Understanding How Clinicians Use a New Web-based Tool for Disseminating Evidence-Based Practices for the Treatment of PTSD: The PTSD Clinicians Exchange
| Autor: | Joshua E. Wilk, Raymond C. Rosen, Josef I. Ruzek, Erica Simon, Julia L. Coleman, Kile Ortigo, Ling Shi, Elizabeth A. Penix, Lisa D. Marceau, Ashley M. Magnavita, Kristina Clarke-Walper, Rebekah Zincavage, James Ambrosoli |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Web analytics 050103 clinical psychology Evidence-based practice 020205 medical informatics Best practice Psychological intervention 02 engineering and technology Web Browser law.invention Interviews as Topic Stress Disorders Post-Traumatic Randomized controlled trial New England law Intervention (counseling) 0202 electrical engineering electronic engineering information engineering Humans Web application 0501 psychology and cognitive sciences Practice Patterns Physicians' Qualitative Research Internet Medical education business.industry 05 social sciences Public Health Environmental and Occupational Health General Medicine Middle Aged Military personnel Evidence-Based Practice Female business Psychology |
| Zdroj: | Military Medicine. 185:286-295 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.1093/milmed/usz313 |
| Popis: | Introduction Web-based interventions hold great promise for the dissemination of best practices to clinicians, and investment in these resources has grown exponentially. Yet, little research exists to understand their impact on intended objectives. Materials & Methods The Post-Traumatic Stress Disorder (PTSD) Clinicians Exchange is a website to support clinicians treating veterans and active duty military personnel with PTSD, evaluated in a randomized controlled trial (N = 605). This manuscript explores how a subset of clinicians, those who utilized the intervention (N = 148), engaged with it by examining detailed individual-level web analytics and qualitative feedback. Stanford University and New England Research Institutes Institutional Review Boards approved this study. Results Only 32.7% of clinicians randomized to the intervention ever accessed the website. The number of pages viewed was positively associated with changes from baseline to 12 months in familiarity (P = 0.03) and perceived benefit of practices (P = 0.02). Thus, engagement with the website did predict an improvement in practice familiarity and benefit outcomes despite low rates of use. Conclusions This study demonstrates the importance of methodologically rigorous evaluations of participant engagement with web-based interventions. These approaches provide insight into who accesses these tools, when, how, and with what results, which can be translated into their strategic design, evaluation, and dissemination. |
| Databáze: | OpenAIRE |
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