Marketing to Increase Participation in a Web‐Based Continuing Medical Education Cultural Competence Curriculum

Introduction: CME providers may be interested in identifying effective marketing strategies to direct users to specific content. Online advertisements for recruiting participants into activities such as clinical trials, public health programs, and continuing medical education (CME) have been effective in some but not all studies. The purpose of this study was to compare the impact of 2 marketing strategies in the context of an online CME cultural competence curriculum (www.c‐comp.org). Methods: In an interrupted time‐series quasi‐experimental design, 2 marketing strategies were tested: (1) wide dissemination to relevant organizations over a period of approximately 4 months, and (2) Internet paid search using Google Ads (5 consecutive 8‐week periods—control 1, cultural/CME advertisement, control 2, hypertension/content advertisement, control 3). Outcome measures were CME credit requests, Web traffic (visits per day, page views, pages viewed per visit), and cost. Results: Overall, the site was visited 19,156 times and 78,160 pages were viewed. During the wide dissemination phase, the proportion of visits requesting CME credit decreased between the first (5.3%) and second (3.3%) halves of this phase (p = .04). During the Internet paid search phase, the proportion of visits requesting CME credit was highest during the cultural/CME advertisement period (control 1, 1.4%; cultural/CME ad, 4.3%; control 2, 1.5%; hypertension/content ad, 0.6%; control 3, 0.8%; p < .001). All measures of Web traffic changed during the Internet paid search phase (p < .01); however, changes were independent of the advertisement periods. The incremental cost for the cultural advertisement per CME credit requested was US $0.64. Discussion: Internet advertisement focusing on cultural competence and CME was associated with about a threefold increase in requests for CME credit at an incremental cost of under US $1; however, Web traffic changes were independent of the advertisement strategy.

[1]  Shuo Wang,et al.  Challenges of Internet Recruitment: A Case Study with Disappointing Results , 2005, Journal of medical Internet research.

[2]  Jocelyn Lockyer,et al.  A meta‐analysis of continuing medical education effectiveness , 2007, The Journal of continuing education in the health professions.

[3]  D. Nash,et al.  Evaluating Online Continuing Medical Education Seminars: Evidence for Improving Clinical Practices , 2008, American journal of medical quality : the official journal of the American College of Medical Quality.

[4]  Mats Brommels,et al.  Application of statistical process control in healthcare improvement: systematic review , 2007, Quality and Safety in Health Care.

[5]  Fred B Wood,et al.  Use of Internet Audience Measurement Data to Gauge Market Share for Online Health Information Services , 2005, Journal of medical Internet research.

[6]  Jeroan J. Allison,et al.  Multiple Measures of Provider Participation in Internet Delivered Interventions , 2007, MedInfo.

[7]  Brian G Danaher,et al.  Defining Participant Exposure Measures in Web-Based Health Behavior Change Programs , 2006, Journal of medical Internet research.

[8]  Denise J. Luethge,et al.  Toward an integrated framework for online consumer behavior and decision making process: A review , 2010 .

[9]  D. W. Kennedy,et al.  Marketing Continuing Medical Education Programs. , 1991 .

[10]  T J Ulahannan,et al.  Decision Making in Health and Medicine: Integrating Evidence and Values , 2002 .

[11]  Amanda L. Graham,et al.  Online Advertising as a Public Health and Recruitment Tool: Comparison of Different Media Campaigns to Increase Demand for Smoking Cessation Interventions , 2008, Journal of medical Internet research.

[12]  John M. Harris,et al.  Promoting free online CME for intimate partner violence: What works at what cost? , 2009, The Journal of continuing education in the health professions.

[13]  W. Michener,et al.  Marketing issues in continuing medical education. , 1988, The Journal of continuing education in the health professions.

[14]  D. Ford,et al.  A tailored Internet-delivered intervention for smoking cessation designed to encourage social support and treatment seeking: usability testing and user tracing , 2008, Informatics for health & social care.

[15]  Bernard M Sklar,et al.  The growth, characteristics, and future of online CME , 2010, The Journal of continuing education in the health professions.

[16]  R. Shewchuk,et al.  What Should We Include in a Cultural Competence Curriculum? An Emerging Formative Evaluation Process to Foster Curriculum Development , 2011, Academic medicine : journal of the Association of American Medical Colleges.