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Journal article
Efficacy of an internet-based learning module and small-group debriefing on trainees' attitudes and communication skills toward patients with substance use disorders: results of a cluster randomized controlled trial
Academic medicine, v 90(3), pp 345-354
Mar 2015
PMID: 25295964
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To examine whether an Internet-based learning module and small-group debriefing can improve medical trainees' attitudes and communication skills toward patients with substance use disorders (SUDs).
In 2011-2012, 129 internal and family medicine residents and 370 medical students at two medical schools participated in a cluster randomized controlled trial, which assessed the effect of adding a two-part intervention to the SUDs curricula. The intervention included a self-directed, media-rich Internet-based learning module and a small-group, faculty-led debriefing. Primary study outcomes were changes in self-assessed attitudes in the intervention group (I-group) compared with those in the control group (C-group) (i.e., a difference of differences). For residents, the authors used real-time, Web-based interviews of standardized patients to assess changes in communication skills. Statistical analyses, conducted separately for residents and students, included hierarchical linear modeling, adjusted for site, participant type, cluster, and individual scores at baseline.
The authors found no significant differences between the I- and C-groups in attitudes for residents or students at baseline. Compared with those in the C-group, residents, but not students, in the I-group had more positive attitudes toward treatment efficacy and self-efficacy at follow-up (P<.006). Likewise, compared with residents in the C-group, residents in the I-group received higher scores on screening and counseling skills during the standardized patient interview at follow-up (P=.0009).
This intervention produced improved attitudes and communication skills toward patients with SUDs among residents. Enhanced attitudes and skills may result in improved care for these patients.
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Details
- Title
- Efficacy of an internet-based learning module and small-group debriefing on trainees' attitudes and communication skills toward patients with substance use disorders: results of a cluster randomized controlled trial
- Creators
- Paul N Lanken - University of PennsylvaniaDennis H Novack - Drexel UniversityChristof Daetwyler - Drexel UniversityRobert Gallop - West Chester UniversityJ Richard Landis - University of PennsylvaniaJennifer Lapin - University of PennsylvaniaGeetha A Subramaniam - National Institutes of HealthBarbara A Schindler - Drexel University
- Publication Details
- Academic medicine, v 90(3), pp 345-354
- Publisher
- Lippincott
- Grant note
- HHSN271200900021C / PHS HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychiatry; MD (Doctor of Medicine) Program
- Web of Science ID
- WOS:000350579800025
- Scopus ID
- 2-s2.0-84924070591
- Other Identifier
- 991019169633704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education, Scientific Disciplines
- Health Care Sciences & Services