Improving clinician self-efficacy does not increase asthma guideline use by primary care clinicians.

ABSTRACT:

Objective

The purpose of this study was to show the association between changes in clinician self-efficacy and readiness to change and implementation of an asthma management program (Easy Breathing).

Methods

A 36 month randomized, controlled trial was conducted involving 24 pediatric practices (88 clinicians). Randomized clinicians received interventions designed to enhance clinician self-efficacy and readiness to change which were measured at baseline and 3 years. Interventions consisted of an educational toolbox, seminars, teleconferences, mini-fellowships, opinion leader visits, clinician-specific feedback, and pay for performance. The primary outcome was program utilization (number of children enrolled in Easy Breathing/year); secondary outcomes included development of a

SUBMITTER: Cloutier MM 

PROVIDER: S-EPMC3398244 | biostudies-literature | 2012 Jul-Aug

REPOSITORIES: biostudies-literature