title: Evaluating a Web-Based Educational Module on Oral Cancer Examination Based on a Behavioral Framework.
abstract: Patients at risk of developing oral and/or oropharyngeal cancer (OPC) are more likely to see primary care providers (PCPs) than a dentist. Many PCPs do not regularly perform oral cancer examination (OCE). The purpose of this study was to design a web-based educational program based on a behavioral framework to encourage PCPs to conduct OCE. PCPs were solicited to provide feedback on the program and to evaluate their short-term knowledge. The integrated behavioral model was used to design the program. Fifteen PCPs (five in each group: physicians, physician assistants, and nurse practitioners) reviewed the program and took a posttest: (1) index of knowledge of risk factors for oral cancer (RiskOC) and (2) index of knowledge of diagnostic procedures for oral cancer (DiagOC). Findings from the process evaluation were mainly positive, with comments on the length of the program comprising the ten negative comments. No significant difference among groups of PCPs (physicians, physician assistants, and nurse practitioners) was detected for DiagOC (p = 0.43) or RiskOC (p = 0.201). A program on OPC for PCPs should be less than 40 min. Postviewing knowledge outcomes were similar for all PCPs. The web-based program on OPC based on a behavioral framework could have similar short-term knowledge outcomes for all PCPs and may increase the number of PCPs performing OCEs.
authors.affiliation: Department of Prosthodontics, Creighton University School of Dentistry, 2500 California Plaza, Omaha, NE, 68178, USA. alvingwee@gmail.com.|Veterans Affairs Nebraska-Western Iowa Health Care System, Department of Surgery - Dental Services, 4101 Woolworth Avenue, Omaha, NE, 68105, USA. alvingwee@gmail.com.
authors.forename: Alvin G
authors.initials: AG
authors.lastname: Wee
authors.affiliation: Lincoln Division, College of Nursing, University of Nebraska Medical Center, Room CCRT 114, Commerce Court, 1230 O Street, Suite #131, Lincoln, NE, 68588-0220, USA.
authors.forename: Lani M
authors.initials: LM
authors.lastname: Zimmerman
authors.affiliation: Department of Community Based Health, College of Nursing, University of Nebraska Medical Center, Room 4056, 985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA.
authors.forename: Carol H
authors.initials: CH
authors.lastname: Pullen
authors.affiliation: College of Dentistry, Ohio State University, 305 W 12th Ave, Columbus, OH, 43210, USA.
authors.forename: Carl M
authors.initials: CM
authors.lastname: Allen
authors.affiliation: Oral and Maxillofacial Surgeon, Idaho State University - Meridian, 1311E Central Drive, Meridian, ID, 83642, USA.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Lambert
authors.affiliation: Department of Internal Medicine, College of Medicine, Ohio State University, Suite 5251590 N High Street, Columbus, OH, 43210, USA.
authors.forename: Electra D
authors.initials: ED
authors.lastname: Paskett
mesh_terms: D001291:Attitude of Health Personnel; D003945:Diagnosis, Oral / Q000592:standards*; D015438:Health Behavior; D006801:Humans; D020407:Internet; D017145:Models, Educational; D009062:Mouth Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D058007:Physicians, Primary Care / Q000193:education* / Q000523:psychology*; D010818:Practice Patterns, Physicians' / Q000592:standards*
keywords: Medical professionals; Oral cancer examination; Screening; Web-based education