STUDY OBJECTIVE: To evaluate the effect of continuing medical education (CME) activities on patient reported outcomes with regard to (1) screening for excessive sleepiness (ES) and obstructive sleep apnea (OSA) and (2) appropriate referral and treatment. METHODS: A total of 725 patients were recruited from 75 providers who either participated or did not participate in Transtheoretical Model (TTM)-based OSA CME activities. Patient reported outcomes from participating (n = 36) and non-participating providers (n = 39) were compared using generalized estimating equations examining random effects of provider as unit of assignment. RESULTS: Patients' reports demonstrate that participating physicians were 1.7 times more likely to initiate discussion of sleep problems than non-participating physicians (t1,411 = 3.71, p = 0.05) and 2.25-2.86 times more likely to administer validated measures for OSA (Epworth Sleepiness Scale and STOP-BANG). Patient reports also indicated that participating clinicians (79.9%) were significantly more likely to recommend seeing a sleep specialist compared to non-participating clinicians (60.7%; t1,348 = 9.1, p < 0.01, OR = 2.6). Furthermore, while 89.4% of participating clinicians recommended a sleep study, only 73.2% of the non-participating physicians recommended one (t1,363 = 11.46, p < 0.001, OR = 3.1). CONCLUSIONS: Participation in TTM-based OSA CME activities was associated with improved patient reported outcomes compared to the non-participating clinicians.
STUDY OBJECTIVE: To evaluate the effect of continuing medical education (CME) activities on patient reported outcomes with regard to (1) screening for excessive sleepiness (ES) and obstructive sleep apnea (OSA) and (2) appropriate referral and treatment. METHODS: A total of 725 patients were recruited from 75 providers who either participated or did not participate in Transtheoretical Model (TTM)-based OSA CME activities. Patient reported outcomes from participating (n = 36) and non-participating providers (n = 39) were compared using generalized estimating equations examining random effects of provider as unit of assignment. RESULTS:Patients' reports demonstrate that participating physicians were 1.7 times more likely to initiate discussion of sleep problems than non-participating physicians (t1,411 = 3.71, p = 0.05) and 2.25-2.86 times more likely to administer validated measures for OSA (Epworth Sleepiness Scale and STOP-BANG). Patient reports also indicated that participating clinicians (79.9%) were significantly more likely to recommend seeing a sleep specialist compared to non-participating clinicians (60.7%; t1,348 = 9.1, p < 0.01, OR = 2.6). Furthermore, while 89.4% of participating clinicians recommended a sleep study, only 73.2% of the non-participating physicians recommended one (t1,363 = 11.46, p < 0.001, OR = 3.1). CONCLUSIONS: Participation in TTM-based OSA CME activities was associated with improved patient reported outcomes compared to the non-participating clinicians.
Authors: M Shirazi; A A Zeinaloo; S V Parikh; M Sadeghi; A Taghva; M Arbabi; A Sabouri Kashani; F Alaeddini; K Lonka; R Wahlström Journal: Fam Pract Date: 2008-02-27 Impact factor: 2.267
Authors: Judy C Chang; Stewart C Alexander; Cynthia L Holland; Robert M Arnold; Douglas Landsittel; James A Tulsky; Kathryn I Pollak Journal: Am J Health Promot Date: 2013 Jan-Feb
Authors: Linda L Casebeer; Sheryl M Strasser; Claire M Spettell; Terry C Wall; Norman Weissman; Midge N Ray; Jeroan J Allison Journal: J Med Internet Res Date: 2003-09-25 Impact factor: 5.428
Authors: Louise Forsetlund; Mary Ann O'Brien; Lisa Forsén; Liv Merete Reinar; Mbah P Okwen; Tanya Horsley; Christopher J Rose Journal: Cochrane Database Syst Rev Date: 2021-09-15
Authors: Lora L Sabin; Aldina Mesic; Bao Ngoc Le; Nafisa Halim; Chi Thi Hue Cao; Rachael Bonawitz; Ha Viet Nguyen; Anna Larson; Tam Thi Thanh Nguyen; Anh Ngoc Le; Christopher J Gill Journal: Glob Health Sci Pract Date: 2022-08-30