Background: Over half of people living with HIV are over 50 years of age. Clinicians must balance HIV care with the management of age-related comorbidities such as, cardiovascular disease, diabetes, liver and kidney disease, and cancer.
Methods: To improve HIV/ID specialists ability to develop a comprehensive care strategy for aging men and women living with HIV, a CME/CE/CPE-certified educational intervention comprising 2 patient case scenarios was developed. It launched on a website dedicated to continuous professional development on 3/23/18. The interactive, text-based, test and teach approach elicited cognitive dissonance; clinicians were presented with multiple-choice questions to evaluate their application of evidence-based recommendations. Each response was followed by detailed, referenced, feedback to teach.
Educational effectiveness was assessed with a repeated-pairs pre-/post-assessment study design, in which each individual served as his/her own control. Responses to 3 multiple-choice, knowledge questions and 1 self-efficacy confidence question were evaluated. A chi-squared test assessed changes pre- to post-assessment. P values <0.05 are statistically significant. Effect sizes were evaluated using Cramer's V (<0.05 modest; 0.06-0.15 noticeable effect; 0.16-0.26 considerable effect; >0.26 extensive effect). Data were collected through 4/27/18.
Results: 4130 HCPs, including 795 physicians, participated in the activity. Data from HIV/ID specialists (n=76) who answered all pre-/post-assessment questions during the study period were analyzed. Significant improvements were observed overall (P<.0001; V=.496) and in several specific areas of assessment (Figure). Following activity participation, the % of ID specialists who answered all assessment questions correctly increased dramatically: 9% (pre) vs 88% (post). Additionally, 77% of HIV/ID specialists indicated a commitment to incorporate one or more changes into practice.
Conclusion: Participation in this online, interactive, case-based educational intervention significantly improved ID specialists ability to care for aging patients living with HIV. These findings highlight the positive impact of well-designed online education.
Independent Medical Education