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other·endocrinology, internal medicine, clinical trial, family medicine, nutrition·PMC10534284

Impact on Knowledge, Competence, and Performance of a Faculty-Led Web-Based Educational Activity for Type 2 Diabetes and Obesity: Questionnaire Study Among Health Care Professionals and Analysis of Anonymized Patient Records

JMIR Formative Research · 4 authors, 3 centres

AI SUMMARY

FIDELITY 100%

POPULATIONHealth care professionals participating in a CME activity on T2D and obesity management, plus their anonymized patients

INTERVENTIONWeb-based, faculty-led, CME-accredited multidisciplinary educational activity on incretin-based dual agonists and patient education for T2D and obesity

COMPARISONPre-activity baseline assessments (questionnaires and patient records)

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

“

TL;DR

A web-based CME activity on incretin-based dual agonists for T2D and obesity significantly improved health care professional knowledge and competence (P<.001), with modest non-significant gains in self-reported performance (P=.32), while anonymized patient record analysis showed treatment intensification and increased multidisciplinary referrals following participation.

Full summary

544 CHARS

Knowledge and competence were assessed via questionnaires at pre-activity and post-activity timepoints. Mean knowledge scores increased significantly from 4.98 to 5.78 (P<.001), while self-reported performance showed a modest, non-significant improvement (mean 3.64 to 3.76; P=.32). Patient records indicated a shift from metformin monotherapy toward triple therapy with metformin, GLP-1 RA, and SGLT2i, and increased referrals to combinations of specialists. Results suggest short web-based CME can improve HCP knowledge and clinical practice.

PICO

PPOPULATION

Health care professionals participating in a CME activity on T2D and obesity management, plus their anonymized patients

IINTERVENTION

Web-based, faculty-led, CME-accredited multidisciplinary educational activity on incretin-based dual agonists and patient education for T2D and obesity

OOUTCOME

Knowledge, competence, self-reported performance (Moore levels 1-5), and objective performance via anonymized patient record changes

STUDY TYPE

other

SPECIALTY

endocrinology

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10534284

Impact on Knowledge, Competence, and Performance of a Faculty-Led Web-Based Educational Activity for Type 2 Diabetes and Obesity: Questionnaire Study Among Health Care Professionals and Analysis of Anonymized Patient Records

JMIR Formative Research

READ THE FULL PAPER

ABSTRACT

Abstract Background Strategies for managing type 2 diabetes (T2D) and obesity are evolving with the introduction of targeted therapies, including incretin-based dual agonists and growing knowledge of the importance of multidisciplinary care. Accessible, effective continuing medical education (CME) activities are required to ensure that health care professionals (HCPs) understand and can implement the most recent data to optimize patient outcomes. Objective We aimed to measure changes in knowledge, competence, and self-reported performance and quantitatively evaluate changes in performance using anonymized patient data following participation in a web-based educational activity. The faculty-led CME-accredited activity was based on incretin-based dual agonists and patient education on T2D and obesity. The remaining educational gaps in this field were also identified. Methods A CME-accredited, web-based, multidisciplinary (touchMDT) educational activity titled “The future for glycemic control and weight loss in T2D and obesity: Incretin-based dual-agonists and optimizing patient education” was developed. HCP knowledge, competence, and performance were assessed before and after the activity against Moore’s expanded outcomes framework (levels 1-5), using self-reported questionnaires and by analyzing anonymized patient record data. Results For evaluating knowledge and competence (50 respondents before and 50 learners after the activity), the mean number of correctly answered questions was significantly higher post activity (median 5.0, IQR 4.0-6.0 to 6.0, IQR 5.0-7.0; mean 4.98, SD 1.22 to 5.78, SD 1.13; P <.001). Modest, nonsignificant improvements in self-reported performance (N=50 respondents preactivity; N=50 learners postactivity) from before to after the activity were observed (median 4.0, IQR 3.25-4.0 to 4.0, IQR 4.0-4.0; mean 3.64, SD 0.69 to 3.76, SD 0.48; P =.32). PPatient data analysis indicated that patients were being treated more intensively postactivity: before the activity, the most commonly used treatment regimens were metformin monotherapy (13/50, 26%) and dual therapy with metformin plus injectable glucagon-like peptide-1 (GLP-1) receptor agonist (RA; 11/50, 22%); post activity, this changed to dual therapy with metformin plus injectable GLP-1 RA (12/50, 24%) and triple therapy with metformin plus injectable GLP-1 RA plus sodium-glucose cotransporter-2 inhibitor (SGLT2i; 10/50, 20%). In addition, there was an increased number of referrals to a combination of specialists (physicians referred 27%, 8/30 of patients to ≥2 specialists before the activity and 36%, 10/28 to ≥2 specialists post activity). The remaining educational gaps included understanding the biology and psychology of obesity, efficacy and safety data for incretin-based dual agonists, and the role of the diabetes educator or diabetes care and education specialist in managing T2D and obesity. Conclusions This short, web-based CME activity on the management of T2D and obesity led to improvements in HCP knowledge, competence, and performance. Several remaining unmet needs were identified, which can be used to inform the content of future educational activities in this disease area. Keywords: continuing medical education, incretin-based therapy, multidisciplinary care, obesity, overweight, type 2 diabetes, patient data, diabetes management, patient education, chronic disease, web-based education, digital education, health education, diabetes, diabetes mellitus, survey, web-based survey, education, glycemic

CITATION EXPORT

Jennifer Okemah, Sola Neunie, Alexander Noble et al.. Impact on Knowledge, Competence, and Performance of a Faculty-Led Web-Based Educational Activity for Type 2 Diabetes and Obesity: Questionnaire Study Among Health Care Professionals and Analysis of Anonymized Patient Records. JMIR Formative Research. (2023). https://doi.org/10.2196/49115

AUTHORS

4 · 3 CENTRES

Jennifer Okemah, Sola Neunie, Alexander Noble, Carol Wysham

1Salute Nutrition PLLC, Kirkland, WA, United States
2touch Independent Medical Education, Stockport, Cheshire, United Kingdom
3Rockwood Center for Diabetes and Endocrinology, Spokane, WA, United States