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Effects of online palliative care training on knowledge, attitude and satisfaction of primary care physicians

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Effects of online palliative care training on knowledge, attitude and satisfaction of primary care physicians

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dc.contributor.author Pelayo, Marta es_ES
dc.contributor.author Cebrián, Diego
dc.contributor.author Areosa, Almudena
dc.contributor.author Agra, Yolanda
dc.contributor.author Izquierdo, Juan Vicente
dc.contributor.author Buendía García, Félix
dc.date.accessioned 2013-04-16T08:51:43Z
dc.date.available 2013-04-16T08:51:43Z
dc.date.issued 2011
dc.identifier.issn 1471-2296
dc.identifier.uri http://hdl.handle.net/10251/27872
dc.description.abstract Background: The Spanish Palliative Care Strategy recommends an intermediate level of training for primary care physicians in order to provide them with knowledge and skills. Most of the training involves face-to-face courses but increasing pressures on physicians have resulted in fewer opportunities for provision of and attendance to this type of training. The effectiveness of on-line continuing medical education in terms of its impact on clinical practice has been scarcely studied. Its effect in relation to palliative care for primary care physicians is currently unknown, in terms of improvement in patient's quality of life and main caregiver's satisfaction. There is uncertainty too in terms of any potential benefits of asynchronous communication and interaction among on-line education participants, as well as of the effect of the learning process. The authors have developed an on-line educational model for palliative care which has been applied to primary care physicians in order to measure its effectiveness regarding knowledge, attitude towards palliative care, and physician's satisfaction in comparison with a control group. The effectiveness evaluation at 18 months and the impact on the quality of life of patients managed by the physicians, and the main caregiver's satisfaction will be addressed in a different paper. Methods: Randomized controlled educational trial to compared, on a first stage, the knowledge and attitude of primary care physicians regarding palliative care for advanced cancer patients, as well as satisfaction in those who followed an on-line palliative care training program with tutorship, using a Moodle Platform vs. traditional education. Results: 169 physicians were included, 85 in the intervention group and 84 in the control group, of which five were excluded. Finally 82 participants per group were analyzed. There were significant differences in favor of the intervention group, in terms of knowledge (mean 4.6; CI 95%: 2.8 to 6.5 (p = 0.0001), scale range 0-33), confidence in symptom management (p = 0.02) and confidence in terms of communication (p = 0.038). Useful aspects were pointed out, as well as others to be improved in future applications. The satisfaction of the intervention group was high. Conclusions: The results of this study show that there was a significant increase of knowledge of 14%-20% and a significant increase in the perception of confidence in symptom management and communication in the intervention group in comparison with the control group that received traditional methods of education in palliative care or no educational activity at all. The overall satisfaction with the intervention was good-very good for most participants. This on-line educational model seems a useful tool for palliative care training in primary care physicians who have a high opinion about the integration of palliative care within primary care. The results of this study support the suggestion that learning effectiveness should be currently investigated comparing different Internet interventions, instead of Internet vs. no intervention. © 2011 Pelayo et al; licensee BioMed Central Ltd. es_ES
dc.description.sponsorship This work was funded by the National Health Research Fund (grant number FIS: PI070515); and the Hospital Ribera Fund. The study sponsors had no influence on the study design, data collection, analysis, data interpretation, or decision to submit the manuscript for publication. en_EN
dc.language Inglés es_ES
dc.publisher BioMed Central es_ES
dc.relation FIS/PI070515
dc.relation.ispartof BMC Family Practice es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject Competency-based education es_ES
dc.subject Education continuing es_ES
dc.subject Medical informatics es_ES
dc.subject Palliative care es_ES
dc.subject Adult es_ES
dc.subject Article es_ES
dc.subject Attitude to health es_ES
dc.subject Clinical practice es_ES
dc.subject Clinical trial es_ES
dc.subject Controlled clinical trial es_ES
dc.subject Controlled study es_ES
dc.subject Education es_ES
dc.subject Female es_ES
dc.subject General practitioner es_ES
dc.subject Health personnel attitude es_ES
dc.subject Human es_ES
dc.subject Male es_ES
dc.subject Medical education es_ES
dc.subject Methodology es_ES
dc.subject Middle aged es_ES
dc.subject Neoplasm es_ES
dc.subject Palliative therapy es_ES
dc.subject Psychological aspect es_ES
dc.subject Randomized controlled trial es_ES
dc.subject Attitude of Health Personnel es_ES
dc.subject Education, Distance es_ES
dc.subject Education, Medical, Continuing es_ES
dc.subject Health Knowledge, Attitudes, Practice es_ES
dc.subject Humans es_ES
dc.subject Neoplasms es_ES
dc.subject Physician's Practice Patterns es_ES
dc.subject Physicians, Primary Care es_ES
dc.subject.classification ARQUITECTURA Y TECNOLOGIA DE COMPUTADORES es_ES
dc.title Effects of online palliative care training on knowledge, attitude and satisfaction of primary care physicians es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1186/1471-2296-12-37
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Informática de Sistemas y Computadores - Departament d'Informàtica de Sistemes i Computadors es_ES
dc.description.bibliographicCitation Pelayo, M.; Cebrián, D.; Areosa, A.; Agra, Y.; Izquierdo, JV.; Buendía García, F. (2011). Effects of online palliative care training on knowledge, attitude and satisfaction of primary care physicians. BMC Family Practice. 12(37):1-11. doi:10.1186/1471-2296-12-37 es_ES
dc.description.accrualMethod Senia es_ES
dc.relation.publisherversion http://www.biomedcentral.com/1471-2296/12/37 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 11 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 12 es_ES
dc.description.issue 37 es_ES
dc.relation.senia 198863
dc.identifier.pmid 21605381 en_EN
dc.identifier.pmcid PMC3123578 en_EN
dc.contributor.funder Fondo de Investigaciones Sanitarias
dc.contributor.funder Hospital Universitario de La Ribera
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