Department of Communication, Michigan State University, East Lansing, United States.
Department of Communication Studies, West Virginia University, Morgantown, United States.
J Health Commun. 2021 Jun 3;26(6):391-401. doi: 10.1080/10810730.2021.1946728. Epub 2021 Jul 22.
Developing continuing medical education (CME) training programs is a strategy for communicating emerging science to health practitioners. This research tests the feasibility of using CME modules for translating and disseminating research findings from the Breast Cancer and Environment Research Program. Recent findings have identified certain windows of susceptibility, like during puberty, in which exposure to endocrine-disrupting chemicals can increase breast cancer risk later in life. In order to reach pediatric patients and their caregivers, using a Diffusion of Innovations framework, pediatric health-care providers were identified as opinion leaders. Two CME modules informed by theory and formative research were tested with a sample of pediatricians and pediatric nurse practitioners. Participants completed knowledge, attitude, intention, and behavior items immediately before and after exposure to a randomly assigned module, and then again 3 weeks later. Quantitative and qualitative results indicate knowledge gain and strong links between practitioners' intentions to enact and implemented behavior learned from training recommendations with parents and caregivers in their practices. Results indicate that CMEs can be an effective strategy for translational activities targeted to health providers in order to change behavior within practice.
开展继续医学教育（CME）培训计划是向医疗从业者传播新兴科学知识的一种策略。本研究检验了使用 CME 模块来转化和传播乳腺癌与环境研究计划研究结果的可行性。最近的研究结果确定了某些易感窗口，例如青春期，在此期间，内分泌干扰化学物质的暴露可能会增加日后的乳腺癌风险。为了触达儿科患者及其照护者，我们使用创新扩散框架，将儿科医疗保健提供者确定为意见领袖。两个由理论和形成性研究提供信息的 CME 模块在一组儿科医生和儿科执业护士中进行了测试。参与者在接触随机分配的模块之前和之后立即完成知识、态度、意图和行为项目，然后在 3 周后再次完成。定量和定性结果表明，知识的增加以及从业者实施从培训建议中获得的行为的意图与在实践中与父母和照护者一起实施行为之间存在很强的联系。结果表明，CME 可以成为针对医疗保健提供者的转化活动的有效策略，以改变实践中的行为。
