Abstract Details

Title Diagnosis and Treatment of Neurogenic Orthostatic Hypotension: Online, Case-based �鶹��ýӳ�� Successfully Improved Knowledge and Competence of Cardiologists and Neurologists

Topic Neuromuscular and Clinical Neurophysiology (EMG)

Presentation(s) P3 - Poster Session 3 (5:30 PM-6:30 PM)

Poster/Presentation
Number 7-045

Objective we investigated whether a case-based educational activity was able to improve the knowledge and competence of specialists regarding both the diagnosis and management of NOH.

Background Neurogenic orthostatic hypotension (NOH) is a common feature of conditions that are associated with autonomic dysfunction, including Parkinson disease (PD). Clinicians may misdiagnose NOH and there is evidence that overall management is suboptimal.

Design/Methods An online, text-based educational intervention comprising 2 patient case scenarios was developed. Using a “test and teach” approach, clinicians were presented with multiple-choice questions to evaluate their application of evidence-based recommendations. Each response was followed by detailed, referenced, feedback to teach. �鶹��ýӳ��al effect was evaluated with a repeated-pairs pre- to post-assessment study design in which each individual learner acts as his/her own control. A paired 2-tailed t-test evaluated whether the mean pre- and post-assessment scores significantly differed from one another. Cramer’s V was used to calculate the effect size of the intervention. Data were collected between March 28, 2018 and May 02, 2018.

Results The education resulted in an extensive educational effect for both cardiologists (n=437; V =.456; P <.05) neurologists (n=333; V =.411; P <.05). Significant improvements were observed in several areas for both groups (P <.05 for all comparisons) including: the blood pressure reading after standing indicative of NOH; selection of non-pharmacologic treatments for NOH; the role of dopamine on blood pressure regulation and; pharmacotherapy for the management of NOH in patients with PD and comorbidities.

Conclusions

This study demonstrated the success of a targeted, online, interactive, case-based educational intervention on improving the knowledge and competence of both cardiologists and neurologists regarding the care of patients with NOH. Both clinician groups would benefit from continued education on the clinical recognition and management of NOH based on the magnitude of the educational effect.

Authors/Disclosures
John Maeglin (Medscape �鶹��ýӳ��) PRESENTER	Mr. Maeglin has nothing to disclose.
Thomas Finnegan, Jr., PhD (Medscape �鶹��ýӳ��)	Dr. Finnegan has nothing to disclose.
	No disclosure on file
	No disclosure on file