197: From Learning to Practice: Evaluating the Impact of a TB CME Course on Knowledge, Confidence, and Clinical Guideline Adherence

This presentation shares results from an impact evaluation of an online TB CME course, assessing its effect on providers’ knowledge, self-efficacy, and clinical guideline adherence. Using Social Cognitive Theory and CFIR, the mixed-methods evaluation explored how training influenced behavior change and what contextual factors affected implementation in clinical settings. Quantitative surveys and qualitative interviews revealed improvements in confidence and knowledge, alongside persistent system-level barriers to behavior change. This session offers a model for applying behavioral theory to CME evaluations and highlights how short- and intermediate-term outcomes can be assessed meaningfully. It advances the field by linking learning outcomes to behavior change and real-world implementation—inspiring deeper inquiry, innovating outcome evaluation strategies, and impacting the design of education-to-practice pipelines in healthcare.