PDF(Pubmed)
Abstract：
OBJECTIVE: Management of inflammatory bowel disease is constantly evolving, increasing the importance for gastroenterologists to keep up to date with guidelines. Traditional implementation strategies have had only small positive impacts on clinical practice. eHealth strategies such as the European Crohn\'s and Colitis Organisation e-guide may be beneficial for clinician decision making in keeping with guidelines. The aim of this study was to evaluate the feasibility and acceptability of the e-guide.
METHODS: A mixed methods approach was used to evaluate feasibility and acceptability. Cognitive (think-aloud) interviews were conducted with Australian gastroenterologists while using the e-guide. Two clinical scenarios were developed to allow evaluation of various aspects of the e-guide. Content analysis was applied to the qualitative interview data and descriptive analysis to the quantitative and observational data.
RESULTS: Seventeen participants completed the study. Data saturation were reached. The ECCO e-guide was largely feasible and acceptable, as demonstrated by most clinical questions answered correctly, 87% reaching the answer within 3 min, and most feeling it was useful, would be beneficial to their practice and would use it again. Issues raised included difficulties with website navigation, layout of the e-guide and difficulties with access (network firewalls, paid subscription required).
CONCLUSIONS: The ECCO e-guide is largely acceptable and feasible for gastroenterologists to use. Aspects of the e-guide could be modified to improve user experience. This study highlights the importance of engaging end-users in the development and evaluation of clinician educational tools.
METHODS: A mixed methods approach was used to evaluate feasibility and acceptability. Cognitive (think-aloud) interviews were conducted with Australian gastroenterologists while using the e-guide. Two clinical scenarios were developed to allow evaluation of various aspects of the e-guide. Content analysis was applied to the qualitative interview data and descriptive analysis to the quantitative and observational data.
RESULTS: Seventeen participants completed the study. Data saturation were reached. The ECCO e-guide was largely feasible and acceptable, as demonstrated by most clinical questions answered correctly, 87% reaching the answer within 3 min, and most feeling it was useful, would be beneficial to their practice and would use it again. Issues raised included difficulties with website navigation, layout of the e-guide and difficulties with access (network firewalls, paid subscription required).
CONCLUSIONS: The ECCO e-guide is largely acceptable and feasible for gastroenterologists to use. Aspects of the e-guide could be modified to improve user experience. This study highlights the importance of engaging end-users in the development and evaluation of clinician educational tools.
摘要：
目的：炎症性肠病的治疗不断发展，提高胃肠病学家跟上指南的重要性。传统的实施策略对临床实践只有很小的积极影响。欧洲克罗恩和结肠炎组织电子指南等电子健康策略可能有助于临床医生根据指南做出决策。这项研究的目的是评估电子指南的可行性和可接受性。
方法：采用混合方法评估可行性和可接受性。使用电子指南时，对澳大利亚胃肠病学家进行了认知（大声思考）访谈。开发了两种临床方案，以评估电子指南的各个方面。对定性访谈数据采用内容分析，对定量和观察性数据采用描述性分析。
结果：17名参与者完成了研究。达到数据饱和。ECCO电子指南在很大程度上是可行和可接受的，正如大多数临床问题回答正确所证明的那样，87%在3分钟内达到答案，大多数人觉得它有用，将有利于他们的实践，并会再次使用它。提出的问题包括网站导航方面的困难，电子指南的布局和访问困难(网络防火墙，需要付费订阅)。
结论：胃肠病学家使用ECCO电子指南在很大程度上是可以接受和可行的。可以修改电子指南的各方面以改善用户体验。这项研究强调了让最终用户参与临床医生教育工具的开发和评估的重要性。
方法：采用混合方法评估可行性和可接受性。使用电子指南时，对澳大利亚胃肠病学家进行了认知（大声思考）访谈。开发了两种临床方案，以评估电子指南的各个方面。对定性访谈数据采用内容分析，对定量和观察性数据采用描述性分析。
结果：17名参与者完成了研究。达到数据饱和。ECCO电子指南在很大程度上是可行和可接受的，正如大多数临床问题回答正确所证明的那样，87%在3分钟内达到答案，大多数人觉得它有用，将有利于他们的实践，并会再次使用它。提出的问题包括网站导航方面的困难，电子指南的布局和访问困难(网络防火墙，需要付费订阅)。
结论：胃肠病学家使用ECCO电子指南在很大程度上是可以接受和可行的。可以修改电子指南的各方面以改善用户体验。这项研究强调了让最终用户参与临床医生教育工具的开发和评估的重要性。
