Providers' experiences with a melanoma web-based course: A discussion on barriers and intentions Journal Article


Authors: Jiang, A. J.; Eide, M. J.; Alexander, G. L.; Altschuler, A.; Asgari, M. M.; Geller, A. C.; Fletcher, S. W.; Halpern, A. C.; Weinstock, M. A.
Article Title: Providers' experiences with a melanoma web-based course: A discussion on barriers and intentions
Abstract: Primary care visits provide an opportunity for skin examinations with the potential to reduce melanoma mortality. The INFORMED (INternet curriculum FOR Melanoma Early Detection) Group developed a Web-based curriculum to improve primary care providers’ (PCPs’) skin cancer detection skills. This study details feedback obtained from participant focus groups, including the feasibility of implementing in other PCP practices. Practicing PCPs at Henry Ford Health System and Kaiser Permanente Northern California completed the curriculum. Feedback sessions were conducted with standardized questions focusing on four domains: (1) overall impressions of the curriculum, (2) recommendations for improvement, (3) current skin examination practices, and (4) suggestions for increasing skin screening by PCPs. Discussions at each site were audio recorded, transcribed verbatim, and de-identified. Providers (N = 54) had a positive impression of the Web-based curriculum, with suggestions to provide offline teaching aids and request assistance. Despite having improved confidence in diagnosing malignant lesions, many providers felt a lack of confidence in performing the screening and time constraints affected their current practices, as did institutional constraints. Providers intended to increase discussion with patients about skin cancer. The accessibility, effectiveness, and popularity of the curriculum indicate potential for implementation in the primary care setting. Participating providers noted that institutional barriers remain which must be addressed for successful dissemination and implementation. © 2015, American Association for Cancer Education.
Keywords: melanoma; primary care; continuing medical education; cancer screening and prevention; qualitative research methods
Journal Title: Journal of Cancer Education
Volume: 32
Issue: 2
ISSN: 0885-8195
Publisher: Springer  
Date Published: 2017-06-01
Start Page: 272
End Page: 279
Language: English
DOI: 10.1007/s13187-015-0910-4
PROVIDER: scopus
PMCID: PMC4803637
PUBMED: 26391994
DOI/URL:
Notes: Article -- Export Date: 1 June 2017 -- Source: Scopus
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MSK Authors
  1. Allan C Halpern
    297 Halpern