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Patient outcomes following GPs’ educations about COPD : a cluster randomized controlled trial

Sandelowsky, Hanna ; Krakau, Ingvar ; Modin, Sonja ; Ställberg, Björn ; Johansson, Sven Erik LU and Nager, Anna (2020) In npj Primary Care Respiratory Medicine 30(1).
Abstract

This study aimed to compare patient outcomes following case method learning and traditional lectures as methods for continuing medical education (CME) about chronic obstructive pulmonary disease (COPD) for general practitioners (GPs) in Sweden. In a pragmatic cluster randomized controlled trial, COPD patients (n = 425; case method group n = 209, traditional lectures group n = 216) from 24 primary health care centers replied to questionnaires prior to and 18 months after a 2 × 2-h CME was given to GPs (n = 255). We measured changes in the scores of the Clinical COPD Questionnaire (CCQ), symptoms, needs for disease information, exacerbations, smoking, and use of pulmonary rehabilitation. The changes over time were similar for both CME... (More)

This study aimed to compare patient outcomes following case method learning and traditional lectures as methods for continuing medical education (CME) about chronic obstructive pulmonary disease (COPD) for general practitioners (GPs) in Sweden. In a pragmatic cluster randomized controlled trial, COPD patients (n = 425; case method group n = 209, traditional lectures group n = 216) from 24 primary health care centers replied to questionnaires prior to and 18 months after a 2 × 2-h CME was given to GPs (n = 255). We measured changes in the scores of the Clinical COPD Questionnaire (CCQ), symptoms, needs for disease information, exacerbations, smoking, and use of pulmonary rehabilitation. The changes over time were similar for both CME methods. Patients who had used pulmonary rehabilitation increased from 13.2 to 17.8% (P = 0.04), and prevalence of smoking decreased from 28.9 to 25.1% (P = 0.003). In conclusion, neither of the used CME methods was superior than the other regarding patient outcomes. CME’s primary value may lay in improving GPs’ adherence to guidelines, which should lead to long-term positive changes in patient health.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
npj Primary Care Respiratory Medicine
volume
30
issue
1
article number
44
publisher
Nature Publishing Group
external identifiers
  • pmid:33060615
  • scopus:85092581509
ISSN
2055-1010
DOI
10.1038/s41533-020-00204-w
language
English
LU publication?
yes
id
b8728306-8220-4bf8-8b5d-0f6219b68416
date added to LUP
2020-11-04 14:11:42
date last changed
2024-05-15 21:09:02
@article{b8728306-8220-4bf8-8b5d-0f6219b68416,
  abstract     = {{<p>This study aimed to compare patient outcomes following case method learning and traditional lectures as methods for continuing medical education (CME) about chronic obstructive pulmonary disease (COPD) for general practitioners (GPs) in Sweden. In a pragmatic cluster randomized controlled trial, COPD patients (n = 425; case method group n = 209, traditional lectures group n = 216) from 24 primary health care centers replied to questionnaires prior to and 18 months after a 2 × 2-h CME was given to GPs (n = 255). We measured changes in the scores of the Clinical COPD Questionnaire (CCQ), symptoms, needs for disease information, exacerbations, smoking, and use of pulmonary rehabilitation. The changes over time were similar for both CME methods. Patients who had used pulmonary rehabilitation increased from 13.2 to 17.8% (P = 0.04), and prevalence of smoking decreased from 28.9 to 25.1% (P = 0.003). In conclusion, neither of the used CME methods was superior than the other regarding patient outcomes. CME’s primary value may lay in improving GPs’ adherence to guidelines, which should lead to long-term positive changes in patient health.</p>}},
  author       = {{Sandelowsky, Hanna and Krakau, Ingvar and Modin, Sonja and Ställberg, Björn and Johansson, Sven Erik and Nager, Anna}},
  issn         = {{2055-1010}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Nature Publishing Group}},
  series       = {{npj Primary Care Respiratory Medicine}},
  title        = {{Patient outcomes following GPs’ educations about COPD : a cluster randomized controlled trial}},
  url          = {{http://dx.doi.org/10.1038/s41533-020-00204-w}},
  doi          = {{10.1038/s41533-020-00204-w}},
  volume       = {{30}},
  year         = {{2020}},
}