Evidence-based health and well-being for entire populations.

Continuing Medical Education

Starting in 2008, Pro-Change began systematically applying the Transtheoretical Model to the implementation and evaluation of live and online continuing medical education (CME). Since then, Pro-Change has participated in CME initiatives in a wide range of therapeutic areas including sleep, HIV, hepatitis c, rheumatoid arthritis, and breast cancer.

For each initiative, we’ve designed and conducted an outcome evaluation based on clinician readiness to adopt a specified performance improvement. This unique approach permits an assessment of the impact of CME activities on the entire target audience, rather than the minority who adopt the performance improvement. Our most recent work has also included assessment of patient-reported outcomes.

Pro-Change provides extensive consultation on how faculty can incorporate behavior change messages into the curriculum to facilitate adoption of the performance improvement. Those behavior change messages have also been incorporated into post-activity feedback.


Johnson, S.S., Castle, P.H., Van Marter, D.L., Roc, A., Neubauer, D., Auerbach, S., DeAguiar, E. (2015). The effect of physician continuing medical education on patient-reported outcomes for identifying and optimally managing obstructive sleep apnea. JCSM, 11 (3), 197-204.

Johnson, S.S., Cummins, C.O., Paiva, A., Brown, J.J. (2012) Measuring effectiveness of continuing medical education using the Transtheoretical Model of Behavior Change. CE Measure, 6 (3), 32-40.

Russell, B., Maher, G., Prochaska, J.O., Johnson, S.S. (2012). Strategic approaches to continuing medical education: applying the transtheoretical model & diffusion of innovation theory. CE Measure, 6 27-31.


Johnson, S.S., Geissell, K., & Miller, V. (2012, January). Expanding instructional impact and outcomes assessment effectiveness via expert collaborations: three case studies. Paper presented at the annual meeting of the Alliance for Continuing Medical Education. Orlando, Florida

Geissel, K., Johnson, S.S., & Grimes, C. (2009, January). A social psychological model for measuring outcomes. Paper accepted at the 2008 annual meeting of the Alliance for Continuing Medical Education, San Francisco, CA.