title: A training intervention to improve information management in primary care.
abstract: OBJECTIVE
  Training programs designed to improve information management have been implemented but not adequately tested. Three critical components for information management were tested in a randomized control study: (1) knowledge of valid, synthesized summary information, (2) skills to use Web-based resources that provide access to these summaries, and (3) use of Web-based resources in clinical practice.
  
  
  METHODS
  Twenty-four primary care practices were provided with computers and high-speed Internet access and then matched, with half randomly assigned to receive training and half to receive training at a later date. Training was designed to address knowledge, skills, and use of Web-based information. Outcomes were assessed by comparing baseline and follow-up questionnaires that focused on five conceptual domains related to Web-based resource use for patient care decisions and patient education.
  
  
  RESULTS
  Compared to the delayed training group, the initial training group increased their knowledge and skill of Web-based resources and use for patient care decisions. Some measures of communication with patients about using Web-based resources and of incorporating use of Web-based resources into daily practice increased from baseline to follow-up for all participants.
  
  
  CONCLUSIONS
  Our findings suggest that training and providing computers and Internet connections have measurable effects on information management behaviors.
authors.affiliation: Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH, USA. karen.e.schifferdecker@dartmouth.edu
authors.forename: Karen E
authors.initials: KE
authors.lastname: Schifferdecker
authors.forename: Virginia A
authors.initials: VA
authors.lastname: Reed
authors.forename: Karen
authors.initials: K
authors.lastname: Homa
mesh_terms: D001292:Attitude to Computers; D018592:Cross-Over Studies; D020000:Decision Support Systems, Clinical / Q000706:statistics & numerical data*; D004502:Education, Medical, Continuing; D005194:Family Practice; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008491:Medical Informatics Applications; D009513:New Hampshire; D009726:Nurses; D010820:Physicians; D011320:Primary Health Care; D011331:Private Practice; D014707:Vermont
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