Quantifying use of a health virtual community of practice for general practitioners' continuing professional development : A novel methodology and pilot evaluation

Journal article


Murad, Abdulaziz, Hyde, Natalie, Chang, Shanton, Lederman, Reeva, Bosua, Rachelle, Pirotta, Marie, Audehm, Ralph, Yates, Christopher J., Briggs, Andrew M., Gorelik, Alexandra, Chiang, Cherie and Wark, John D.. (2019). Quantifying use of a health virtual community of practice for general practitioners' continuing professional development : A novel methodology and pilot evaluation. Journal of Medical Internet Research. 21(11), p. e14545. https://doi.org/10.2196/14545
AuthorsMurad, Abdulaziz, Hyde, Natalie, Chang, Shanton, Lederman, Reeva, Bosua, Rachelle, Pirotta, Marie, Audehm, Ralph, Yates, Christopher J., Briggs, Andrew M., Gorelik, Alexandra, Chiang, Cherie and Wark, John D.
Abstract

Background:
Health care practitioners (HPs), in particular general practitioners (GPs), are increasingly adopting Web-based social media platforms for continuing professional development (CPD). As GPs are restricted by time, distance, and demanding workloads, a health virtual community of practice (HVCoP) is an ideal solution to replace face-to-face CPD with Web-based CPD. However, barriers such as time and work schedules may limit participation in an HVCoP. Furthermore, it is difficult to gauge whether GPs engage actively or passively in HVCoP knowledge-acquisition for Web-based CPD, as GPs’ competencies are usually measured with pre- and posttests.

Objective:
This study investigated a method for measuring the engagement features needed for an HVCoP (the Community Fracture Capture [CFC] Learning Hub) for learning and knowledge sharing among GPs for their CPD activity.

Methods:
A prototype CFC Learning Hub was developed using an Igloo Web-based social media software platform and involved a convenience sample of GPs interested in bone health topics. This Hub, a secure Web-based community site, included 2 key components: an online discussion forum and a knowledge repository (the Knowledge Hub). The discussion forum contained anonymized case studies (contributed by GP participants) and topical discussions (topics that were not case studies). Using 2 complementary tools (Google Analytics and Igloo Statistical Tool), we characterized individual participating GPs’ engagement with the Hub. We measured the GP participants’ behavior by quantifying the number of online sessions of the participants, activities undertaken within these online sessions, written posts made per learning topic, and their time spent per topic. We calculated time spent in both active and passive engagement for each topic.

Results:
Seven GPs participated in the CFC Learning Hub HVCoP from September to November 2017. The complementary tools successfully captured the GP participants’ engagement in the Hub. GPs were more active in topics in the discussion forum that had direct clinical application as opposed to didactic, evidence-based discussion topics (ie, topical discussions). From our knowledge hub, About Osteoporosis and Prevention were the most engaging topics, whereas shared decision making was the least active topic.

Conclusions:
We showcased a novel complementary analysis method that allowed us to quantify the CFC Learning Hub’s usage data into (1) sessions, (2) activities, (3) active or passive time spent, and (4) posts made to evaluate the potential engagement features needed for an HVCoP focused on GP participants’ CPD process. Our design and evaluation methods for ongoing use and engagement in this Hub may be useful to evaluate future learning and knowledge-sharing projects for GPs and may allow for extension to other HPs’ environments. However, owing to the limited number of GP participants in this study, we suggest that further research with a larger cohort should be performed to validate and extend these findings.

Keywordsonline systems; online social networking; general practitioners; online learning; continuing education; professional education; evaluation methodology; use-effectiveness; quantitative evaluation; knowledgebases; information sharing
Year2019
JournalJournal of Medical Internet Research
Journal citation21 (11), p. e14545
PublisherJ M I R Publications, Inc.
ISSN1438-8871
Digital Object Identifier (DOI)https://doi.org/10.2196/14545
Scopus EID2-s2.0-85075738526
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-15
FunderNational Health and Medical Research Council
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online27 Nov 2019
Publication process dates
Accepted24 Sep 2019
Deposited10 Jun 2021
Grant IDNHMRC/1132548
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Hakami, Tahir, O'Brien, Terence J., Petty, Sandra J., Sakellarides, Mary, Christie, Jemma J., Kantor, Susan, Todaro, Marian, Gorelik, Alexandra, Seibel, Markus J., Yerra, Raju and Wark, John D.. (2016). Monotherapy with levetiracetam versus older AEDs: A randomized comparative trial of effects on bone health. Calcified Tissue International. 98(6), pp. 556 - 565. https://doi.org/10.1007/s00223-016-0109-7
Carbetocin versus oxytocin to reduce additional uterotonic use at non-elective caesarean section: A double-blind, randomised trial*
Whigham, Carole-Anne, Gorelik, Alexandra, Loughnan, Terrence E. and Trivedi, Amar. (2016). Carbetocin versus oxytocin to reduce additional uterotonic use at non-elective caesarean section: A double-blind, randomised trial*. The Journal of Maternal-Fetal and Neonatal Medicine. 29(23), pp. 3866 - 3869. https://doi.org/10.3109/14767058.2016.1149564
Hurt feelings in women: The interaction of social and individual difference factors
Burchell, Jodie L., Gorelik, Alexandra and Wilkinson, Ross B.. (2016). Hurt feelings in women: The interaction of social and individual difference factors. Journal of Relationships Research. 7(e1), pp. 1 - 14. https://doi.org/10.1017/jrr.2015.12
Changes in balance function with chronic antiepileptic drug therapy: A twin and sibling study
Ahmad, Baemisla Shiek, Wark, John D., Petty, Sandra J., O'Brien, Terence J., Gorelik, Alexandra, Sambrook, Philip N. and Hill, Keith D.. (2015). Changes in balance function with chronic antiepileptic drug therapy: A twin and sibling study. Epilepsia. 56(11), pp. 1714 - 1722. https://doi.org/10.1111/epi.13136
Outcomes in emergency general surgery following the introduction of a consultant-led unit
Shakerian, Rose, Thomson, Benjamin N. J., Gorelik, Alexandra, Hayes, I. P. and Skandarajah, Anita R.. (2015). Outcomes in emergency general surgery following the introduction of a consultant-led unit. British Journal of Surgery. 102(13), pp. 1726 - 1732. https://doi.org/10.1002/bjs.9954
Effect of intestinal resection on quality of life in Crohn's disease
Wright, Emily K., Kamm, Michael A., De Cruz, Peter, Hamilton, Amy L., Ritchie, Kathryn J., Krejany, Efrosinia O., Gorelik, Alexandra, Liew, Danny, Prideaux, Lani, Lawrance, Ian C., Andrews, Jane M., Bampton, Peter A., Sparrow, Miles P., Florin, Timothy H., Gibson, Peter R., Debinski, Henry, Gearry, Richard B., Macrae, Finlay A., Leong, Rupert W., ... Desmond, Paul V.. (2015). Effect of intestinal resection on quality of life in Crohn's disease. Journal of Crohn's and Colitis. 9(6), pp. 452 - 462. https://doi.org/10.1093/ecco-jcc/jjv058
Measurement of fecal calprotectin improves monitoring and detection of recurrence of Crohn's disease after surgery
Wright, Emily K., Kamm, Michael A., De Cruz, Peter, Hamilton, Amy L., Ritchie, Kathryn J., Krejany, Efrosinia O., Leach, Steven, Gorelik, Alexandra, Liew, Danny, Prideaux, Lani, Lawrance, Ian C., Andrews, Jane M., Bampton, Peter A., Jakobovits, Simon L., Florin, Timothy H., Gibson, Peter R., Debinski, Henry, Macrae, Finlay A., Samuel, Douglas, ... Gearry, Richard B.. (2015). Measurement of fecal calprotectin improves monitoring and detection of recurrence of Crohn's disease after surgery. Gastroenterology. 148(5), pp. 938 - 947. https://doi.org/10.1053/j.gastro.2015.01.026
Efficacy of thiopurines and adalimumab in preventing Crohn's disease recurrence in high-risk patients - A POCER study analysis
De Cruz, Peter, Kamm, Michael A., Hamilton, Amy L., Ritchie, Kathryn J., Krejany, E. O., Gorelik, Alexandra, Liew, Danny, Prideaux, Lani, Lawrance, Ian C., Andrews, Jane M., Bampton, Peter A., Jakobovits, Simon L., Florin, Timothy H., Gibson, Peter R., Debinski, Henry, Gearry, Richard B., Macrae, Finlay A., Leong, Rupert W., Kronborg, Ian, ... Desmond, P. V.. (2015). Efficacy of thiopurines and adalimumab in preventing Crohn's disease recurrence in high-risk patients - A POCER study analysis. Alimentary Pharmacology and Therapeutics. 42(7), pp. 867 - 879. https://doi.org/10.1111/apt.13353
Emergency management of gallbladder disease: Are acute surgical units the new gold standard?
Shakerian, Rose, Skandarajah, Anita, Gorelik, Alexandra and Thomson, Benjamin N. J.. (2015). Emergency management of gallbladder disease: Are acute surgical units the new gold standard? World Journal of Surgery. 39(11), pp. 2636 - 2640. https://doi.org/10.1007/s00268-015-3196-0
Crohn's disease management after intestinal resection: A randomised trial
De Cruz, Peter, Kamm, Michael A., Hamilton, Amy L., Ritchie, Kathryn J., Krejany, Efrosinia O., Gorelik, Alexandra, Liew, Danny, Prideaux, Lani, Lawrance, Ian C., Andrews, Jane M., Bampton, Peter A., Gibson, Peter R., Sparrow, Miles P., Leong, Rupert W., Florin, Timothy H., Gearry, Richard B., Radford-Smith, Graham, Macrae, Finlay A., Debinski, Henry, ... Desmond, Paul V.. (2015). Crohn's disease management after intestinal resection: A randomised trial. The Lancet. 385(9976), pp. 1406 - 1417. https://doi.org/10.1016/S0140-6736(14)61908-5
Posterior retroperitoneoscopic adrenalectomy: Outcomes and lessons learned from initial 50 cases
Cabalag, Miguel S., Mann, G. Bruce, Gorelik, Alexandra and Miller, Julie A.. (2015). Posterior retroperitoneoscopic adrenalectomy: Outcomes and lessons learned from initial 50 cases. ANZ Journal of Surgery. 85(6), pp. 478 - 482. https://doi.org/10.1111/ans.12508
Clinical feasibility of interactive motion-controlled games for stroke rehabilitation
Bower, Kelly, Louie, Julie, Landesrocha, Yoesph, Seedy, Paul, Gorelik, Alexandra and Bernhardt, Julie. (2015). Clinical feasibility of interactive motion-controlled games for stroke rehabilitation. Journal of NeuroEngineering and Rehabilitation (online). 12, pp. 1 - 12. https://doi.org/10.1186/s12984-015-0057-x
Physical therapists as primary practitioners in the emergency department: Six-month prospective practice analysis
de Gruchy, Adam, Granger, Catherine L. and Gorelik, Alexandra. (2015). Physical therapists as primary practitioners in the emergency department: Six-month prospective practice analysis. Physical Therapy. 95(9), pp. 1207 - 1216. https://doi.org/10.2522/ptj.20130552
Obesity is associated with retinopathy and macrovascular disease in type 1 diabetes
Price, Sarah A., Gorelik, Alexandra, Fourlanos, Spiros, Colman, Peter G. and Wentworth, John M.. (2014). Obesity is associated with retinopathy and macrovascular disease in type 1 diabetes. Obesity Research and Clinical Practice. 8(2), pp. e178 - e182. https://doi.org/10.1016/j.orcp.2013.03.007
IDH1 mutation is associated with seizures and protoplasmic subtype in patients with low-grade gliomas
Liubinas, Simon V., D'Abaco, Giovanna M., Moffat, Bradford M., Gonzales, Michael, Feleppa, Frank, Nowell, Cameron J., Gorelik, Alexandra, Drummond, Katharine J., O'Brien, Terence J., Kaye, Andrew H. and Morokoff, Andrew P.. (2014). IDH1 mutation is associated with seizures and protoplasmic subtype in patients with low-grade gliomas. Epilepsia. 55(9), pp. 1438 - 1443. https://doi.org/10.1111/epi.12662
Moderated online social therapy : Designing and evaluating technology for mental health
Lederman, Reeva, Wadley, Greg, Gleeson, John, Bendall, Sarah and Alvarez-Jimenez, Mario. (2014). Moderated online social therapy : Designing and evaluating technology for mental health. ACM Transactions on Computer-Human Interaction. 21(1), pp. 1 - 26. https://doi.org/10.1145/2513179
Lifetime risk of total knee replacement and temporal trends in incidence by health care setting, socioeconomic status, and geographic location
Bohensky, Megan A., Ackerman, Ilana, Desteiger, Richard, Gorelik, Alexandra and Brand, Caroline A.. (2014). Lifetime risk of total knee replacement and temporal trends in incidence by health care setting, socioeconomic status, and geographic location. Arthritis Care and Research. 66(3), pp. 424 - 431. https://doi.org/10.1002/acr.22122
Lifetime risk of total hip replacement surgery and temporal trends in utilization: A population-based analysis
Bohensky, Megan A., Ackerman, Ilana, De Steiger, Richard, Gorelik, Alexandra and Brand, Caroline A.. (2014). Lifetime risk of total hip replacement surgery and temporal trends in utilization: A population-based analysis. Arthritis Care and Research. 66(8), pp. 1213 - 1219. https://doi.org/10.1002/acr.22279
Outcomes of ambulatory rehabilitation programmes following botulinum toxin for spas ticity in adults with stroke
Demetrios, Marina, Gorelik, Alexandra, Louie, Julie, Brand, Caroline A., Baguley, Ian J. and Khan, Fary. (2014). Outcomes of ambulatory rehabilitation programmes following botulinum toxin for spas ticity in adults with stroke. Journal of Rehabilitation Medicine. 46(8), pp. 730 - 737. https://doi.org/10.2340/16501977-1842
Drug-induced hepatotoxicity: Incidence of abnormal liver function tests consistent with volatile anaesthetic hepatitis in trauma patients
Lin, Jonathan, Moore, David, Hockey, Brad, Di Lernia, Rachel, Gorelik, Alexandra, Liew, Danny and Nicoll, Amanda J.. (2014). Drug-induced hepatotoxicity: Incidence of abnormal liver function tests consistent with volatile anaesthetic hepatitis in trauma patients. Liver International. 34(4), pp. 576 - 582. https://doi.org/10.1111/liv.12278
Predictors of health care use among patients with or at high risk of atherothrombotic disease: Two-year follow-up data
Ademi, Zanfina, Liew, Danny, Gorelik, Alexandra, Bohensky, Megan A., Zomer, Ella, Hollingsworth, Bruce, Steg, Gabriel, Bhatt, Deepak L. and Reid, Christopher M.. (2014). Predictors of health care use among patients with or at high risk of atherothrombotic disease: Two-year follow-up data. International Journal of Cardiology. 175(1), pp. 72 - 77. https://doi.org/10.1016/j.ijcard.2014.04.230
Long term follow-up after aortic valve replacement (Ross Procedure): Echocardiographic determinants of ventricular recovery
Wilson, William M., Grigg, Leeanne E., Gorelik, Alexandra and Skillington, Peter. (2014). Long term follow-up after aortic valve replacement (Ross Procedure): Echocardiographic determinants of ventricular recovery. Heart, Lung and Circulation. 23(2), pp. 132 - 143. https://doi.org/10.1016/j.hlc.2013.07.008
Geographical variation in incidence of knee arthroscopy for patients with osteoarthritis: A population-based analysis of Victorian hospital separations data
Bohensky, Megan A., Barker, Anna, Morello, Renata Teresa, De Steiger, Richard N., Gorelik, Alexandra and Brand, Caroline A.. (2014). Geographical variation in incidence of knee arthroscopy for patients with osteoarthritis: A population-based analysis of Victorian hospital separations data. Internal Medicine Journal. 44(6), pp. 537 - 545. https://doi.org/10.1111/imj.12438
Safety and privacy outcomes from a moderated online social therapy for young people with first-episode psychosis
Gleeson, John, Lederman, Reeva, Wadley, Greg, Bendall, Sarah, McGorry, Patrick and Alvarez-Jimenez, Mario. (2014). Safety and privacy outcomes from a moderated online social therapy for young people with first-episode psychosis. Psychiatric Services. 65(4), pp. 546 - 550. https://doi.org/10.1176/appi.ps.201300078
Thyroid surgery and anticoagulation: Survey of practice of endocrine surgeons in Australia
Verma, Kunal Pradip, Gorelik, Alexandra and Miller, Julie A.. (2013). Thyroid surgery and anticoagulation: Survey of practice of endocrine surgeons in Australia. World Journal of Endocrine Surgery. 5(1), pp. 6 - 11. https://doi.org/10.5005/jp-journals-10002-1115
Primary angiitis of the central nervous system: Experience of a Victorian tertiary-referral hospital
Oon, S., Roberts, Carol, Gorelik, Alexandra, Wicks, I. and Brand, Caroline A.. (2013). Primary angiitis of the central nervous system: Experience of a Victorian tertiary-referral hospital. Internal Medicine Journal. 43(6), pp. 685 - 692. https://doi.org/10.1111/imj.12038
On the HORYZON : Moderated online social therapy for long-term recovery in first episode psychosis
Alvarez-Jimenez, Mario, Bendall, Sarah, Lederman, Reeva, Wadley, Greg, Chinnery, G, Vargas, S, Larkin, M, Killackey, Eoin, McGorry, Patrick and Gleeson, John. (2013). On the HORYZON : Moderated online social therapy for long-term recovery in first episode psychosis. Schizophrenia Research. https://doi.org/10.1016/j.schres.2012.10.009
Outcomes and excess costs among patients with cardiovascular disease
Ademi, Zanfina, Liew, Danny, Zomer, Ella, Gorelik, Alexandra, Hollingsworth, Bruce, Steg, Philippe Gabriel, Bhatt, Deepak L. and Reid, Christopher M.. (2013). Outcomes and excess costs among patients with cardiovascular disease. Heart, Lung and Circulation. 22(9), pp. 724 - 730. https://doi.org/10.1016/j.hlc.2013.02.002
Epidemiology of hepatitis B-associated hepatocellular carcinoma in Victoria
Sinclair, M., Roberts, S., Kemp, W., Knight, V., Dev, A., Gow, P., Philpott, H., Kronborg, Ian, Arachchi, Niranjan J., Bell, Sally J., Lim, Lucy, Gorelik, Alexandra and Nicoll, Amanda J.. (2013). Epidemiology of hepatitis B-associated hepatocellular carcinoma in Victoria. Internal Medicine Journal. 43(5), pp. 501 - 506. https://doi.org/10.1111/imj.12068
Participatory design of an online therapy for youth mental health
Wadley, Greg, Lederman, Reeva, Gleeson, John and Alvarez-Jimenez, Mario. (2013). Participatory design of an online therapy for youth mental health. 25th Australian Computer-Human Interaction Conference on Augmentation, Application, Innovation, Collaboration. United States: The Association for Computing Machinery. pp. 517 - 526 https://doi.org/10.1145/2541016.2541030
Who, why and when: Stroke care unit patients seen by a palliative care service within a large metropolitan teaching hospital
Eastman, Peter, McCarthy, Gillian, Brand, Caroline A., Weir, Louise, Gorelik, Alexandra and Le, Brian. (2013). Who, why and when: Stroke care unit patients seen by a palliative care service within a large metropolitan teaching hospital. BMJ Supportive and Palliative Care. 3(1), pp. 77 - 83. https://doi.org/10.1136/bmjspcare-2012-000331
Internet-Based Interventions for Psychosis : A Sneak-Peek into the Future
Alvarez-Jimenez, Mario, Gleeson, John, Bendall, Sarah, Lederman, Reeva, Wadley, Greg, Killackey, Eoin and McGorry, Patrick. (2012). Internet-Based Interventions for Psychosis : A Sneak-Peek into the Future. Psychiatric Clinics of North America. 35(3), pp. 735 - 747. https://doi.org/10.1016/j.psc.2012.06.011
Supporting young people with psychosis in the community :An ICT enabled repalse prevention tool
Lederman, Reeva, Wadley, Greg, Gleeson, John, Alvarez-Jimenez, Mario and Spiteri-Staines, Anneliese. (2011). Supporting young people with psychosis in the community :An ICT enabled repalse prevention tool. Pacific Asia Conference on Information Systems 2011. Australia: AIS Electronic Library. pp. 1 - 11
Supporting young people with psychosis in the community: An ICT enabled repalse prevention tool
Lederman, Reeva, Wadley, Greg, Gleeson, John, Alvarez-Jimenez, Mario and Spiteri-Staines, Anneliese. (2011). Supporting young people with psychosis in the community: An ICT enabled repalse prevention tool. Pacific Asia Conference on Information Systems 2011. Australia: AIS Electronic Library. pp. 1 - 11