Increasing confidence and changing behaviors in primary care providers engaged in

增强初级保健提供者的信心并改变其行为

基本信息

批准号：
7945272
负责人：
MICHAEL S WILKES
金额：
$ 57.94万
依托单位：
UNIVERSITY OF CALIFORNIA AT DAVIS
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7945272
关键词：
Address Adolescent Adult Advertisements Affect Attitude Behavior Behavioral Breast California Camping Childhood Clinical Clip Colon Carcinoma Communities Control Groups Counseling Country Cystic Fibrosis Decision Making Development Diagnosis Disease Down Syndrome Educational Curriculum Effectiveness Electronics Elements Ethics Evaluation Exercise FAP gene Faculty Family Practice Funding Genetic Genetic Screening Genetic screening method Grant Health Knowledge, Attitudes, Practice Health system Healthcare Systems Hereditary Disease Hour Individual Internal Medicine Internet Intervention Knowledge Learning Life Los Angeles Measures Medical Modality National Human Genome Research Institute Online Systems Paper Participant Patient Self-Report Patients Pediatrics Pennsylvania Physicians Predisposition Primary Care Physician Primary Health Care Provider Randomized Recruitment Activity Reporting Research Design Risk Risk Assessment Rural Self Efficacy Site Social Environment Stress Surveys Testing Training Universities Visual Washington Writing arm base behavior change community setting ethical legal social implication follow-up group intervention improved meetings novel preference programs reproductive response rural health network satisfaction shared decision making skills social communication suburb tool

项目摘要

DESCRIPTION (provided by applicant): Primary care physicians have almost no training in genetics, nor in the ethical, legal and social implications (ELSI) of genetic testing, diagnosis and therapy. Further, mere provision of curricular content fails to impact physician behavior. However, programs with elements that are based on established educational and adult learning principles have been shown to effective in affecting behavioral change. We propose to evaluate whether participation in a web-based curriculum focusing on the ethical legal and social issues in primary care genetics will improve primary care physicians' approach to genetic issues. Specifically, we will assess whether participation will improve physician knowledge, attitudes, and practice-behaviors. We will recruit 120 PCPs across five health systems in California (UC Davis, Rural Health Network, UC Los Angeles, Kaiser Permanente, Sutter Medical Group Sacramento). PCPs will be randomized by practice site to control (paper curriculum) or active intervention with an interactive web-based curriculum previously developed with funding from the NHRGI. This curriculum utilizes visual tools, video clip vignettes, and other interactive content to illustrate key points about risk assessment, genetic screening, and SDM. PCPs encounters with Announced Standardized Patients Learning objectives will be used to assess PCP's ELSI related behavioral change. Evaluation will also include the effectiveness of the curriculum for genetic knowledge (testing of knowledge), skills (self-report, follow-through with learning plan), and attitudes (survey and self-efficacy assessments). If proven effective, these web-based tools can be easily disseminated around the country, and internationally, to improve knowledge and attitudes about genetic screening among physicians and patients. PUBLIC HEALTH RELEVANCE: Most primary care physicians have almost no training in genetics, nor in the ethical, legal and social implications (ELSI) of genetic testing, diagnosis and therapy. This project evaluates a novel web-based curriculum focusing on the ethical legal and social issues in primary care genetics in order to improve primary care physicians' understanding of the implications of genetic disorders in patients' lives. If proven effective, these web-based tools can be easily disseminated to improve physician's knowledge of the social context of genetics and improve their ability to engage in shared decision-making with patients about genetic screening.

描述（由申请人提供）：初级保健医师几乎没有遗传学培训，也没有基因检测，诊断和治疗的伦理，法律和社会影响（ELSI）。此外，仅提供课程内容不会影响医师行为。但是，具有基于既定的教育和成人学习原则的要素的计划已被证明有效地影响了行为改变。我们建议评估参与基于网络的课程，重点是基于基础医疗遗传学中的道德法律和社会问题，这将改善初级保健医生对遗传问题的方法。具体来说，我们将评估参与是否会改善医师知识，态度和实践行为。我们将在加利福尼亚州的五个卫生系统中招募120个PCP（UC Davis，农村卫生网络，加州大学洛杉矶分校，Kaiser Permanente，Sutter Medical Group Sacramento）。 PCP将通过练习站点随机分配以控制（纸课程）或通过NHRGI资助开发的基于Web的交互式课程的主动干预。该课程利用视觉工具，视频剪辑小插图和其他交互式内容来说明有关风险评估，基因筛查和SDM的关键点。 PCP与宣布的标准化患者学习目标的遇到将用于评估PCP与ELSI相关的行为改变。评估还将包括课程对遗传知识（知识的测试），技能（自我报告，跟随学习计划）和态度（调查和自我效能评估）的有效性。如果被证明有效，这些基于网络的工具很容易在全国范围内以及国际上传播，以改善医生和患者遗传筛查的知识和态度。公共卫生相关性：大多数初级保健医师几乎没有遗传学培训，也没有基因检测，诊断和治疗的伦理，法律和社会影响（ELSI）。该项目评估了一个基于网络的新型课程，重点介绍了初级保健遗传学中的道德法律和社会问题，以提高初级保健医生对遗传疾病对患者生活的影响的理解。如果被证明有效，这些基于网络的工具很容易被传播，以提高医师对遗传学的社会环境的了解，并提高其与患者有关基因筛查的共同决策的能力。