TARGET AUDIENCE RESULTS CONCLUSIONS · audience than intended and gain patient-level insight. •...
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TARGET AUDIENCE The educational design of this activity addressed the needs of primary care practitioners—physicians, nurse practitioners, and physician assistants—as well as pain specialists, rheumatologists, and neurologists involved in the treatment of patients with fibromyalgia. BACKGROUND Fibromyalgia affects an estimated 10 million Americans, often interfering with their ability to function. It is marked by chronic widespread pain and a host of somatic symptoms that negatively affect daily tasks and major life decisions. This lively and diverse CME-certified on-demand webinar conducted by two fibromyalgia expert clinicians, a fibromyalgia patient advocacy professional, and a fibromyalgia patient educated healthcare practitioners on how to diagnose and treat fibromyalgia (pharmacologically and nonpharmacologically), how to manage the whole patient, and how to foster a productive relationship with patients dealing with this complex condition. DESIGN To effectively assess educational impact and outcomes, Paradigm and its partners designed this continuing medical education initiative to include collection of data that would allow us to evaluate learner participation, satisfaction, learning (including both knowledge and competence), and performance. Participation and satisfaction were assessed through the use of an online post-activity evaluation distributed to learners. Pretest and posttests were used to quantify changes in declarative and procedural knowledge. Competence was measured via a confidence scale and by asking participants to indicate intended changes to clinical practice on their post-activity evaluation. A follow-up survey was deployed 2 months following completion of the activity, which gave participants the opportunity to self-report changes they had implemented in their practice as well as barriers to change, thus demonstrating the impact of the initiative on clinician performance. EDUCATIONAL OBJECTIVES Upon proper completion of this activity, participants should be better able to: • Identify the evidence-based criteria that suggest a diagnosis of fibromyalgia • Describe the evidence-based pharmacologic and nonpharmacologic treatment strategies that are available to manage fibromyalgia • Explain how to use communication techniques to improve active listening and foster an open dialogue with the fibromyalgia patient TOPICS The content of this webinar was viewable on-demand from November 2013-November 2014, and participants were able to navigate through the chapters in any order and at their own pace. • Diagnosis and Integrated Treatment of Fibromyalgia • Fibromyalgia Diagnosis in the Primary Care Setting • Making and Confirming the Diagnosis of Fibromyalgia with the Patient • Review of Pharmacologic Therapies • Review of Evidence-Based Nonpharmacologic Therapies for Fibromyalgia • Team Approach to Treatment: Be Proactive, Be Prepared • Integrate the Patient Into Your Treatment Plan • Maintain Focus on Patient Progress Over Time • Additional Resources RESULTS • Accessed by 983 practitioners and members of the public, with 476 persons having completed the activity. The demographics of the outcomes data showed a higher percent of individuals listing themselves as ‘other’ than expected. Upon further investigation, the ‘other’ group was largely composed of patients, which gave us the ability to measure outcomes in a different audience than intended and gain patient-level insight. • 52% Average Correct Pretest Score vs. 88% Average Passing Score on Posttest Knowledge Assessments Activity assessment was made up of 6 test questions. A summary of the most significant outcomes are listed below. Question One • Aligns with the first objective: Identify the evidence-based criteria that suggest a diagnosis of fibromyalgia. • Of learners who completed the posttest, 19% selected the right answer (C) for Question 1 at the start of the activity. 68.2% learned the right answer by the conclusion of their participation in the activity, which effectively corrected misconceptions regarding evidence-based criteria that suggest a diagnosis of fibromyalgia. • The differential between scores from these same learners represent a 300% increase in necessary knowledge, skills, or abilities (KSAs). • This chart visualizes participants’ answers as they migrated from pre to posttest. Every red fiber is a learner who correctly answered their posttest. Grey threads are learners who remained confused at the end of the activity. Question Six • Aligns with the second and third objectives: Describe the evidence- based pharmacologic and nonpharmacologic treatment strategies that are available to manage fibromyalgia; Explain how to use communication techniques to improve active listening and foster an open dialogue with the fibromyalgia patient. • Of learners who completed the posttest, 40% selected the right answer (D) for Question 6 at the start of the activity. 80% learned the right answer by the conclusion of their participation in the activity, demonstrating agreement that “providing patient education and tracking symptoms over time” and “prioritizing measurable goals that are tailored to patient desires and abilities” are important aspects of successful, multimodal fibromyalgia treatment. • The differential between scores from these same learners represent a 112% increase in necessary KSAs. • This chart visualizes participants’ answers as they migrated from pretest to posttest. Every red fiber is a learner who correctly answered their posttest. Grey threads are learners who remained confused at the end of the activity. Breakout of Clinicians vs Patients – demonstrating the value of education to multiple stakeholders and the willingness of patients to educate themselves. Correct responses to test question (pretest vs posttest first attempt) Outcomes: Clinicians vs Patients According to the American College of Rheumatology 2010 diagnostic criteria, which of the following is 1 of the 3 conditions necessary to make the diagnosis of fibromyalgia? Pretest (N=884) Posttest (N=448) Clinicians 19% 71% Pretest (N=95) Posttest (N=26) Patients 14% 85% Quantitative Data According to the American College of Rheumatology 2010 diagnostic criteria, which of the following is 1 of the 3 conditions necessary to make the diagnosis of fibromyalgia? Pretest (N=979) 18% Posttest (N=474) 72% Confidence Self-Assessments Among learners who completed the activity: • Average confidence in the ability to use assessment tools to achieve improved outcomes for patients with fibromyalgia rose 39% from 3.09 to 4.23 (on a scale of 1 - 5). • Average confidence in the ability to use the updated ACR criteria to identify symptoms of fibromyalgia, thus allowing them to make an earlier diagnosis, increased 41% from 3.02 to 4.26 (on a scale of 1 - 5). • Average confidence in their ability to interact and share decision making with fibromyalgia patients rose 31% from 3.30 to 4.31 (on a scale of 1 - 5). Presented at the Alliance for Continuing Education in the Health Professions (ACEhp) Alliance Industry Summit (AIS) 2015 • May 11-13, 2015; Philadelphia, PA. CONCLUSIONS • An analysis of the collective learner data demonstrated significant increases in knowledge and competence. • The National Fibromyalgia & Chronic Pain Association distributed the activity via its Facebook page, where it received 429 likes and was shared 208 times. COMMENTARY FROM PATIENTS WHO COMPLETED THE ACTIVITY OTHER AWARDS 2014 recipient of a Silver Web Health Award SM in the category of Medical Education from the Health Information Resource Center. 2014 recipient of the National Association of Medical Education Companies Best Practice in Collaboration award. ACCESS THIS RESOURCE PDF of this Poster Available at: www.paradigmmc.com/211outcomes BIBLIOGRAPHY Crofford LJ and American College of Rheumatology. http://www.rheumatology.org/Practice/Clinical/patients/diseases_ and_conditions/fibromyalgia. Accessed 05/04/15. http://www.fmcpaware.org Wolfe F et al. Arthritis Care Res (Hoboken). 2010;62(5):600-610. ACKNOWLEDGEMENTS Paradigm Medical Communications, LLC was the educational partner. This activity was provided by Global Education Group and supported by an educational grant from Forest Laboratories, Inc. For additional information on this activity please contact Audrie Tornow, CHCP; Senior Director, CME Paradigm Medical Communications, LLC 523 Route 303; Orangeburg, NY 10962 Ph: 845-398-5946 Email: [email protected] www.paradigmmc.com For information about the accreditation of this activity, please contact Global at (303) 395-1782 or [email protected]. www.globaleducationgroup.com Paradigm and Global gratefully acknowledge the contributions of the activity faculty: Lesley M. Arnold, MD, University of Cincinnati College of Medicine, Cincinnati, OH; Jan F. Chambers, National Fibromyalgia & Chronic Pain Association, Logan, UT; Bill H. McCarberg, MD, University of California, San Diego, CA; Annette Schwind, Fibromyalgia Patient, Pequannock, NJ and outcomes analysis from Andreia Works Consulting. SHARPENING FIBROMYALGIA DIAGNOSTIC AND MANAGEMENT SKILLS: IMPROVING THE PATIENT EXPERIENCE “I have just completed this and printed off my certificate, finally feel there’s been a purpose to 22 years of fibro pain! I’m quite pleased. It was very interesting to watch something with that much information on fibro, as it’s often hard to find medical info.” “Thank you sooooo much for this, I’ve said all along EDUCATION is important, our condition is REAL!!!!”
Transcript of TARGET AUDIENCE RESULTS CONCLUSIONS · audience than intended and gain patient-level insight. •...
TARGET AUDIENCEThe educational design of this activity addressed the needs of primary care practitioners—physicians, nurse practitioners, and physician assistants—as well as pain specialists, rheumatologists, and neurologists involved in the treatment of patients with fibromyalgia.
BACKGROUNDFibromyalgia affects an estimated 10 million Americans, often interfering with their ability to function. It is marked by chronic widespread pain and a host of somatic symptoms that negatively affect daily tasks and major life decisions. This lively and diverse CME-certified on-demand webinar conducted by two fibromyalgia expert clinicians, a fibromyalgia patient advocacy professional, and a fibromyalgia patient educated healthcare practitioners on how to diagnose and treat fibromyalgia (pharmacologically and nonpharmacologically), how to manage the whole patient, and how to foster a productive relationship with patients dealing with this complex condition.
DESIGNTo effectively assess educational impact and outcomes, Paradigm and its partners designed this continuing medical education initiative to include collection of data that would allow us to evaluate learner participation, satisfaction, learning (including both knowledge and competence), and performance. Participation and satisfaction were assessed through the use of an online post-activity evaluation distributed to learners. Pretest and posttests were used to quantify changes in declarative and procedural knowledge. Competence was measured via a confidence scale and by asking participants to indicate intended changes to clinical practice on their post-activity evaluation. A follow-up survey was deployed 2 months following completion of the activity, which gave participants the opportunity to self-report changes they had implemented in their practice as well as barriers to change, thus demonstrating the impact of the initiative on clinician performance.
EDUCATIONAL OBJECTIVESUpon proper completion of this activity, participants should be better able to: • Identify the evidence-based criteria that suggest a diagnosis of
fibromyalgia • Describe the evidence-based pharmacologic and
nonpharmacologic treatment strategies that are available to manage fibromyalgia
• Explain how to use communication techniques to improve active listening and foster an open dialogue with the fibromyalgia patient
TOPICSThe content of this webinar was viewable on-demand from November 2013-November 2014, and participants were able to navigate through the chapters in any order and at their own pace. • Diagnosis and Integrated Treatment of Fibromyalgia • Fibromyalgia Diagnosis in the Primary Care Setting • Making and Confirming the Diagnosis of Fibromyalgia with the
Patient • Review of Pharmacologic Therapies • Review of Evidence-Based Nonpharmacologic Therapies for
Fibromyalgia • Team Approach to Treatment: Be Proactive, Be Prepared • Integrate the Patient Into Your Treatment Plan • Maintain Focus on Patient Progress Over Time • Additional Resources
RESULTS • Accessed by 983 practitioners and members of the public, with 476 persons having completed the activity. The demographics
of the outcomes data showed a higher percent of individuals listing themselves as ‘other’ than expected. Upon further investigation, the ‘other’ group was largely composed of patients, which gave us the ability to measure outcomes in a different audience than intended and gain patient-level insight.
• 52% Average Correct Pretest Score vs. 88% Average Passing Score on Posttest
Knowledge AssessmentsActivity assessment was made up of 6 test questions. A summary of the most significant outcomes are listed below.
Question One • Aligns with the first objective: Identify the evidence-based criteria
that suggest a diagnosis of fibromyalgia. • Of learners who completed the posttest, 19% selected the right
answer (C) for Question 1 at the start of the activity. 68.2% learned the right answer by the conclusion of their participation in the activity, which effectively corrected misconceptions regarding evidence-based criteria that suggest a diagnosis of fibromyalgia.
• The differential between scores from these same learners represent a 300% increase in necessary knowledge, skills, or abilities (KSAs).
• This chart visualizes participants’ answers as they migrated from pre to posttest. Every red fiber is a learner who correctly answered their posttest. Grey threads are learners who remained confused at the end of the activity.
Question Six • Aligns with the second and third objectives: Describe the evidence-
based pharmacologic and nonpharmacologic treatment strategies that are available to manage fibromyalgia; Explain how to use communication techniques to improve active listening and foster an open dialogue with the fibromyalgia patient.
• Of learners who completed the posttest, 40% selected the right answer (D) for Question 6 at the start of the activity. 80% learned the right answer by the conclusion of their participation in the activity, demonstrating agreement that “providing patient education and tracking symptoms over time” and “prioritizing measurable goals that are tailored to patient desires and abilities” are important aspects of successful, multimodal fibromyalgia treatment.
• The differential between scores from these same learners represent a 112% increase in necessary KSAs. • This chart visualizes participants’ answers as they migrated from pretest to posttest. Every red fiber is a learner who
correctly answered their posttest. Grey threads are learners who remained confused at the end of the activity.
Breakout of Clinicians vs Patients – demonstrating the value of education to multiple stakeholders and the willingness of patients to educate themselves.
Correct responses to test question (pretest vs posttest first attempt)
Outcomes: Clinicians vs Patients
According to the American College of Rheumatology 2010 diagnostic criteria, which of the following is 1 of the 3
conditions necessary to make the diagnosis of fibromyalgia?
Pretest (N=884)Posttest (N=448)
Clinicians
19%
71%
Pretest (N=95)Posttest (N=26)
Patients
14%
85%
Quantitative Data
According to the American College of Rheumatology 2010 diagnostic criteria, which of the following is 1 of the 3
conditions necessary to make the diagnosis of fibromyalgia?
Pretest (N=979)
18%
Posttest (N=474)
72%
Confidence Self-AssessmentsAmong learners who completed the activity:
• Average confidence in the ability to use assessment tools to achieve improved outcomes for patients with fibromyalgia rose 39% from 3.09 to 4.23 (on a scale of 1 - 5).
• Average confidence in the ability to use the updated ACR criteria to identify symptoms of fibromyalgia, thus allowing them to make an earlier diagnosis, increased 41% from 3.02 to 4.26 (on a scale of 1 - 5).
• Average confidence in their ability to interact and share decision making with fibromyalgia patients rose 31% from 3.30 to 4.31 (on a scale of 1 - 5).
Presented at the Alliance for Continuing Education
in the Health Professions (ACEhp) Alliance Industry
Summit (AIS) 2015 • May 11-13, 2015; Philadelphia, PA.
CONCLUSIONS • An analysis of the collective learner data demonstrated
significant increases in knowledge and competence. • The National Fibromyalgia & Chronic Pain Association
distributed the activity via its Facebook page, where it received 429 likes and was shared 208 times.
COMMENTARY FROM PATIENTS WHO COMPLETED THE ACTIVITY
OTHER AWARDS2014 recipient of a Silver Web Health AwardSM in the category of Medical Education from the Health Information Resource Center.
2014 recipient of the National Association of Medical Education Companies Best Practice in Collaboration award.
ACCESS THIS RESOURCEPDF of this Poster Available at: www.paradigmmc.com/211outcomes
BIBLIOGRAPHYCrofford LJ and American College of Rheumatology. http://www.rheumatology.org/Practice/Clinical/patients/diseases_and_conditions/fibromyalgia. Accessed 05/04/15.
http://www.fmcpaware.org
Wolfe F et al. Arthritis Care Res (Hoboken). 2010;62(5):600-610.
ACKNOWLEDGEMENTSParadigm Medical Communications, LLC was the educational partner. This activity was provided by Global Education Group and supported by an educational grant from Forest Laboratories, Inc.
For additional information on this activity please contact Audrie Tornow, CHCP; Senior Director, CME Paradigm Medical Communications, LLC 523 Route 303; Orangeburg, NY 10962 Ph: 845-398-5946 Email: [email protected] www.paradigmmc.com
For information about the accreditation of this activity, please contact Global at (303) 395-1782 or [email protected]. www.globaleducationgroup.com
Paradigm and Global gratefully acknowledge the contributions of the activity faculty: Lesley M. Arnold, MD, University of Cincinnati College of Medicine, Cincinnati, OH; Jan F. Chambers, National Fibromyalgia & Chronic Pain Association, Logan, UT; Bill H. McCarberg, MD, University of California, San Diego, CA; Annette Schwind, Fibromyalgia Patient, Pequannock, NJ and outcomes analysis from Andreia Works Consulting.
SHARPENING FIBROMYALGIA DIAGNOSTIC AND MANAGEMENT SKILLS: IMPROVING THE PATIENT EXPERIENCE
“I have just completed this and printed off my certificate, finally feel there’s been a purpose to 22 years of fibro pain! I’m quite pleased. It was very interesting to watch something with that much information on fibro,
as it’s often hard to find medical info.”
“Thank you sooooo much for this, I’ve said all along EDUCATION is important, our condition is REAL!!!!”
