Effect of Online CME on Improving ADHD Management: From Younger to Older Adults
This poster was presented at the 30th annual Psych Congress, held Sept. 16-19, 2017, in New Orleans, Louisiana.
Objective: To determine effect of continuing medical education (CME) on physicians' management of ADHD.
Methods: Two CME activities were published online: a text-based case-challenge on management of adults less than 50 years of age launched July 21st, 2016 with data collected until August 29th, 2016; and, a 30-minute video discussion regarding adults over 50, launched March 25th, 2017 with data collected until May 2, 2017. Effects of CME on knowledge/competence/confidence were assessed using repeated-question pairs pre- to post-assessment design where individual participants were his/her own control. For all questions combined, McNemar's chi-square test assessed difference from pre- to post-assessment with P<.05 considered statistically significant. Effect size was calculated using Cramer's V by determining change in proportion of participants who answered questions correctly from pre- to post- assessment.
Results: 969 psychiatrists and 276 primary care physicians (PCPs) completed all questions for adults under 50, with statistically significant improvements of: 10% relative improvement for psychiatrists and 14% for PCPs in selection of suitable patient assessment scales, 33% relative improvement for psychiatrists and 36% for PCPs in recognition of appropriate treatment recommendations for long-acting stimulants in adults. 861 psychiatrists and 237 PCPs completed all questions for adults over 50, with statistically significant improvements of: 20% relative improvement for psychiatrists and 24% for PCPs in differentiating symptoms of ADHD from other conditions. 45% of psychiatrists and 46% of PCPs reported greater confidence in ADHD management post-CME.
Conclusions: Online CME can improve physicians' knowledge/competence/confidence in management of ADHD in adults and the elderly.
