
      Attitude of Health Personnel* ; Internet* ; Rural Health Services* ; Sample Size*; Computer-Assisted Instruction/*methods ; Diabetes Mellitus, Type 2/*therapy ; Education, Medical, Continuing/*methods ; General Practitioners/*education ; Physicians, Primary Care/*education ; Research Subjects/*education; Australia ; Diabetes Mellitus, Type 2/diagnosis ; General Practitioners/psychology ; Health Knowledge, Attitudes, Practice ; Humans ; Physicians, Primary Care/psychology ; Research Subjects/psychology
    • نبذة مختصرة :
      Background: In Australia, rural and remote communities have high rates of diabetes-related death and hospitalisation. General practitioners (GPs) play a major role in diabetes detection and management. Education of GPs could optimise diabetes management and improve patient outcomes at a population level. The study aimed to describe the uptake of a continuing medical education intervention for rural GPs and its impact on the viability of a cluster randomised controlled trial of the effects of continuing medical education on whole-town diabetes monitoring and control.
      Method: Trial design: the cluster randomised controlled trial involved towns as the unit of allocation and analysis with outcomes assessed by de-identified pathology data (not reported here). The intervention programme consisted of an online active learning module, direct electronic access to specialist advice and performance feedback. Multiple rounds of invitation were used to engage GPs with the online intervention content. Evidence-based strategies (e.g. pre-notification, rewards, incentives) were incorporated into the invitations to enrol in the programme. Recruitment to the programme was electronically monitored through the hosting software package during the study intervention period.
      Results: Eleven matched pairs of towns were included in the study. There were 146 GPs in the 11 intervention towns, of whom 34 (23.3%) enrolled in the programme, and 8 (5.5%) completed the online learning module. No town had more than 10% of the resident GPs complete the learning module. There were no contacts made by GPs regarding requests for specialist advice. Consequently, the trial was discontinued.
      Conclusion: There is an ongoing need to engage primary care physicians in improving diabetes monitoring and management in rural areas. Online training options, while notionally attractive and accessible, are not likely to have high levels of uptake, even when evidence-based recruitment strategies are implemented.
      Trial Registration: Australian New Zealand Clinical Trials Registry, identifier: ACTRN12611000553976 . Retrospectively registered on 31 May 2011.
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    • Contributed Indexing:
      Keywords: General practice; Medical education; Online education; Rural medicine; Type 2 diabetes
    • Molecular Sequence:
      ANZCTR ACTRN12611000553976
    • الموضوع:
      Date Created: 20170325 Date Completed: 20180226 Latest Revision: 20181113
    • الموضوع:
      20240628
    • الرقم المعرف:
      PMC5364574
    • الرقم المعرف:
      10.1186/s13063-017-1869-8
    • الرقم المعرف:
      28335809