评估两种教育模式对美国军事医师慢性疼痛阿片类药物治疗临床实践指南的影响。

Evaluation of Two Educational Modalities for the Clinical Practice Guideline for Opioid Therapy for Chronic Pain for US Military Physicians.

机构信息

Hurtado : Research Behavioral Health Scientist, Naval Health Research Center, San Diego, CA. Simon-Arndt : Senior Behavioral Health Scientist, Naval Health Research Center, Leidos, Inc, San Diego, CA. Dr. Belding : Behavioral Health Researcher, Naval Health Research Center, Leidos, Inc, San Diego, CA. Sanchez : Research Scientist, Naval Health Research Center, Leidos, Inc, San Diego, CA. Dr. Spevak : Director Pain Management Fellowship, Director Opioid Safety Program, National Capital Region Pain Initiative, Walter Reed National Military Medical Center, Bethesda, MD. Osik : Senior Program Manager, National Capital Region Pain Initiative, Walter Reed National Military Medical Center, Bethesda, MD.

出版信息

J Contin Educ Health Prof. 2023 Oct 1;43(4):241-246. doi: 10.1097/CEH.0000000000000476. Epub 2022 Dec 21.

DOI:10.1097/CEH.0000000000000476

PMID:36728977

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10664779/

Abstract

INTRODUCTION

The Department of Veterans Affairs and Department of Defense Clinical Practice Guideline (CPG) for the Management of Opioid Therapy for Chronic Pain was updated in 2017 with targeted guidance to provide safe opioid use while mitigating the increasing levels of prescription opioid misuse among military personnel. The objective of this study was to determine the effectiveness of two educational training modalities for the CPG (an online training [OLT] module and a mobile app) on provider's knowledge, practices, and comfort with the CPG. The OLT was a self-paced interactive slide-based module that emphasized practical application, and the app provided information on the revised CPG and provider and patient resources.

METHODS

Active duty providers (N = 56) were randomly assigned to one of four groups (OLT only, app only, OLT and app combined, or neither OLT nor the app), and they completed a pre-test and an 8-week post-test.

RESULTS

Compared with those who received neither intervention, providers who received OLT only or the app only showed significant increases in knowledge over time. The combination of both OLT and app did not seem to significantly increase knowledge above either the OLT or the app alone. Neither the OLT, the app, nor their combination significantly increased either practices or comfort over time.

DISCUSSION

These results show that use of these educational tools, individually, was associated with an increase in provider knowledge, suggesting that these tools constitute a valuable addition to the available resources to optimize CPG implementation.

摘要

简介

退伍军人事务部和国防部临床实践指南（CPG）更新了慢性疼痛阿片类药物治疗管理，旨在提供安全的阿片类药物使用，同时减轻军人中处方阿片类药物滥用水平的不断上升。本研究的目的是确定两种 CPG 教育培训模式（在线培训[OLT]模块和移动应用程序）对提供者的知识、实践和对 CPG 的舒适度的有效性。OLT 是一个基于幻灯片的自我指导互动模块，强调实际应用，而应用程序则提供了关于修订后的 CPG 以及提供者和患者资源的信息。