Form #2 Form #2 AHRQ Online Continuing Education Participant Evalua

This document includes all of the outcomes assessment questions for which we are seeking OMB approval in Attachment B. However, we will not necessarily use all OMB-approved questions in every CE program.

Attachment C – AHRQ Online Continuing Education Participant Evaluation

Form Approved
OMB No. 0935-XXXX
Exp. Date XX/XX/20XX

Dear [insert participant’s name here]:

Approximately [60 days/6 months/1 year] ago, you participated in a continuing education (CE) activity, titled “[insert comparative effectiveness research program title here].” The activity was sponsored by the Agency for Healthcare Research and Quality (AHRQ). AHRQ is strongly committed to improving health care for all Americans through its comparative effectiveness research programs. To succeed in this mission, AHRQ relies greatly on feedback from health care providers. Please take a few minutes to answer the following questions about your awareness and value of comparative effectiveness research in the time span since you completed the CE activity.

1. How would you describe your current level of confidence in applying comparative effectiveness research to your practice?

Low Confidence 1 2 3 4 5 High Confidence

2. How would you describe your current level of confidence in applying comparative effectiveness research on [insert specific CER topic here]?

Low Confidence 1 2 3 4 5 High Confidence

3. How would you describe your current understanding of potential applications of comparative effectiveness research?

Low Understanding 1 2 3 4 5 High Understanding

4. How would you describe your current understanding of potential applications of comparative effectiveness research on [insert specific CER topic here]?

Low Understanding 1 2 3 4 5 High Understanding

5. How valuable is comparative effectiveness research in making patient-centered treatment and management decisions?

Not Valuable 1 2 3 4 5 Extremely Valuable

6. How valuable is comparative effectiveness research on [insert specific CER topic here] in making patient-centered treatment and management decisions?

Not Valuable 1 2 3 4 5 Extremely Valuable

7. How valuable is comparative effectiveness research for educating patients about treatment and management options?

Not Valuable 1 2 3 4 5 Extremely Valuable

8. To what extent has the educational activity on [insert topic here] improved your ability to compare the effectiveness of treatment and management alternatives for patients?

No Improvement 1 2 3 4 5 Major Improvement

9. To what extent has the educational activity on [insert topic here] improved your ability to educate and counsel patients about the comparative effectiveness of treatment and management alternatives?

No Improvement 1 2 3 4 5 Major Improvement

10. To what extent has the educational activity on [insert topic here] improved your ability to make evidence-based decisions about the therapies that should be made available to patients?

No Improvement 1 2 3 4 5 Major Improvement

11. After completing the educational activity on [insert topic here] approximately [60 days/6 months/1 year] ago, you indicated intentions to make the following change(s) in your practice: [from database, insert learner-specific intentions to change practice].

To what extent have you implemented these changes?

No Implementation 1 2 3 4 5 Extensive Implementation

12. Have you downloaded or ordered the AHRQ clinician summary guide of the comparative effectiveness research on [insert topic here] in the time since you completed the educational activity?

Yes No

[If yes] Please check all that apply:

I have used the clinician guide to assist in treatment and management decisions I make with my patients.

I have used the clinician guide to raise my awareness of available treatment/management options.

I have shared the clinician guide with other health care clinicians.

I have reviewed the guide but did not find it useful in my practice.

Other: [provide open-ended answer]

[If no] Please check all that apply:

I need more information on the clinician summary guide before making a decision about its use with my patients.

I would like to access the consumer summary guide now. [Link provided to the AHRQ Clearinghouse to order guides.]

13. Have you downloaded or ordered the AHRQ consumer (patient) summary guide of the comparative effectiveness research on [insert topic here] in the time since you completed the educational activity?

Yes No

[If yes] Please check all that apply:

I have shared the consumer summary guide with patients.

I have shared the consumer summary guide with other health care clinicians.

I have discussed information contained in the summary guide with patients.

I have reviewed the guide but did not find it useful in my practice.

Other: [provide open-ended answer]

[If no] Please check all that apply:

I need more information on the consumer summary guide before making a decision about its use with my patients.

I would like to access the consumer summary guide now. [Link provided to the AHRQ Clearinghouse to order guides.]

14. Have you been using the comparative effectiveness research on [insert topic here] to guide you in making treatment and management decisions with your patients?

Yes No

[If yes] How are you using the research in your treatment and management decisions? Check all that apply.

Reviewing the literature and data to explain treatment options to patients

Using the clinician guide to support decisions made in ongoing patient care

Using the consumer guide as a tool in patient education

Other: [provide open-ended answer]

[If no] What is(are) the reason(s) you are not using the information? Check all that apply.

The data is inconclusive or insufficient to guide me in patient-centered treatment and management decisions

The information is not relevant to my current area of practice

I do not have time to access/refer to the information

I do not remember to access/refer to the information

Other: [provide open-ended answer]

15. For how many of your patients do you provide [insert a specific treatment or management strategy that the comparative effective research report supports]?

None

<10%

10% - 30%

31% - 50%

51% - 70%

71% - 90%

>90%

16. As a result of the knowledge you acquired through the educational activity on [insert topic here], what new actions have you taken in your treatment or management of patients?

• Taking a more active role in reviewing and understanding available research and literature on treatment and management options for patients

• Promoting a more patient-centered approach to treatment and management through shared decision-making

• Perusing other educational opportunities to further learn about comparative effectiveness and its role in clinical decision-making

• Other

This information is being collected to assist in determining the impact and application of the CE activity to the health care professional’s practice setting. Your responses will be kept confidential to the extent permitted by law, including AHRQ’s confidentiality statute, 42 USC 299c-3(c). Any identifiable information about you will not be used or disclosed for any other purpose.

Public reporting burden for this collection of information is estimated to average 3 minutes per response, the estimated time required to complete the survey. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-XXXX) AHRQ, 540 Gaither Road, Room # 5036, Rockville, MD 20850.

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