Abstract
Introduction: Despite treatment advances in PAH, many patients have difficulty adhering to therapy, resulting in decreased persistence and poor outcomes. We sought to determine if online continuing medical education (CME) could improve the competence and confidence of cardiologists related to strategies to improve treatment adherence in PAH. Methods: This CME intervention comprised of a 15-minute online video-based rapid-fire discussion between 2 expert faculty. A repeated pairs pre-/post-assessment study design was used and McNemar’s test assessed significance (P <.05 is considered significant), with Cohen’s d being used to assess educational impact (.20-.49 a small effect, .50-.79 a moderate effect, and > .80 a large effect). The activity launched October 1, 2020 and data were collected through January 11, 2021. Results: In total, 180 cardiologists were included in the analysis. Overall, there were competence and confidence improvements seen among participants from pre- to post-assessment: • 13% of cardiologists (P<.01) improved at selecting the most appropriate PAH therapy for better adherence for a patient who requires treatment escalation due to intermediate-risk status yet struggles to follow a rigid medication schedule • 27% of cardiologists (P<.001) improved at selecting the most appropriate strategy to manage PAH treatment-related side effects • 36% of cardiologists had a measurable increase in confidence in ability to manage side effects during uptitration of PAH specific therapiesContinued educational gaps:• 61% of cardiologists failed to choose appropriate therapy to improve adherence for an intermediate-risk patient who struggles to follow a rigid medication schedule • 50% of cardiologists failed to select the most appropriate strategy to manage PAH treatment-related side effects Conclusions: This study demonstrates the success of online CME on improving competence and confidence of pulmonologists related to treatment adherence in PAH. Continued gaps were identified for future educational targets.
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