Leandro Arthur Diehl|Rodrigo Martins de Souza|Pedro Alejandro Gordan|Roberto Zonato Esteves|Izabel Cristina Meister Martins Coelho
InsuOnline, an Electronic Game for Medical Education on Insulin Therapy: A Randomized Controlled Trial With Primary Care Physicians
Universidade Estadual de Londrina|Universidade Estadual de Londrina|Universidade Estadual de Maringá
patients diabetes mellitus dm followed primary care physicians often lack knowledge confidence prescribe insulin properly contributes clinical inertia poor glycemic control effectiveness traditional continuing medical education cme solve limited new approaches required electronic games good option effective easily disseminatedthe objective study assess applicability user acceptance educational effectiveness insuonline electronic serious game medical education insulin therapy dm compared traditional cme activityprimary care physicians pcps south brazil invited phone email participate unblinded randomized controlled trial randomly allocated play game insuonline installed app computers time choice minimal external guidance participate traditional cme session composed onsite lectures cases discussion interventions content duration 4 h applicability assessed number subjects completed assigned intervention group insulinprescribing competence factual knowledge problemsolving skills attitudes selfassessed questionnaire applied immediately 3 months interventions acceptance intervention satisfaction perceived importance clinical practice also assessed immediately 3 months interventions respectivelysubjects characteristics similar groups mean age 38 514 69134 male game group 69 88 78 completed intervention compared 65 73 89 control group difference applicability percentage right answers competence subscale 52 baseline groups significantly improved immediately interventions 92 game group 85 control p001 3 months remained significantly higher baseline groups 80 game 76 control p001 absolute increase competence score better game 40 traditional cme 34 p01 insulinrelated attitudes improved game significant improvement 4 9 items control activity 3 9 interventions well accepted subjects rating fun pleasant useful practicechangingthe game insuonline applicable well accepted highly effective medical education insulin therapy view flexibility easy dissemination valid option largescale cme potentially helping reduce clinical inertia improve quality care dm patientsclinicaltrialsgov nct001759953 httpsclinicaltrialsgovct2shownct01759953 archived webcite httpwwwwebcitationorg6oehotrbf