“…Furthermore, 42 out of 51 states'/territories' licensing boards require completion of 16 to 150 CME hours annually, biennially, or triennially (Federation of State Medical Boards, 2018). However, with the rapid development of web-based CME interventions, fundamental health communication and education design principles are potentially disregarded limiting program quality and efficacy, such as lack of impact on clinicians' knowledge and practice and limited improvement in quality patient care (Goldberg & McKhann, 2000;Harris, Novalis-Marine, & Harris, 2003;Shaw, Barnet, Mcgregor, & Avery, 2015). Therefore, public health and medical officials are potentially unaware of whether these web-based interventions and programs are achieving their intended outcomes, and which components need revisions and improvements (Kreps, 2002;Kreps, 2012).…”