@Article{信息:doi 10.2196 / / jmir.5.3。e20，作者=“Casebeer, Linda L和Strasser, Sheryl M和Spettell, Claire M和Wall, Terry C和Weissman, Norman和Ray, Midge N和Allison, Jeroan J”，标题=“设计定制的基于web的教学以提高执业医师的预防实践”，期刊=“J医学互联网研究”，年=“2003”，月=“9”，日=“24”，卷=“5”，数=“3”，页=“e20”，关键词=“互联网;万维网;在线;继续医学教育;持续保健教育;教育理论;认知理论;网站设计;背景:万维网导致了医疗信息和持续的医学教育产品的快速增长。 Ease of access and availability at any time are advantages of the World Wide Web. Existing physician-education sites have often been designed and developed without systematic application of evidence and cognitive-educational theories; little rigorous evaluation has been conducted to determine which design factors are most effective in facilitating improvements in physician performance and patient-health outcomes that might occur as a result of physician participation in Web-based education. Theory and evidence-based Web design principles include the use of: needs assessment, multimodal strategies, interactivity, clinical cases, tailoring, credible evidence-based content, audit and feedback, and patient-education materials. Ease of use and design to support the lowest common technology denominator are also important. Objective: Using these principles, design and develop a Web site including multimodal strategies for improving chlamydial-screening rates among primary care physicians. Methods: We used office-practice data in needs assessment and as an audit/feedback tool. In the intervention introduced in 4 phases over 11 months, we provided a series of interactive, tailored, case vignettes with feedback on peer answers. We included a quality-improvement toolbox including clinical practice guidelines and printable patient education materials. Results: In the formative evaluation of the first 2 chlamydia modules, data regarding the recruitment, enrollment, participation, and reminders have been examined. Preliminary evaluation data from a randomized, controlled trial has tested the effectiveness of this intervention in improving chlamydia screening rates with a significant increase in intervention physicians' chlamydia knowledge, attitude, and skills compared to those of a control group. Conclusions: The application of theory in the development and evaluation of a Web-based continuing medical education intervention offers valuable insight into World Wide Web technology's influence on physician performance and the quality of medical care. ", issn="1438-8871", doi="10.2196/jmir.5.3.e20", url="//www.mybigtv.com/2003/3/e20/", url="https://doi.org/10.2196/jmir.5.3.e20", url="http://www.ncbi.nlm.nih.gov/pubmed/14517111" }