J. Med. Internet Res. - Impact of interactive web-based education with mobile and email-based support of general practitioners on treatment and referral patterns of patients with atopic dermatitis: randomized controlled trial.

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Resumo

CKGROUND: The effects of various educational strategies have been examined in continuing medical education. Web-based learning has emerged as an alternative to ordinary classroom lessons.OBJECTIVE: To investigate whether an interactive Web-based course including personal guidance via email or cellular phone texting may be used to improve practice behavior of general practitioners in the management of atopic dermatitis.METHODS: General practitioners from all over Norway were eligible for this randomized controlled educational trial. During a period of 6 months, doctors in the intervention group were offered the opportunity to participate in a Web-based course on the management of atopic dermatitis. This was combined with guidance via email or multimedia messaging service (MMS) through mobile phones from a dermatologist. In the control group there was no education or guidance. Main outcome measures were the duration of topical steroid treatment prescribed to patients with atopic dermatitis (primary outcome), number of treatment modalities, and number of referred patients.RESULTS: We enrolled 46 physicians: 24 doctors were allocated to the intervention group and 22 doctors to the control group. They reported a total of 190 patient treatments. There were no statistically significant differences in the duration of topical steroid treatment or number of treatment modalities between the groups. The lack of effect on the primary outcome may be due to attrition as 54% (13/24) of the participants did not complete the course. 42% (10/24) of physicians sent at least one educational request via email or MMS. While 11% (8/73) of treatment reports in the intervention group were referred to a health care specialist (eg, dermatologist or pediatrician), 30% (21/71) of treatment reports in the control group did so. This difference in the number of referrals was significant (P = .03).CONCLUSIONS: A Web-based educational intervention aimed at general practitioners combined with personal support can reduce the number of atopic dermatitis patient referrals to specialists.

Resumo Limpo

ckground effect various educ strategi examin continu medic educ webbas learn emerg altern ordinari classroom lessonsobject investig whether interact webbas cours includ person guidanc via email cellular phone text may use improv practic behavior general practition manag atop dermatitismethod general practition norway elig random control educ trial period month doctor intervent group offer opportun particip webbas cours manag atop dermat combin guidanc via email multimedia messag servic mms mobil phone dermatologist control group educ guidanc main outcom measur durat topic steroid treatment prescrib patient atop dermat primari outcom number treatment modal number refer patientsresult enrol physician doctor alloc intervent group doctor control group report total patient treatment statist signific differ durat topic steroid treatment number treatment modal group lack effect primari outcom may due attrit particip complet cours physician sent least one educ request via email mms treatment report intervent group refer health care specialist eg dermatologist pediatrician treatment report control group differ number referr signific p conclus webbas educ intervent aim general practition combin person support can reduc number atop dermat patient referr specialist

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