Training primary care professionals in multimorbidity management: Educational assessment of the eMULTIPAP course
•eMULTIPAP Training of health professionals in MM/PM improves their motivation and clinical actions.•The proposed curriculum content on MM/PM allows applying the Ariadne principles in Primary Care.•Training should allow each one to integrate the new knowledge with the previous one, and interact with...
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Veröffentlicht in: | Mechanisms of ageing and development 2020-12, Vol.192, p.111354-111354, Article 111354 |
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creator | Leiva-Fernández, Francisca Prados-Torres, Juan Daniel Prados-Torres, Alexandra del-Cura-González, Isabel Castillo-Jimena, Marcos López-Rodríguez, Juan Antonio Rogero-Blanco, Maria Eloísa Lozano-Hernández, Cristina M López-Verde, Fernando Bujalance-Zafra, María José Pico-Soler, Maria Victoria Gimeno-Feliu, Luis Andrés Poblador-Plou, Beatriz Martinez-Cañavate, María Teresa Muth, Christiane |
description | •eMULTIPAP Training of health professionals in MM/PM improves their motivation and clinical actions.•The proposed curriculum content on MM/PM allows applying the Ariadne principles in Primary Care.•Training should allow each one to integrate the new knowledge with the previous one, and interact with other learners.•Training should be carried out through accessible, reusable, interactive, interoperable learning objects that allow aggregation by the student.•Training must be evaluated by a structured procedure, to know the learning obtained and its applicability in the workplace.
Multimorbidity (MM) is a widespread problem and it poses unsolved issues like the healthcare professionals’ training. A training curriculum has been proposed, but it has not been sufficiently explored in a clinical context. The eMULTIPAP course is part of the MULTIPAP complex intervention, applied through a pragmatic controlled, cluster randomized clinical trial to general practitioners (GP) and his/her patients with MM with 12 months follow-up. The eMULTIPAP course is based on problem-based learning, constructivism and Ariadne principles. It has been assessed according to the Kirkpatrick model and has shown knowledge improvement and high applicability of learning with more motivation to consider MM in the clinical practice. It has also improved the Medication Appropriateness Index at 6-months and at 12- months. We conclude that the eMULTIPAP course generates significant changes in GP’s learning, enhancing clinical practice in multimorbidity scenarios. |
doi_str_mv | 10.1016/j.mad.2020.111354 |
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Multimorbidity (MM) is a widespread problem and it poses unsolved issues like the healthcare professionals’ training. A training curriculum has been proposed, but it has not been sufficiently explored in a clinical context. The eMULTIPAP course is part of the MULTIPAP complex intervention, applied through a pragmatic controlled, cluster randomized clinical trial to general practitioners (GP) and his/her patients with MM with 12 months follow-up. The eMULTIPAP course is based on problem-based learning, constructivism and Ariadne principles. It has been assessed according to the Kirkpatrick model and has shown knowledge improvement and high applicability of learning with more motivation to consider MM in the clinical practice. It has also improved the Medication Appropriateness Index at 6-months and at 12- months. We conclude that the eMULTIPAP course generates significant changes in GP’s learning, enhancing clinical practice in multimorbidity scenarios.</description><identifier>ISSN: 0047-6374</identifier><identifier>EISSN: 1872-6216</identifier><identifier>DOI: 10.1016/j.mad.2020.111354</identifier><identifier>PMID: 32946885</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Educational measurement ; Inappropriate prescribing ; Medical education ; Multimorbidity ; Polypharmacy ; Primary health care ; Problem-based learning</subject><ispartof>Mechanisms of ageing and development, 2020-12, Vol.192, p.111354-111354, Article 111354</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-c14641f2c5f366539b61a27fee281841eb54fc3dea6be19b418e8d03e4c4c61e3</citedby><cites>FETCH-LOGICAL-c353t-c14641f2c5f366539b61a27fee281841eb54fc3dea6be19b418e8d03e4c4c61e3</cites><orcidid>0000-0002-7906-8707 ; 0000-0002-8732-6120 ; 0000-0002-4985-2314 ; 0000-0002-5119-5093 ; 0000-0001-6919-4817 ; 0000-0002-5704-6056 ; 0000-0001-8987-182X ; 0000-0001-5204-7781</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0047637420301500$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32946885$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leiva-Fernández, Francisca</creatorcontrib><creatorcontrib>Prados-Torres, Juan Daniel</creatorcontrib><creatorcontrib>Prados-Torres, Alexandra</creatorcontrib><creatorcontrib>del-Cura-González, Isabel</creatorcontrib><creatorcontrib>Castillo-Jimena, Marcos</creatorcontrib><creatorcontrib>López-Rodríguez, Juan Antonio</creatorcontrib><creatorcontrib>Rogero-Blanco, Maria Eloísa</creatorcontrib><creatorcontrib>Lozano-Hernández, Cristina M</creatorcontrib><creatorcontrib>López-Verde, Fernando</creatorcontrib><creatorcontrib>Bujalance-Zafra, María José</creatorcontrib><creatorcontrib>Pico-Soler, Maria Victoria</creatorcontrib><creatorcontrib>Gimeno-Feliu, Luis Andrés</creatorcontrib><creatorcontrib>Poblador-Plou, Beatriz</creatorcontrib><creatorcontrib>Martinez-Cañavate, María Teresa</creatorcontrib><creatorcontrib>Muth, Christiane</creatorcontrib><creatorcontrib>MULTIPAP Group</creatorcontrib><title>Training primary care professionals in multimorbidity management: Educational assessment of the eMULTIPAP course</title><title>Mechanisms of ageing and development</title><addtitle>Mech Ageing Dev</addtitle><description>•eMULTIPAP Training of health professionals in MM/PM improves their motivation and clinical actions.•The proposed curriculum content on MM/PM allows applying the Ariadne principles in Primary Care.•Training should allow each one to integrate the new knowledge with the previous one, and interact with other learners.•Training should be carried out through accessible, reusable, interactive, interoperable learning objects that allow aggregation by the student.•Training must be evaluated by a structured procedure, to know the learning obtained and its applicability in the workplace.
Multimorbidity (MM) is a widespread problem and it poses unsolved issues like the healthcare professionals’ training. A training curriculum has been proposed, but it has not been sufficiently explored in a clinical context. The eMULTIPAP course is part of the MULTIPAP complex intervention, applied through a pragmatic controlled, cluster randomized clinical trial to general practitioners (GP) and his/her patients with MM with 12 months follow-up. The eMULTIPAP course is based on problem-based learning, constructivism and Ariadne principles. It has been assessed according to the Kirkpatrick model and has shown knowledge improvement and high applicability of learning with more motivation to consider MM in the clinical practice. It has also improved the Medication Appropriateness Index at 6-months and at 12- months. We conclude that the eMULTIPAP course generates significant changes in GP’s learning, enhancing clinical practice in multimorbidity scenarios.</description><subject>Educational measurement</subject><subject>Inappropriate prescribing</subject><subject>Medical education</subject><subject>Multimorbidity</subject><subject>Polypharmacy</subject><subject>Primary health care</subject><subject>Problem-based learning</subject><issn>0047-6374</issn><issn>1872-6216</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kMtOwzAQRS0EouXxAWyQl2xSPLbjpLBCFS-pCBZlbTnOBFzlUewEib_HJYUlq9GMzr3SHELOgM2AgbpczxpTzjjjcQcQqdwjU8gznigOap9MGZNZokQmJ-QohDVjDCRXh2Qi-FyqPE-nZLPyxrWufaMb7xrjv6g1HuPSVRiC61pTB-pa2gx175rOF650_RdtTGvesMG2v6K35WBN_4NSE0KMbe-0q2j_jhSfXperx5ebF2q7wQc8IQdV7MTT3Twmr3e3q8VDsny-f1zcLBMrUtEnFqSSUHGbVkKpVMwLBYZnFSLPIZeARSorK0o0qkCYFxJyzEsmUFppFaA4Jhdjb3zlY8DQ68YFi3VtWuyGoLmUUuSMc4gojKj1XQgeK71zoYHprWi91lG03orWo-iYOd_VD0WD5V_i12wErkcA45OfDr0O1mFrsXQeba_Lzv1T_w1ugo9z</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Leiva-Fernández, Francisca</creator><creator>Prados-Torres, Juan Daniel</creator><creator>Prados-Torres, Alexandra</creator><creator>del-Cura-González, Isabel</creator><creator>Castillo-Jimena, Marcos</creator><creator>López-Rodríguez, Juan Antonio</creator><creator>Rogero-Blanco, Maria Eloísa</creator><creator>Lozano-Hernández, Cristina M</creator><creator>López-Verde, Fernando</creator><creator>Bujalance-Zafra, María José</creator><creator>Pico-Soler, Maria Victoria</creator><creator>Gimeno-Feliu, Luis Andrés</creator><creator>Poblador-Plou, Beatriz</creator><creator>Martinez-Cañavate, María Teresa</creator><creator>Muth, Christiane</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7906-8707</orcidid><orcidid>https://orcid.org/0000-0002-8732-6120</orcidid><orcidid>https://orcid.org/0000-0002-4985-2314</orcidid><orcidid>https://orcid.org/0000-0002-5119-5093</orcidid><orcidid>https://orcid.org/0000-0001-6919-4817</orcidid><orcidid>https://orcid.org/0000-0002-5704-6056</orcidid><orcidid>https://orcid.org/0000-0001-8987-182X</orcidid><orcidid>https://orcid.org/0000-0001-5204-7781</orcidid></search><sort><creationdate>202012</creationdate><title>Training primary care professionals in multimorbidity management: Educational assessment of the eMULTIPAP course</title><author>Leiva-Fernández, Francisca ; 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Multimorbidity (MM) is a widespread problem and it poses unsolved issues like the healthcare professionals’ training. A training curriculum has been proposed, but it has not been sufficiently explored in a clinical context. The eMULTIPAP course is part of the MULTIPAP complex intervention, applied through a pragmatic controlled, cluster randomized clinical trial to general practitioners (GP) and his/her patients with MM with 12 months follow-up. The eMULTIPAP course is based on problem-based learning, constructivism and Ariadne principles. It has been assessed according to the Kirkpatrick model and has shown knowledge improvement and high applicability of learning with more motivation to consider MM in the clinical practice. It has also improved the Medication Appropriateness Index at 6-months and at 12- months. We conclude that the eMULTIPAP course generates significant changes in GP’s learning, enhancing clinical practice in multimorbidity scenarios.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>32946885</pmid><doi>10.1016/j.mad.2020.111354</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7906-8707</orcidid><orcidid>https://orcid.org/0000-0002-8732-6120</orcidid><orcidid>https://orcid.org/0000-0002-4985-2314</orcidid><orcidid>https://orcid.org/0000-0002-5119-5093</orcidid><orcidid>https://orcid.org/0000-0001-6919-4817</orcidid><orcidid>https://orcid.org/0000-0002-5704-6056</orcidid><orcidid>https://orcid.org/0000-0001-8987-182X</orcidid><orcidid>https://orcid.org/0000-0001-5204-7781</orcidid></addata></record> |
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subjects | Educational measurement Inappropriate prescribing Medical education Multimorbidity Polypharmacy Primary health care Problem-based learning |
title | Training primary care professionals in multimorbidity management: Educational assessment of the eMULTIPAP course |
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