Yiji Wang, Xiaohui Zhou
Longitudinal relations between executive function and internalizing problems in grade school: The role of peer difficulty and academic performance
Developmental psychology
utilization evidencebased specialty guidelines low primary care settings early use anklebrachial index abi testing validated wound classification system allows prompt referral patients specialty care implemented program teach providers abi testing use wound ischemia foot infection wifi classification tool report program outcomes provider perceptions physicians nonphysicians wound care centers nursing physician education programs primary care offices federally qualified health centers invited participate educational program teaching abi testing use wifi tool pretest posttest responses intention use content future assessed descriptive statistics total 101 subjects completed abi module 84 indicated occupation 59 physicians 25 nonphysicians seventynine subjects completed wifi module 89 indicated occupation 50 physicians 20 nonphysicians physicians lower pretest knowledge scores abi module nonphysicians mean scores 79 82 respectively groups improved knowledge scores posttest physicians 134 nonphysicians 138 p 001 nonphysicians practice longer 10 years wound care centers lowest baseline knowledge scores whereas physicians practice 10 years highest abi module largest knowledge gap included accurately calculating abi followed correct use doppler management incompressible vessels wifi module providers struggled accurately score patients based wound classification greatest barriers implementation abi testing availability trained personnel followed limited time testing barriers use wifi tool physicians included lack time national guideline support nonphysicians notable barrier lack training provider understanding abi wifi tools limited wound care centers primary care offices federally qualified health centers barriers include lack training use tools limited potential pointofcare testing reimbursement insufficient dissemination wifi guidelines barriers discourage widespread adoption result delayed diagnosis arterial insufficiency