TY - JOUR
T1 - Development and implementation of a continuing medical education program on non-alcoholic fatty liver disease for primary care practitioners in Europe
AU - Papadakis, S.
AU - Anastasaki, M.
AU - Gergianaki, I.
AU - Koek, G.
AU - Mendive, J.
AU - Anastasiou, F.
AU - Heyens, L.
AU - Garcia-Retortillo, M.
AU - Muris, J.
AU - Lionis, C.
N1 - Funding Information:
The co-authors would like to acknowledge the members of the Expert Advisory Panel including Foteini Anastasiou, Llorenç Caballeria, Montserrat Garcia Retortillo, Ger Koek, Christos Lionis, Spilios Manolakopoulos, Juan Mendive, Jean Muris, Phil Newsome, George Papatheodoridis, Rachel Pryke, and Michael Roden. A special thanks to Jerry Budden secretariat officer from the ESPCG for his role in the production of the e-learning.
Funding Information:
This study was funded by an unrestricted research grant from Gilead Science Inc. (NASH Models of Care grant number IN-EU-989-5753). The study funders had no role in any aspect of study design, conduction, data analysis, interpretation of results, and reporting.
Publisher Copyright:
Copyright © 2023 Papadakis, Anastasaki, Gergianaki, Koek, Mendive, Anastasiou, Heyens, Garcia-Retortillo, Muris and Lionis.
PY - 2023/3/23
Y1 - 2023/3/23
N2 - Background: Primary care has a crucial role to play in the prevention, early detection, referral, and risk factor management of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis (NAFLD/NASH). In 2021, a team of European collaborators developed a continuing medical education (CME) program on NAFLD/NASH that consolidates evidence and clinical best practices tailored to the primary care setting. This article reports on the methodology used to design and develop the CME and the results of a feasibility study.Methods: An expert advisory group representing both European specialists and general practitioners supported the design of the CME to be implemented in three European settings (Greece, Spain, and Netherlands). The CME features four training modules and problem-based learning using clinical case studies. The CME was tested regarding feasibility and acceptability among a sample of primary care providers (PCPs) in Greece (n = 28) with measurements occurring before, immediately after, and 1 month following the training. Outcome measures included satisfaction with the CME, changes in PCPs' knowledge, attitudes, confidence, and self-reported clinical practices related to NAFLD/NASH.Results: The CME is available as an open-access e-learning course on the European Society for Primary Care Gastroenterology education platform (1) in English, Greek, Spanish, and Dutch. The feasibility study documented high levels of satisfaction, with 96% of PCPs reporting they were extremely or very satisfied with the overall training. Statistically significant increases in PCPs' confidence in NAFLD/NASH-related clinical practices were documented between the pre- and post-assessments. At the follow-up, 62% of GPs reported that the CME had changed their clinical practices related to NAFLD/NASH to a great extent.Conclusion: This CME intervention developed by experts and tailored to PCPs in European settings may serve as an asset for increasing knowledge, confidence, and practice behaviors related to NAFLD/NASH.
AB - Background: Primary care has a crucial role to play in the prevention, early detection, referral, and risk factor management of non-alcoholic fatty liver disease and non-alcoholic steatohepatitis (NAFLD/NASH). In 2021, a team of European collaborators developed a continuing medical education (CME) program on NAFLD/NASH that consolidates evidence and clinical best practices tailored to the primary care setting. This article reports on the methodology used to design and develop the CME and the results of a feasibility study.Methods: An expert advisory group representing both European specialists and general practitioners supported the design of the CME to be implemented in three European settings (Greece, Spain, and Netherlands). The CME features four training modules and problem-based learning using clinical case studies. The CME was tested regarding feasibility and acceptability among a sample of primary care providers (PCPs) in Greece (n = 28) with measurements occurring before, immediately after, and 1 month following the training. Outcome measures included satisfaction with the CME, changes in PCPs' knowledge, attitudes, confidence, and self-reported clinical practices related to NAFLD/NASH.Results: The CME is available as an open-access e-learning course on the European Society for Primary Care Gastroenterology education platform (1) in English, Greek, Spanish, and Dutch. The feasibility study documented high levels of satisfaction, with 96% of PCPs reporting they were extremely or very satisfied with the overall training. Statistically significant increases in PCPs' confidence in NAFLD/NASH-related clinical practices were documented between the pre- and post-assessments. At the follow-up, 62% of GPs reported that the CME had changed their clinical practices related to NAFLD/NASH to a great extent.Conclusion: This CME intervention developed by experts and tailored to PCPs in European settings may serve as an asset for increasing knowledge, confidence, and practice behaviors related to NAFLD/NASH.
KW - non-alcoholic fatty liver disease
KW - training
KW - primary care
KW - Europe
KW - Greece
KW - STEATOHEPATITIS
KW - COMPLICATIONS
KW - EPIDEMIOLOGY
KW - COMMISSION
KW - MANAGEMENT
KW - OBESITY
U2 - 10.3389/fmed.2023.1034626
DO - 10.3389/fmed.2023.1034626
M3 - Article
C2 - 37035308
SN - 2296-858X
VL - 10
JO - Frontiers in medicine
JF - Frontiers in medicine
IS - 1
M1 - 1034626
ER -