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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Development and Outcomes of a Provider-Driven, Online Continuing Education Program on Integrative Palliative Care:
William Collinge1,2, Leila Kozak2, Scott Mist3
1Collinge and Associates, Inc., Eugene, OR, USA.
Global Advances in Integrative Medicine and Health
|January 10, 2025
Summary
Continuing education on integrative therapies significantly improved palliative care providers' confidence and practice. This program enhanced self-efficacy and implementation of integrative care, benefiting patients and care culture.
Area of Science:
- Palliative Care Medicine
- Integrative Health
- Medical Education
Background:
- Integrative therapies are increasingly sought for symptom management and quality of life in palliative care (PC).
- Multidisciplinary PC professionals require updated continuing education/continuing medical education (CE/CME) on evidence-informed integrative therapy use.
- There is a need to assess the impact of CE/CME on integrative care practices in PC.
Purpose of the Study:
- To elicit PC providers' needs for CE/CME content on integrative care.
- To develop and implement an online CE/CME program based on provider input.
- To evaluate the program's impact on PC providers' confidence and practice behaviors through a randomized controlled trial.
Main Methods:
- Focus groups with 47 PC personnel identified CE/CME needs and implementation indicators.
- A 9-hour online CE/CME program was developed, informed by qualitative analysis.
- A randomized, waitlist-controlled trial assessed program impact on confidence and practice behaviors in 213 subjects.
Main Results:
- Confidence in understanding safety, recommending, and explaining modalities increased significantly (P < .001).
- Direct patient care actions promoting integrative care increased from 12.2 to 17.9.
- Indirect actions advocating therapies and promoting organizational change also significantly increased (P < .001).
Conclusions:
- A provider-driven CE/CME program demonstrably improved practitioners' self-efficacy in integrative care.
- The findings suggest CE/CME can measurably impact PC providers, potentially benefiting patients and the care environment.
- This study highlights the value of tailored educational interventions in promoting integrative care in palliative settings.
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