A Scalable Web-Based Module for Improving Surgical and Medical Practitioner Knowledge and Attitudes about Palliative and End-of-Life Care

Journal of Palliative Medicine
Jonathan BergmanMark S Litwin

Abstract

We built a web-based, interactive, self-directed learning module about end-of-life care. The study objective was to develop an online module about end-of-life care targeted at surgeons, and to assess the effect of the module on attitudes towards and knowledge about end-of-life care. Informed by a panel of experts in supportive care and educational assessment, we developed an instrument that required approximately 15 minutes to complete. The module targets surgeons, but is applicable to other practitioners as well. We recruited general surgeons, surgical subspecialists, and medical practitioners and subspecialists from UCLA and the GLA-VA (N=114). We compared pre- and post-intervention scores for attitude and knowledge, then used ANOVA to compare the pre- and postmodule means for each level of the covariate. We performed bivariable analyses to assess the association of subject characteristic and change in score over time. We ran separate analyses to assess baseline and change scores based on the covariates we had selected a priori. Subjects improved meaningfully in all five domains of attitude and in each of the six knowledge items. Individuals younger than 30 years of age had the greatest change in attitudes about addressing pa...Continue Reading

References

May 11, 1999·JAMA : the Journal of the American Medical Association·C R PoundP C Walsh
Sep 11, 2001·Journal of the American College of Surgeons·G P Dunn, R A Milch
Mar 13, 2002·Critical Care Medicine·Lesley StevensJoseph McMullin
Jun 26, 2004·Journal of the American College of Surgeons·Laurence E McCahillRobert S Krouse
Dec 14, 2004·Journal of Palliative Medicine·Katya RobinsonLinda L Emanuel
Jun 21, 2007·Critical Care Nursing Quarterly·Betty R FerrellRose Virani
May 6, 2008·BMJ : British Medical Journal·Diana F Wood
Aug 9, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Anne WallingNeil S Wenger
Mar 11, 2009·Archives of Internal Medicine·Baohui ZhangHolly G Prigerson
May 12, 2009·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Anthony L BackKelly Fryer-Edwards
Jun 12, 2010·Journal of Pain and Symptom Management·Ruth A EngelbergJ Randall Curtis
Jun 30, 2010·Archives of Internal Medicine·Anne M WallingNeil S Wenger
Sep 8, 2010·The New England Journal of Medicine·Jennifer S TemelThomas J Lynch
Oct 14, 2011·The New England Journal of Medicine·A Eugene Washington, Steven H Lipstein
Apr 19, 2012·JAMA : the Journal of the American Medical Association·Joe V SelbyLori Frank
Jan 8, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Benjamin A SpencerAlfred I Neugut
May 17, 2013·Urology·Jonathan BergmanMark S Litwin

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Citations

Jun 28, 2016·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·David W WalshDon C Rockey
Jun 4, 2019·Journal of Palliative Medicine·Ola Al-DreesAhmed Gasim Elzubair
Oct 17, 2020·The International Journal of Health Planning and Management·Zhiqun ShuXiaoming Sun
Dec 10, 2017·Journal of Pain and Symptom Management·Pasithorn A SuwanabolArden M Morris

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