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Dynia : combining webinars, virtual patients & forums for KT in chronic pain

Dynia : combining webinars, virtual patients & forums for KT in chronic pain. David Topps, Heather Armson , Paul Taenzer , Eloise Carr, Ashi Mehta, Rachel Ellaway Medbiq Conference, 2014 No conflict of interest to declare. The Problem. Poor uptake of CPGs despite great effort

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Dynia : combining webinars, virtual patients & forums for KT in chronic pain

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  1. Dynia: combining webinars, virtual patients & forums for KT in chronic pain David Topps, Heather Armson, Paul Taenzer, Eloise Carr, Ashi Mehta, Rachel Ellaway Medbiq Conference, 2014 No conflict of interest to declare

  2. The Problem • Poor uptake of CPGs despite great effort • Well-written • Well-publicized as part of TOP guidelines • Knowledge translation • KT interventions incorporating interactive education in chronic noncancer pain led to positive effects on patients' function and knowledge about pain (Ospina et al, 2013) • Measurable change in physician behavior • Potential professional isolation for rural practices

  3. Approach • Webinars for small group learning • Distributed rural sites • Highly interactive sessions • No ‘sage-on-stage’ effect • Virtual patients with SCT • More tuned to experienced docs • Detailed metrics • Online forums • Pre & post webinar discussions

  4. SCT pattern design examples

  5. Two SCT Designs • Traditional Script Concordance Testing • Stem, hypothesis given, then does data confirm…? • Avoids best-of-five; all answers reasonable • Better correlation with experience • Modified SCT Design • Stem as usual • Prioritized choice of hypotheses, + data confirm…? • Rapid Reporting Real-time Responses (4R)

  6. Example case - Kendal

  7. Scenario Based Design • ‘Scenario-Based eLearning Design’ – R Colvin Clark • Based on SBL workshop from Medbiq 2013 • Blended PBL & other activities • Subject matter experts • For case design & webinar presentation • Cases authored by VP experts • based on SME content • mini-series to illustrate changed thinking

  8. OLab3 as SBL Design tool • Use Visual Editor map to link cases & activities • Similar to LAMS • www.lamscommunity.org • but simpler and more flexible

  9. Scenario Manager: control over who gets to play what when Scenario Manager in OLab3

  10. Scenario Manager: view progress during play Scenario Manager in OLab3

  11. Secure Forum • To guard against confidentiality lapses • Only 3 data points to make a case identifiable • Single sign-on • Tight linking with cases and nodes • Very useful for collaborative authoring • IMS-LTI integration with Entrada • Considered at that point • Timeline constraints

  12. Results • Very high engagement • Despite being conceptually demanding • Few technical glitches • Echo with many machines in same room • Quotes and comments • Esp from SME about doing the cases so quickly • Low traffic on Forums • Did not have critical mass

  13. Results • Example of 4R report graph • Failure on 2nd webinar was big disappointment

  14. SCT Results • Concordance lower than other SCT papers • But cases designed to be challenging & controversial rather than an exam

  15. Pathway analysis

  16. PARTICIPANT PHA TE YUAN REFERENCE

  17. Exploring ADL-xAPI • Manual data analysis very time consuming • Experience API very applicable • Export to Learning Record Store • Detailed analysis of metrics through 3rd party tools

  18. Conclusions • Highly engaging combination • SCT approach preferred by docs in practice • Subtle shift in practice over series • Not as great as expected • But purposively sampled highly-updated sites

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