S1820 Online Case-Based Education on Ulcerative Colitis Improved Competence and Confidence in Implementing a Treat-to-Target Strategy in a Diverse Patient Population

Introduction: As the breadth of treatment options for ulcerative colitis (UC) is expanding, clinicians need to determine which patients are candidates for treatment with second-line therapy as part of a treat-to-target strategy. Moreover, patient centered care must include culturally competent shared decision-making. Methods: Learners participated in an online case-based text activity on UC that featured 2 patient cases where participants were asked to make clinical decisions as gauged by multiple choice questions. Educational results were assessed by 3 paired pre- and post-questions and a confidence assessment question. A paired samples t-test was conducted to assess the overall number of correct responses and confidence change. A McNemar’s test was conducted to evaluate individual question level statistical significance with P < .05 considered significant. Overall educational effect was evaluated by a Cohen’s d analysis. The activity launched September 4, 2024 and data were collected November 6, 2024. Results: We report on data from gastroenterologists (GI, n = 523) and PCPs (n = 1,122) who participated in the activity. There was significant improvement in selecting evidence-based UC therapies by incorporating a treat-to-target strategy with an effect size of 1.49 and 1.50, respectively for GIs and PCPs. Competence in applying the STRIDE-II criteria when making treatment recommendations improved by 38% among GIs (50% pre/88% post) and by 44% among PCPs (38% pre/82% post). Competence in selecting a UC therapy that considers a patient’s preferences and barriers improved by 57% among GIs (21% pre/76% post) and by 53% among PCPs (10% pre/63% post). Competence in recommending UC medication based on prior treatments, severe disease burden, and patient preferences improved by 47% among GIs (33% pre/80% post) and 63% among PCPs (13% pre/78% post). Confidence in implementing shared decision-making in diverse patient populations improved by 19% (31% pre/50% post) among GIs and by 9% (16% pre/25% post) among PCPs. Conclusion: Case-based online education resulted in improvement in competence in integrating a treat-to-target strategy for managing UC in a diverse patient population. Moreover, confidence in implementing shared decision-making these patients.