TY - JOUR
T1 - Teaching physicians to address unhealthy alcohol use
T2 - A randomized controlled trial assessing the effect of a Web-based module on medical student performance
AU - Truncali, Andrea
AU - Lee, Joshua D.
AU - Ark, Tavinder K.
AU - Gillespie, Colleen
AU - Triola, Marc
AU - Hanley, Kathleen
AU - Gourevitch, Marc N.
AU - Kalet, Adina L.
N1 - Funding Information:
This study was supported by a Health Resources and Services Administration, Academic Administrative Unit grant D54HP05446. The authors declare no conflict of interests. J.D.L. and M.N.G. receive extramural grants from Cephalon and Alkermes supporting studies of alcohol treatment. This paper has not been published in whole or in part at previous meetings, conferences or in other journals.
PY - 2011/3
Y1 - 2011/3
N2 - Background: The authors developed and evaluated an interactive, Web-based module to train medical students in screening and brief intervention (SBI) for unhealthy alcohol use. Methods: First-year students were randomized to module versus lecture. Change in knowledge, attitudes, and confidence were compared. Performance was assessed by objective structured clinical examination (OSCE) and analyzed by intention to treat and treatment received. Results: Of 141 consenting students, 64% (n = 90) completed an intervention (54% lecture vs. 70% Web assigned). Knowledge, confidence, and attitudes improved in both groups, with more improvement in Advise-Assist knowledge for Web students (14% vs. -3%, p = 003). Web students outperformed their lecture peers in both general communication (65% vs. 51% items well done, p = 004) and alcohol-specific tasks (54% vs. 41%, p = 021) on OSCE. Analysis by treatment received enhanced between-group differences. Conclusion: Use of a Web-based module to teach SBI is associated with greater knowledge gain and skills performance compared with a lecture covering similar content. The module provides an efficient means for training in this area.
AB - Background: The authors developed and evaluated an interactive, Web-based module to train medical students in screening and brief intervention (SBI) for unhealthy alcohol use. Methods: First-year students were randomized to module versus lecture. Change in knowledge, attitudes, and confidence were compared. Performance was assessed by objective structured clinical examination (OSCE) and analyzed by intention to treat and treatment received. Results: Of 141 consenting students, 64% (n = 90) completed an intervention (54% lecture vs. 70% Web assigned). Knowledge, confidence, and attitudes improved in both groups, with more improvement in Advise-Assist knowledge for Web students (14% vs. -3%, p = 003). Web students outperformed their lecture peers in both general communication (65% vs. 51% items well done, p = 004) and alcohol-specific tasks (54% vs. 41%, p = 021) on OSCE. Analysis by treatment received enhanced between-group differences. Conclusion: Use of a Web-based module to teach SBI is associated with greater knowledge gain and skills performance compared with a lecture covering similar content. The module provides an efficient means for training in this area.
KW - Alcohol use disorders
KW - Alcoholism multimedia
KW - Internet
KW - Medical education
KW - Screening and brief intervention (SBI)
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U2 - 10.1016/j.jsat.2010.09.002
DO - 10.1016/j.jsat.2010.09.002
M3 - Article
C2 - 21094015
AN - SCOPUS:78751704919
SN - 0740-5472
VL - 40
SP - 203
EP - 213
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 2
ER -