Spaced Education to Optimize Prostate Cancer Screening
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 95
- 试验地点
- 2
- 主要终点
- Percentage of inappropriate prostate-specific antigen (PSA) screening performed by clinicians
研究概览
简要总结
Two memory research findings (the spacing and testing effects) can dramatically improve retention of learning, but they have largely have been ignored by educators. The researchers have developed a novel form of online education (termed 'spaced education') based on these two effects which has been shown in randomized trials to improve knowledge acquisition and boost learning retention. Using prostate cancer screening as an experimental system, the researchers investigated whether spaced education could durably improve clinicians' behaviors, not just their knowledge.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary care providers (physicians, nurse practitioners, and physician assistants) from the 8 Veterans Affairs (VA) hospitals in the New England region (Veterans Integrated Service Network 1 [VISN-1]) were eligible to enroll.
排除标准
- •Primary care providers (PCPs) who ordered PSA as a screen for prostate cancer less than 10 times each year were excluded.
结局指标
主要结局
Percentage of inappropriate prostate-specific antigen (PSA) screening performed by clinicians
时间窗: Weeks 1-108
The primary outcome measure was the difference in the percentage of inappropriate PSA screening performed by clinicians in the spaced education and control cohorts. Based on published clinical guidelines and reports, inappropriate PSA utilization was defined as the use of PSA for prostate cancer screening in patients \>76 or \<40 years old, or with an estimated life expectancy of less than 10 years.
次要结局
- Change in test scores between cohorts measured in weeks 1-36(Weeks 1-36)
- Change in spaced education performance measured in weeks 1-36(Weeks 1-36)
- Clinicians' intention to participate in future spaced education programs(Week 36)
- Time required by clinicians to complete the spaced education questions-explanations(Week 36)