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18378

Web-Based Training to Promote Evidence-Based Obesity Care to a National Audience

Sunday, October 21, 2012
Room 270 (Morial Convention Center)
Bonnie Gance-Cleveland, PhD, FAAN1, Jinnette Senecal2, Danielle Dandreaux, PhD3, Lynn Gilbert, RN, PhD, PNP-C4, Gabriel Shaibi, PhD, PT1, Punam Ohri-Vachaspati, PhD, RD1, Carol Stevens, PhD, RN1, Lisa Militello, MSN, MPH, CPNP1 and Diane Skiba, PhD, FAAN4, (1)College of Nursing & Health Innovation, Arizona State University, Phoenix, AZ, (2)Health Solutions/Educational Support Services, Arizona State University, Phoenix, AZ, (3)College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, (4)College of Nursing, University of Colorado Denver, Aurora, CO

Purpose

The prevalence of obesity in children has dramatically risen over the past four decades. Experts have developed recommendations for obesity prevention and treatment that incorporates the use of motivational interviewing. Past research, however, suggests that publication of guidelines rarely changes practice. This AHRQ funded study is a comparative effectiveness trial of web-based training on the current recommendations with and without technology decision support.  The purpose of this presentation is to describe the development of web-based training via a social network site on the evidence-based recommendations for the prevention and treatment of childhood obesity; and provider satisfaction with web-based training at 24 practice sites in 6 states. 

Methods

An interdisciplinary team including electrical engineering, psychology, informatics, nursing, and medicine developed interactive training modules on implementation of the guidelines into practice hosted on a password protected, social network site. The training based upon the Health Disparities Collaborative approach to quality improvement includes modules consisting of: an overview of the recommendations, video vignettes demonstrating motivational interviewing, case coaching on advanced MI skills, components of the chronic care model, and the Institute of Healthcare Improvement quality improvement processes for monitoring practice changes. Seventeen providers and 4 additional staff members in 24 sites, have completed the first session of training modules with an additional 6 providers and 3 staff members completing at least one module. A descriptive survey regarding satisfaction with the training was administered at the completion of each training module.

Results

Participant satisfaction with the training has been high with the majority of providers reporting strongly agree or agree to satisfaction and qualitative data suggested their intentions for using the training in their practice setting. For example, on a 1 - 4 point Likert scale participants reported satisfaction with training; met objectives range μ = 3.54 (SD = .721) to μ = 3.75 (SD = .442),   interesting speaker range μ = 3.25 (SD = .794) to μ 3.63 (SD = .495) , useful in future practice range μ = 3.33 (SD = .702) to μ = 3.75 (SD = .442) , knowledgeable speaker μ = 3.54 (SD = .721) to μ = 3.76 (SD = .436), and useful audiovisual aids μ = 3.50 (SD = .722) to μ = 3.68 (SD = .476). Qualitative data suggests providers plan to incorporate MI into their visits, change the way they discuss behavior change, ask a patient permission to share information about their condition,  avoid offering a solution to the patient’s problem rather allowing them to contemplate their own solution, and ask more open-ended questions.

Conclusion

Providers report high satisfaction with web-based training on obesity guidelines and strategies for implementing and evaluating in their practice.