Practical Strategies for Improving Earlier Diagnosis and Patient-Centered Management in Primary Care Evaluation (ID: i821-61)

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* 1. How frequently do you plan to implement supported self-management strategies with your patients with COPD after participating in this activity?

Not very frequently

Somewhat frequently

Very frequently

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* 2. How many years have you been in practice? 

1-10

11-20

≥21

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* 3. How many patients with COPD do you manage per week? 

1 to 10 

11 to 25 

26 to 50 

I am not directly involved in patient care 

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* 4. Please select the option that best describes your practice setting. 

Academic medical center 

Community medical center 

VA, DOD, or other government 

Managed care 

Research 

Pharmaceutical industry

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* 5. After participating in this activity, how confident are you in the management of patients with COPD in your practice?

Very confident

Confident

Neutral

Little confidence

No confidence

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* 6. How committed are you to making changes in your practice based on your participation in this activity?

Very committed 

Committed 

Neutral 

Not committed 

I do not plan to make changes

If not committed or do not plan to make changes, please indicate reason:

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* 7. Which of the following best describes the impact of this activity on your performance?

I gained new strategies/skills/information I can apply to my area of practice

I need more information before I can change my practice

My practice is already consistent with the information presented

This activity will not change my practice

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* 8. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

Improved knowledge of current evidence-based recommendations for COPD case-finding

Greater skill in selecting patients who should be evaluated using diagnostic spirometry

More detailed knowledge of the spectrum of nonpharmacologic interventions for patients with COPD

Increased skill in implementing nonpharmacologic interventions to improve the health outcomes of patients with COPD

Improved knowledge of current guidelines for the management of COPD, including those from GOLD, ATS, and NICE

Increased ability to individualize pharmacologic therapy for patients with COPD

Greater knowledge of the differences across available inhaler devices for the delivery of COPD therapies

Greater skill in tailoring inhaler device selection to the individual patient

Greater confidence and skill in the implementation of supported self-management strategies for patients with COPD

Greater knowledge of common barriers that impede access to COPD diagnosis and care among specific patient populations, particularly those in lower income settings and women

Increased skill in the diagnosis and treatment of patients with COPD who may be at risk for remaining undiagnosed and receiving suboptimal care.

Increased awareness of the challenges to achieving optimal care of multimorbid patients with COPD

Improved skill at managing COPD in multimorbid patients with COPD

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* 9. What barriers do you see to making changes in your practice? Please select all that apply.

Lack of knowledge regarding evidence-based strategies 

Lack of convincing evidence to warrant change 

Lack of time/resources to consider change 

Insurance, reimbursement, or legal issues 

Conflicting guidelines or evidence 

Patient compliance and/or patient resource barriers

Other (please specify)

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* 10. Please rate your level of agreement by checking the appropriate rating.

After participating in today’s activity, I am now better able to:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Apply evidence-based guidelines to achieve effective screening, prompt diagnosis, accurate assessment, and earlier intervention with the potential to alter the disease course in patients with COPD	Apply evidence-based guidelines to achieve effective screening, prompt diagnosis, accurate assessment, and earlier intervention with the potential to alter the disease course in patients with COPD  Strongly agree	Apply evidence-based guidelines to achieve effective screening, prompt diagnosis, accurate assessment, and earlier intervention with the potential to alter the disease course in patients with COPD  Agree	Apply evidence-based guidelines to achieve effective screening, prompt diagnosis, accurate assessment, and earlier intervention with the potential to alter the disease course in patients with COPD  Neutral	Apply evidence-based guidelines to achieve effective screening, prompt diagnosis, accurate assessment, and earlier intervention with the potential to alter the disease course in patients with COPD  Disagree	Apply evidence-based guidelines to achieve effective screening, prompt diagnosis, accurate assessment, and earlier intervention with the potential to alter the disease course in patients with COPD  Strongly disagree
Employ individualized nonpharmacologic strategies targeting breathlessness to reduce morbidity and mortality, and improve QOL in people with COPD	Employ individualized nonpharmacologic strategies targeting breathlessness to reduce morbidity and mortality, and improve QOL in people with COPD Strongly agree	Employ individualized nonpharmacologic strategies targeting breathlessness to reduce morbidity and mortality, and improve QOL in people with COPD Agree	Employ individualized nonpharmacologic strategies targeting breathlessness to reduce morbidity and mortality, and improve QOL in people with COPD Neutral	Employ individualized nonpharmacologic strategies targeting breathlessness to reduce morbidity and mortality, and improve QOL in people with COPD Disagree	Employ individualized nonpharmacologic strategies targeting breathlessness to reduce morbidity and mortality, and improve QOL in people with COPD Strongly disagree
Outline a plan for supported self-management to improve disease knowledge and overall patient experience among individuals with COPD	Outline a plan for supported self-management to improve disease knowledge and overall patient experience among individuals with COPD Strongly agree	Outline a plan for supported self-management to improve disease knowledge and overall patient experience among individuals with COPD Agree	Outline a plan for supported self-management to improve disease knowledge and overall patient experience among individuals with COPD Neutral	Outline a plan for supported self-management to improve disease knowledge and overall patient experience among individuals with COPD Disagree	Outline a plan for supported self-management to improve disease knowledge and overall patient experience among individuals with COPD Strongly disagree
Individualize pharmacologic treatment selection based on COPD severity, risk for acute exacerbations, and patient ability to use specific inhaler devices	Individualize pharmacologic treatment selection based on COPD severity, risk for acute exacerbations, and patient ability to use specific inhaler devices Strongly agree	Individualize pharmacologic treatment selection based on COPD severity, risk for acute exacerbations, and patient ability to use specific inhaler devices Agree	Individualize pharmacologic treatment selection based on COPD severity, risk for acute exacerbations, and patient ability to use specific inhaler devices Neutral	Individualize pharmacologic treatment selection based on COPD severity, risk for acute exacerbations, and patient ability to use specific inhaler devices Disagree	Individualize pharmacologic treatment selection based on COPD severity, risk for acute exacerbations, and patient ability to use specific inhaler devices Strongly disagree
Identify social, psychological, and multimorbidity-related factors that can impede access to an accurate diagnosis and optimal care for patients with COPD	Identify social, psychological, and multimorbidity-related factors that can impede access to an accurate diagnosis and optimal care for patients with COPD Strongly agree	Identify social, psychological, and multimorbidity-related factors that can impede access to an accurate diagnosis and optimal care for patients with COPD Agree	Identify social, psychological, and multimorbidity-related factors that can impede access to an accurate diagnosis and optimal care for patients with COPD Neutral	Identify social, psychological, and multimorbidity-related factors that can impede access to an accurate diagnosis and optimal care for patients with COPD Disagree	Identify social, psychological, and multimorbidity-related factors that can impede access to an accurate diagnosis and optimal care for patients with COPD Strongly disagree

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* 11. Please rate your level of agreement by checking the appropriate rating.

Miguel Roman Rodriguez, MD effectively:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Presented the material	Presented the material Strongly agree	Presented the material Agree	Presented the material Neutral	Presented the material Disagree	Presented the material Strongly disagree
Avoided commercial bias	Avoided commercial bias Strongly agree	Avoided commercial bias Agree	Avoided commercial bias Neutral	Avoided commercial bias Disagree	Avoided commercial bias Strongly disagree

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* 12. Please rate your level of agreement by checking the appropriate rating.

The content presented:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Enhanced my current knowledge base	Enhanced my current knowledge base Strongly agree	Enhanced my current knowledge base Agree	Enhanced my current knowledge base Neutral	Enhanced my current knowledge base Disagree	Enhanced my current knowledge base Strongly disagree
Addressed my most pressing questions	Addressed my most pressing questions Strongly agree	Addressed my most pressing questions Agree	Addressed my most pressing questions Neutral	Addressed my most pressing questions Disagree	Addressed my most pressing questions Strongly disagree
Promoted improvements or quality in health care	Promoted improvements or quality in health care Strongly agree	Promoted improvements or quality in health care Agree	Promoted improvements or quality in health care Neutral	Promoted improvements or quality in health care Disagree	Promoted improvements or quality in health care Strongly disagree
Was scientifically rigorous and evidence based	Was scientifically rigorous and evidence based Strongly agree	Was scientifically rigorous and evidence based Agree	Was scientifically rigorous and evidence based Neutral	Was scientifically rigorous and evidence based Disagree	Was scientifically rigorous and evidence based Strongly disagree
Avoided commercial bias or influence	Avoided commercial bias or influence Strongly agree	Avoided commercial bias or influence Agree	Avoided commercial bias or influence Neutral	Avoided commercial bias or influence Disagree	Avoided commercial bias or influence Strongly disagree

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* 13. As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

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* 14. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for COPD:

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* 1. How frequently do you plan to implement supported self-management strategies with your patients with COPD after participating in this activity?

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* 2. How many years have you been in practice?

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* 3. How many patients with COPD do you manage per week?

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* 4. Please select the option that best describes your practice setting.

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* 5. After participating in this activity, how confident are you in the management of patients with COPD in your practice?

Question Title

* 6. How committed are you to making changes in your practice based on your participation in this activity?

Question Title

* 7. Which of the following best describes the impact of this activity on your performance?

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* 8. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

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* 9. What barriers do you see to making changes in your practice? Please select all that apply.

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* 10. Please rate your level of agreement by checking the appropriate rating.After participating in today’s activity, I am now better able to:

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* 11. Please rate your level of agreement by checking the appropriate rating.Miguel Roman Rodriguez, MD effectively:

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* 12. Please rate your level of agreement by checking the appropriate rating.The content presented:

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* 13. As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

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* 14. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities for COPD:

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* 15. If you indicated that you perceived commercial bias or influence, please describe:

* 2. How many years have you been in practice? 

* 3. How many patients with COPD do you manage per week? 

* 4. Please select the option that best describes your practice setting. 

* 10. Please rate your level of agreement by checking the appropriate rating.

After participating in today’s activity, I am now better able to:

* 11. Please rate your level of agreement by checking the appropriate rating.

Miguel Roman Rodriguez, MD effectively:

* 12. Please rate your level of agreement by checking the appropriate rating.

The content presented: