Use of an e-Learning Educational Module to Better Equip Doctors to Prescribe for Older Patients: A Randomised Controlled Trial.

Background: The older patient population is significantly different from the younger adult population with regards to dose selection for a wide variety of drugs. Recent investigation of prescribing attitudes indicates that doctors feel there is insufficient distinction made between the two cohorts d...

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Published in:Drugs & Aging Vol. 34; no. 5; pp. 367 - 375
Main Authors: Cullinan, Shane, O'Mahony, Denis, Byrne, Stephen
Format: research tables/charts randomized controlled trial Journal Article
Published: Springer Nature May2017
Online Access:View this record in EBSCOhost
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      dt: May2017
      vid: 34
      iid: 5
      pid: 237
      pub: Springer Nature
      place: New York, New York
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        10.1007/s40266-017-0451-0
        122727006
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        atl: Use of an e-Learning Educational Module to Better Equip Doctors to Prescribe for Older Patients: A Randomised Controlled Trial.
      aug:
        au:
          Cullinan, Shane
          O'Mahony, Denis
          Byrne, Stephen
        affil: RCSI School of Pharmacy , Royal College of Surgeons in Ireland , 1st Floor Ardilaun House Block B, 111 St Stephen's Green Dublin 2 Ireland
      sug:
        subj:
          Education, Non-Traditional
          Physicians Education
          Drug Therapy Education
          Education, Medical, Continuing
          Human
          Randomized Controlled Trials
          Prescribing Patterns
          Knowledge
          Confidence
          Prescriptive Authority
          Outcomes of Education
          T-Tests
          Control Group
          Confidence Intervals
          Aged
          Aged: 65+ years
      ab: Background: The older patient population is significantly different from the younger adult population with regards to dose selection for a wide variety of drugs. Recent investigation of prescribing attitudes indicates that doctors feel there is insufficient distinction made between the two cohorts during their undergraduate education, and that doctors do not receive enough training in geriatric pharmacotherapy. Objectives: The aim of this study was to determine if an online module, focused on geriatric pharmacotherapy, improves doctors' prescribing knowledge, as well as prescribing confidence, as applied to older patients. Methods: The impact of an online educational module (SCRIPT) on hospital doctors' prescribing knowledge and confidence with regards to older patients was assessed by randomised controlled trial. Control and intervention groups completed assessments at baseline, 4 and 12 weeks. Primary outcome was difference in mean test scores. Student's t tests were used to analyse the data. Qualitative data on participant's confidence levels were also collected. Results: Eighty participants completed the 12-week trial. The SCRIPT intervention resulted in a 22% difference in mean test scores between control and intervention groups at 4 weeks (23.12 marks versus 33.67 marks; p < 0.0001; 95% CI 8.13-12.97). This significance was maintained at 12 weeks. Thirty-four percent of participants in the intervention group rated themselves as 'confident' with regards to prescribing for older patients post-intervention compared with 12% in the control group. Conclusion: A short e-learning module focused on geriatric pharmacotherapy can significantly improve doctors' prescribing knowledge and confidence with regards to older patients. Clinicaltrials.gov NCT02405975.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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