{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:59:39Z","timestamp":1782845979029,"version":"3.54.5"},"reference-count":28,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Med Educ"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alzheimer disease (AD) presents significant challenges to health care systems worldwide. Early and accurate diagnosis of AD is crucial for effective management and care to enable timely treatment interventions that can preserve cognitive function and improve patient quality of life. However, there are often significant delays in diagnosis. Continuing medical education (CME) has enhanced physician knowledge and confidence in various medical fields, including AD. Notably, web-based CME has been shown to positively influence physician confidence, which can lead to changes in practice and increased adoption of evidence-based treatment selection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study investigated the impact of a targeted, web-based CME intervention on health care providers\u2019 confidence, competence, and real-world outcomes in diagnosing early AD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study employed a 2-phase design. Phase I used a pre-post assessment to evaluate immediate changes in knowledge and confidence before and after CME participation. Phase II involved a retrospective, matched case-control study to examine the impact of CME on AD diagnoses in claims data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A 1-way ANOVA showed a significant effect of CME regarding change in the volume of AD diagnoses (\n                      <jats:italic>F<\/jats:italic>\n                      <jats:sub>1900<\/jats:sub>\n                      =5.50;\n                      <jats:italic>P<\/jats:italic>\n                      =.02). Compared to controls, CME learners were 1.6 times more likely to diagnose AD, resulting in an estimated net increase of 7939 new diagnoses annually. Post-CME confidence was associated with a greater likelihood of diagnosing AD (odds ratio 1.64; 95% CI 0.92-2.92;\n                      <jats:italic>P<\/jats:italic>\n                      =.09; n=219).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Web-based CME participation is associated with increased real-world AD diagnoses. Findings offer a mechanism to explain the changes in clinical practice seen as a result of the CME intervention, which improves skills and confidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/72000","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T23:15:06Z","timestamp":1745882106000},"page":"e72000-e72000","source":"Crossref","is-referenced-by-count":2,"title":["Using Web-Based Continuing Education to Improve New Diagnoses of Alzheimer Disease in Claims Data: Retrospective Case-Control Study"],"prefix":"10.2196","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3278-7878","authenticated-orcid":false,"given":"Katie","family":"Lucero","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9712-2797","authenticated-orcid":false,"given":"Thomas","family":"Finnegan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2185-768X","authenticated-orcid":false,"given":"Soo","family":"Borson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,5,22]]},"reference":[{"issue":"4","key":"R1","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1002\/alz.12638","article-title":"2022 Alzheimer\u2019s disease facts and figures","volume":"18","author":"Alzheimer\u2019s Association","journal-title":"Alzheimer\u2019s & Dementia"},{"key":"R2","unstructured":"Dementia. 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Medscape. URL: https:\/\/www.medscape.org\/viewarticle\/980622 [Accessed 09-05-2025]"},{"key":"R26","unstructured":"Waiting room for patients with cognitive impairment. Medscape. URL: https:\/\/www.medscape.org\/sites\/pwr\/cognitive-impairment [Accessed 09-05-2025]"},{"key":"R27","unstructured":"45 CFR 46.104 -- exempt research. Code of Federal Regulations. 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