Dynia: combining script concordance testing, virtual patients, and webinars to assess knowledge translation in chronic pain

May 20, 2014 9:45 - 11:15am

David Topps, MBChB,  Ashi Mehta, MD,  Heather Armson, MD,  Eloise Carr, PhD,  Paul Taenzer, PhD 
University of Calgary

Background: Clinical practice guidelines (CPGs) have not shown strong uptake. Strategies to enhance update are difficult to assess. Combining Webinars, online forums and virtual patients and integrating script concordance testing (SCT) as both needs assessment and outcome measure helps to overcome some of these issues. Summary of work: We used a combination of webinars, forums and virtual patients incorporating a script-concordance approach to test behaviour change in experienced clinicians. Participants tackled virtual patients before, during and after webinar sessions on chronic pain CPGs. Summary of results: Clinicians found this approach more relevant to practice, than the best-of-five MCQ style. Real-time reports of decision pathways with simple graphics helped but were not sufficient for detailed analysis. Comparative metrics was difficult with standard SQL based analytics. Linking to other systems using IMS-LTI and TinCan xAPI is showing greater promise for analyzing our clinicians’ activities and decision pathways. Conclusions: Blending webinars and virtual patients enhances learner engagement and enriches case discussions. An SCT approach fits better with how experienced clinicians like to be challenged, if placed within a realistic clinical context. Using a variety of analytic tools improves understanding of their decision pathways