ArticleA Virtual Childhood Obesity Collaborative: Satisfaction With Online Continuing Education
Section snippets
Conceptual Framework: Health Disparities Collaborative and CCM
The framework that guides this study is the Health Disparities Collaborative, which incorporates the CCM (Figure 1). This approach to care is an innovative, data-driven, public health partnership that has improved care for chronic diseases through improved health care delivery systems emphasizing the use of computer information systems and implementation of evidence-based practice (Martin, Larsen, Shea, Hutchins, & Alfaro-Correa, 2007). The CCM is a synthesis of evidence-based system changes to
Study Design
The study consisted of the examination of survey results pertaining to provider satisfaction with Web-based continuing education regarding the obesity guidelines. Recruitment of a geographically diverse sample from a nationally representative group of providers was facilitated by partnerships with the National Assembly of School-based Health Centers (now the School-based Healthcare Alliance) and the National Association of Pediatric Nurse Practitioners. Electronic flyers were sent to providers
Sample Demographics
Of the 24 SBHCs in 6 states, a total of 36 participants took part in the virtual childhood obesity collaborative. Participants were from Arizona (n = 4), Colorado (n = 6), New Mexico (n = 6), Michigan (n = 6), New York (n = 8), and North Carolina (n = 6). All but one of the participants was female. Participants included nurse practitioners (n = 21, 58.3%), medical doctors (n = 6, 16.6%), physician assistants (n = 5, 13.9%), registered nurses (n = 2, 5.6%), one health educator (2.8%), and one
Discussion
The learning collaborative model for QI developed by the Institute for Healthcare Improvement to increase clinician adherence to guidelines and engage in QI processes has established positive outcomes for in-person training (Bordley et al., 2001, Institute for Healthcare Improvement, 2004, Margolis et al., 2004, Wilson et al., 2003). Providers, including nurses and nurse practitioners, could implement the findings of this study by starting with a baseline chart audit in their practice and using
Conclusion
This study demonstrates that developing a virtual childhood obesity collaborative is feasible for SBHC providers in a variety of geographic settings who work with at-risk youth, but participation varied by module. Usability of the Web-based training influenced participation. When additional steps were required to access the advocacy module through NICHQ, participation dropped significantly. Additionally, when participants were unfamiliar with activities (i.e., creating a virtual poster), they
Bonnie Gance-Cleveland, Loretta C. Ford Endowed Chair, College of Nursing, University of Colorado, Aurora, CO.
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Cited by (0)
Bonnie Gance-Cleveland, Loretta C. Ford Endowed Chair, College of Nursing, University of Colorado, Aurora, CO.
Heather Aldrich, Professional Research Coordinator, College of Nursing, University of Colorado, Aurora, CO.
Danielle Dandreaux, Program Director, Center for Improving Health Outcomes in Children, Teens, and Families, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ.
Keri Bolton Oetzel, Independent Consultant, Raglan, New Zealand.
Sarah Schmiege, Assistant Research Professor, Department of Biostatistics and Informatics, University of Colorado, Aurora, CO.
This project was supported by grant number R18HS018646 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality.
Conflicts of interest: None to report.