243838 Evaluating the effectiveness of genetics education for primary care prenatal providers

Wednesday, November 2, 2011: 1:10 PM

Emily Edelman, MS, CGC , National Coalition for Health Professional Education in Genetics, Lutherville, MD
Teresa Doksum, PhD , Cambridge Health Alliance, Center for Multicultural Mental Health Research, Somerville, MA
Bruce Lin, MPH , Office of the Medical Director, March of Dimes Foundation, White Plains, NY
Siobhan M. Dolan, MD, MPH , Obstetrics/Gynecology, Montefiore Medical Center, Bronx, NY
Kevin Hughes, MD , Avon Comprehensive Breast Evaluation Center, Partners Healthcare, Boston, MA
Brian Drohan, PhD , Surgery, Partners Healthcare, Boston, MA
Vaughn T. Edelson , Genetic Alliance, Washington, DC
James C. O'Leary, BS , Genetic Alliance, Washington, DC, DC
Alaina Harris, MSW, MPH , MCHB/DSCSHN/Genetic Services Branch, Heath Resources and Services Administration, Rockville, MD
Michele Puryear, MD, PhD , Genetics Services Branch, MCHB, HRSA/DHHS, Rockville, MD
Joan Scott, MS, CGG , NCHPEG, Lutherville, MD
An understanding of the most effective ways to educate different audiences and determining appropriate outcomes and measures are essential to the successful implementation of genetic medicine into clinical practice. We designed a multi-modal evaluation to assess patient, provider, and process outcomes for the “Pregnancy and Health Profile,” a tablet PC-based tool that collects family health history (FHH) plus pregnancy risk factor information and generates, through clinical decision support, qualitative risk assessment messages and point-of-care educational material for prenatal providers. We reviewed 1) practice guidelines that recommend risk assessment using FHH for specific diseases and 2) published evaluation methods and outcomes from the literature on FHH tools. Prenatal providers and genetics experts defined the evaluation outcomes for the project. These outcomes include provider satisfaction, knowledge, and behavior related to FHH risk assessment; patient satisfaction, and the impact of implementation on the clinic system. Obstetricians, family physicians, nurse midwives, and office staff will participate in a 6-month implementation trial to integrate the “Pregnancy and Health Profile,” into clinical care for all patients presenting for the first prenatal visit. Evaluation methodology includes pre and post knowledge surveys for providers, pre and post chart audits to assess FHH risk assessment, patient satisfaction surveys, and interviews with clinic administrators. Through implementation and evaluation of the “Pregnancy and Health Profile” in diverse patient and provider populations, we will determine the effectiveness and feasibility of integrating an electronic FHH screening tool into prenatal care.

Learning Areas:
Clinical medicine applied in public health
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Public health or related education

Learning Objectives:
(1) Describe the challenges and strategies for success in designing an effective evaluation plan for genetics education programs (2) Identify the key features of the “Pregnancy and Health Profile” and its evaluation

Keywords: Education, Genetics

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am project director for the program described in the presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.