scholarly journals Web-Based SBIRT Skills Training for Health Professional Students and Primary Care Providers

2012 ◽  
Vol 33 (3) ◽  
pp. 316-320 ◽  
Author(s):  
T. Bradley Tanner ◽  
Susan E. Wilhelm ◽  
Karen M. Rossie ◽  
Mary P. Metcalf
Keyword(s):  
Primary Care ◽  
Health Professional ◽  
Skills Training ◽  
Primary Care Providers ◽  
Care Providers ◽  
Web Based ◽  
Professional Students ◽  
Health Professional Students

scholarly journals A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study

10.2196/14525 ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. e14525
Author(s):  
Amber K Brooks ◽  
David P Miller Jr ◽  
Jason T Fanning ◽  
Erin L Suftin ◽  
M Carrington Reid ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Primary Care Providers ◽  
Patient Portal ◽  
Low Back ◽  
Care Providers ◽  
Web Based

Background Low back pain is a costly healthcare problem and the leading cause of disability among adults in the United States. Primary care providers urgently need effective ways to deliver evidence-based, nonpharmacological therapies for chronic low back pain. Guidelines published by several government and national organizations have recommended nonpharmacological and nonopioid pharmacological therapies for low back pain. Objective The Pain eHealth Platform (PEP) pilot trial aims to test the feasibility of a highly innovative intervention that (1) uses an electronic health record (EHR) query to systematically identify a phenotype of obese, older adults with chronic low back pain who may benefit from Web-based behavioral treatments; (2) delivers highly tailored messages to eligible older adults with chronic low back pain via the patient portal; (3) links affected patients to a Web app that provides education on the efficacy of evidence-based, nonpharmacological, behavioral pain treatments; and (4) directs patients to existing Web-based health treatment tools. Methods Using a three-step modified Delphi method, an expert panel of primary care providers will define a low back pain phenotype for an EHR query. Using the defined low back pain phenotype, an EHR query will be created to identify patients who may benefit from the PEP. Up to 15 patients with low back pain will be interviewed to refine the tailored messaging, esthetics, and content of the patient-facing Web app within the PEP. Up to 10 primary care providers will be interviewed to better understand the facilitators and barriers to implementing the PEP, given their clinic workflow. We will assess the feasibility of the PEP in a single-arm pragmatic pilot study in which secure patient portal invitations containing a hyperlink to the PEP Web app are sent to 1000 patients. The primary outcome of the study is usability as measured by the System Usability Scale. Results Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019. Conclusions The PEP will leverage informatics and the patient portal to deliver evidence-based nonpharmacological treatment information to adults with chronic low back pain. Results from this study may help inform the development of Web-based health platforms for other pain and chronic health conditions. International Registered Report Identifier (IRRID) DERR1-10.2196/14525

scholarly journals A Pain eHealth Platform for Engaging Obese, Older Adults with Chronic Low Back Pain in Nonpharmacological Pain Treatments: Protocol for a Pilot Feasibility Study (Preprint)

2019 ◽  
Author(s):  
Amber K Brooks ◽  
David P Miller Jr ◽  
Jason T Fanning ◽  
Erin L Suftin ◽  
M Carrington Reid ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Primary Care Providers ◽  
Patient Portal ◽  
Low Back ◽  
Care Providers ◽  
Web Based

BACKGROUND Low back pain is a costly healthcare problem and the leading cause of disability among adults in the United States. Primary care providers urgently need effective ways to deliver evidence-based, nonpharmacological therapies for chronic low back pain. Guidelines published by several government and national organizations have recommended nonpharmacological and nonopioid pharmacological therapies for low back pain. OBJECTIVE The Pain eHealth Platform (PEP) pilot trial aims to test the feasibility of a highly innovative intervention that (1) uses an electronic health record (EHR) query to systematically identify a phenotype of obese, older adults with chronic low back pain who may benefit from Web-based behavioral treatments; (2) delivers highly tailored messages to eligible older adults with chronic low back pain via the patient portal; (3) links affected patients to a Web app that provides education on the efficacy of evidence-based, nonpharmacological, behavioral pain treatments; and (4) directs patients to existing Web-based health treatment tools. METHODS Using a three-step modified Delphi method, an expert panel of primary care providers will define a low back pain phenotype for an EHR query. Using the defined low back pain phenotype, an EHR query will be created to identify patients who may benefit from the PEP. Up to 15 patients with low back pain will be interviewed to refine the tailored messaging, esthetics, and content of the patient-facing Web app within the PEP. Up to 10 primary care providers will be interviewed to better understand the facilitators and barriers to implementing the PEP, given their clinic workflow. We will assess the feasibility of the PEP in a single-arm pragmatic pilot study in which secure patient portal invitations containing a hyperlink to the PEP Web app are sent to 1000 patients. The primary outcome of the study is usability as measured by the System Usability Scale. RESULTS Qualitative interviews with primary care providers were completed in April 2019. Qualitative interviews with patients will begin in December 2019. CONCLUSIONS The PEP will leverage informatics and the patient portal to deliver evidence-based nonpharmacological treatment information to adults with chronic low back pain. Results from this study may help inform the development of Web-based health platforms for other pain and chronic health conditions. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/14525

scholarly journals Using impact asthma echo to influence physician self-efficacy and guideline adherence

2018 ◽  
Author(s):  
◽  
Danny Myers
Keyword(s):  
Primary Care ◽  
Guideline Adherence ◽  
Self Efficacy ◽  
Community Of Inquiry ◽  
Primary Care Providers ◽  
Small Subset ◽  
Care Providers ◽  
Web Based ◽  
Research Questions ◽  
Group Engagement

The purpose of this study was to examine the influence on provider self-efficacy and guideline adherence as a result of participation in Impact Asthma ECHO. The researcher addressed the following research questions: How does participation in Impact Asthma ECHO influence primary care provider self-efficacy? How does engagement in the learning activities of Impact Asthma ECHO promote clinical guideline adherence? Participants included 19 Primary Care providers participating in Impact Asthma ECHO via online video-conferencing. The researcher utilized a data-triangulation method, collecting data via self-efficacy surveys, Continuing Medical Education surveys, a Community of Inquiry coding template, and Medicaid Claims Data. While findings of the study were limited by a relatively small subset of participants, the significant contribution of the present research is the utilization of the modified Community of Inquiry coding template for the purposes of evaluating group engagement and learning in a synchronous, web-based videoconferencing educational session.

The Trans Primary Care Guide: A Community-Based Approach to Developing a Web-based, Illustrated Resource for Primary Health Care Providers (Preprint)

2018 ◽  
Author(s):  
Kelly Katharina Speck ◽  
Shelley L Wall
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Care Providers ◽  
Successful Implementation ◽  
Care Providers ◽  
Design And Development ◽  
Community Based ◽  
Web Based ◽  
Basic Care ◽  
Training Resources

BACKGROUND There is a large gap in educational and training resources on trans-sensitive care in health professional curricula. In-person continuing medical education training sessions are often limited by time, place, and instructor availability. Web-based technologies offer the potential to easily reach primary care providers across the province. However, existing online training resources are lengthy in content, lack visual communication strategies, and do not encompass the multitude of different transition options sought by trans individuals. OBJECTIVE This article describes a community-based, participatory approach to the design and development of a web-based, illustrated resource guide with non-sequential access to medical and basic care protocols and guidelines to improve primary care providers' knowledge and confidence in caring for trans clients. METHODS The design and development of the Trans Primary Care Guide was informed by a participatory design research strategy focused on iterative improvement of the resource through iterative review by an advisory committee, formative evaluations with trans participants and primary care providers, and usability testing. RESULTS A web-based, illustrated resource (Trans Primary Care Guide) was developed to educate primary care providers on the health care needs of trans and gender-diverse people. CONCLUSIONS Successful implementation of the web-based resource was in part due to the utilization of design strategies to help primary care providers contextualize trans-competencies, the community-academic partnership and due to the early engagement of trans participants to ensure that information is gender affirming and culturally specific to regional community needs. CLINICALTRIAL Not applicable.

Web-based PTSD training for primary care providers: A pilot study.

2014 ◽  
Vol 11 (2) ◽  
pp. 153-161 ◽  
Author(s):  
Kristin W. Samuelson ◽  
Christopher J. Koenig ◽  
Nicole McCamish ◽  
Gerard Choucroun ◽  
Gary Tarasovsky ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Primary Care Providers ◽  
Care Providers ◽  
Web Based

scholarly journals EyePACS: An Adaptable Telemedicine System for Diabetic Retinopathy Screening

2009 ◽  
Vol 3 (3) ◽  
pp. 509-516 ◽  
Author(s):  
Jorge Cuadros ◽  
George Bresnick
Keyword(s):  
Primary Care ◽  
Diabetic Retinopathy ◽  
Primary Care Providers ◽  
Retinal Images ◽  
Care Providers ◽  
Telemedicine System ◽  
Web Based ◽  
Diabetic Retinopathy Screening ◽  
Standard Clinical Practice ◽  
Retinopathy Screening

Background: Annual retinal screening of patients with diabetes is the standard clinical practice to prevent visual impairment and blindness from diabetic retinopathy. Telemedicine-based diabetic retinopathy screening (DRS) in primary care settings can effectively detect sight-threatening retinopathy and significantly increase compliance with annual retinal exams. EyePACS is a license-free Web-based DRS system designed to simplify the process of image capture, transmission, and review. The system provides a flexible platform for collaboration among clinicians about diabetic retinopathy. Methods: Primary clinic personnel (i.e., nursing, technical, or administrative staff) are trained and certified by the EyePACS program to acquire retinal images from standard digital retinal cameras. Relevant clinical data and eight high-resolution images per patient (two external and six retinal images) are encrypted and transmitted to a secure Internet server, using a standard computer and Web browser. Images are then interpreted by certified EyePACS reviewers or local eye care providers who are certified through the EyePACS Retinopathy Grading System. Reports indicating retinopathy level and referral recommendations are transmitted back to primary care providers through the EyePACS Web site or through interfaces between EyePACS and Health Level 7-compliant electronic medical records or chronic disease registries. Results: The pilot phase of the EyePACS DRS program in California (2005–2006) recorded 3562 encounters. Since 2006, EyePACS has been expanded to over 120 primary care sites throughout California and elsewhere recording over 34,000 DRSs. The overall rate of referral is 8.21% for sight-threatening retinopathy and 7.83% for other conditions (e.g., cataract and glaucoma). Conclusion: The use of license-free Web-based software, standard interfaces, and flexible protocols has allowed primary care providers to adopt retinopathy screening with minimal effort and resources.

scholarly journals Effects on Skills and Practice from a Web-Based Skin Cancer Course for Primary Care Providers

2013 ◽  
Vol 26 (6) ◽  
pp. 648-657 ◽  
Author(s):  
M. J. Eide ◽  
M. M. Asgari ◽  
S. W. Fletcher ◽  
A. C. Geller ◽  
A. C. Halpern ◽  
...  
Keyword(s):  
Primary Care ◽  
Skin Cancer ◽  
Primary Care Providers ◽  
Care Providers ◽  
Web Based

Population-Based Cirrhosis Identification and Management System for Improving Cirrhosis Care: A Qualitative Formative Evaluation of a Web-Based Tool (Preprint)

2021 ◽  
Author(s):  
Sarah Javier ◽  
Justina Wu ◽  
Donna L. Smith ◽  
Fahisa Kanwal ◽  
Lindsey A. Martin ◽  
...  
Keyword(s):  
Primary Care ◽  
Management System ◽  
Formative Evaluation ◽  
Primary Care Providers ◽  
Population Based ◽  
Veterans Health ◽  
Health Administration ◽  
Care Providers ◽  
Clinical Workflow ◽  
Web Based

BACKGROUND Cirrhosis, or scarring of the liver, is a debilitating condition affecting millions of U.S. adults. Early identification, linkage to care, and retention in care are critical to preventing severe complications from cirrhosis and death. OBJECTIVE The purpose of this study was to conduct a pre-implementation formative evaluation to identify factors that could impact implementation of the Population-Based Cirrhosis Identification and Management System (P-CIMS) in clinics serving patients with cirrhosis. P-CIMS is a web-based informatics tool designed to facilitate patient outreach and cirrhosis care management. METHODS Semi-structured interviews were conducted with frontline providers in liver disease and primary care clinics at three Veterans Health Administration medical centers. The Consolidated Framework for Implementation Research guided the development of interview guides. Inductive consensus coding was used to analyze transcribed interviews and abstracted coded passages elucidated themes and insights. RESULTS Ten providers were interviewed, including eight physicians and mid-level providers from liver-related specialty clinics and two primary care providers who managed patients with cirrhosis. Overall, P-CIMS was viewed as a powerful tool for improving linkage and retention but its integration in the clinical workflow required leadership support, time, and staffing. Providers also cited the need for more intuitive interface elements to enhance usability. CONCLUSIONS P-CIMS shows promise as a powerful tool for identifying, linking, and retaining in care patients living with cirrhosis. The current evaluation identified several improvements and advantages of P-CIMS over current care processes and provides lessons for others implementing similar population-based identification and management tools in chronic disease populations.

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