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The Impact of E-Learning on Adherence to Guidelines for Acute Gastroenteritis: A Single-Arm Intervention Study.

Nicastro E, Lo Vecchio A, Liguoro I, Chmielewska A, De Bruyn C, Dolinsek J, Doroshina E, Fessatou S, Pop TL, Prell C, Tabbers MM, Tavares M, Urenden-Elicin P, Bruzzese D, Zakharova I, Sandhu B, Guarino A - PLoS ONE (2015)

Bottom Line: Primary outcome measures included the proportion of participants fully adherent to CPG and number of patients managed with full adherence.The course improved knowledge scores (pre-course 8.6 ± 2.7 versus post-course 12.8 ± 2.1, P < 0.001), average adherence (from 87.0 ± 7.7% to 90.6 ± 7.1%, P = 0.001) and the number of patients managed in full adherence with the guidelines (from 33.6 ± 31.7% to 43.9 ± 36.1%, P = 0.037).E-learning is effective in increasing knowledge and improving clinical practice in paediatric AGE and is an effective tool for implementing clinical practice guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Translational Medical Science, Sector of Pediatrics. University Federico II, Naples, Italy; Paediatric Hepatology Gastroenterology and Transplantation Unit, Hospital Papa Giovanni XXIII, Bergamo, Italy.

ABSTRACT

Objective: E-learning is a candidate tool for clinical practice guidelines (CPG) implementation due to its versatility, universal access and low costs. We aimed to assess the impact of a five-module e-learning course about CPG for acute gastroenteritis (AGE) on physicians' knowledge and clinical practice.

Study design: This work was conceived as a pre/post single-arm intervention study. Physicians from 11 European countries registered for the online course. Personal data, pre- and post-course questionnaires and clinical data about 3 to 5 children with AGE managed by each physician before and after the course were collected. Primary outcome measures included the proportion of participants fully adherent to CPG and number of patients managed with full adherence.

Results: Among the 149 physicians who signed up for the e-learning course, 59 took the course and reported on their case management of 519 children <5 years of age who were referred to their practice because of AGE (281 and 264 children seen before and after the course, respectively). The course improved knowledge scores (pre-course 8.6 ± 2.7 versus post-course 12.8 ± 2.1, P < 0.001), average adherence (from 87.0 ± 7.7% to 90.6 ± 7.1%, P = 0.001) and the number of patients managed in full adherence with the guidelines (from 33.6 ± 31.7% to 43.9 ± 36.1%, P = 0.037).

Conclusions: E-learning is effective in increasing knowledge and improving clinical practice in paediatric AGE and is an effective tool for implementing clinical practice guidelines.

No MeSH data available.


Related in: MedlinePlus

Study design: flowchart of the participants.
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pone.0132213.g001: Study design: flowchart of the participants.

Mentions: Out of the 415 practitioners contacted, a total of 149 physicians registered for the e-learning course (response rate 36%). Fifty-nine (40%) of physicians (45 females, median age 40 years, range 26–59) who registered for the course completed it before the deadline (Fig 1); their baseline characteristics are listed in Table 1. Participants were from Slovenia (12); Greece (11); the Netherlands (9); Portugal, Romania, and Russia–Moscow Region (5 each); Turkey and Italy (3 each); and Poland, Belgium, and Germany (2 each). Fifty-six out of 59 (95%) were pediatricians, while 3/59 (5%) enrolled physicians declared to be general practitioners who worked in pediatric setting. No differences in age, gender, years of practice, setting of practice, previous experience with e-learning, or previous knowledge of CPG were observed between the physicians who completed the course and those who did not.


The Impact of E-Learning on Adherence to Guidelines for Acute Gastroenteritis: A Single-Arm Intervention Study.

Nicastro E, Lo Vecchio A, Liguoro I, Chmielewska A, De Bruyn C, Dolinsek J, Doroshina E, Fessatou S, Pop TL, Prell C, Tabbers MM, Tavares M, Urenden-Elicin P, Bruzzese D, Zakharova I, Sandhu B, Guarino A - PLoS ONE (2015)

Study design: flowchart of the participants.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4493016&req=5

pone.0132213.g001: Study design: flowchart of the participants.
Mentions: Out of the 415 practitioners contacted, a total of 149 physicians registered for the e-learning course (response rate 36%). Fifty-nine (40%) of physicians (45 females, median age 40 years, range 26–59) who registered for the course completed it before the deadline (Fig 1); their baseline characteristics are listed in Table 1. Participants were from Slovenia (12); Greece (11); the Netherlands (9); Portugal, Romania, and Russia–Moscow Region (5 each); Turkey and Italy (3 each); and Poland, Belgium, and Germany (2 each). Fifty-six out of 59 (95%) were pediatricians, while 3/59 (5%) enrolled physicians declared to be general practitioners who worked in pediatric setting. No differences in age, gender, years of practice, setting of practice, previous experience with e-learning, or previous knowledge of CPG were observed between the physicians who completed the course and those who did not.

Bottom Line: Primary outcome measures included the proportion of participants fully adherent to CPG and number of patients managed with full adherence.The course improved knowledge scores (pre-course 8.6 ± 2.7 versus post-course 12.8 ± 2.1, P < 0.001), average adherence (from 87.0 ± 7.7% to 90.6 ± 7.1%, P = 0.001) and the number of patients managed in full adherence with the guidelines (from 33.6 ± 31.7% to 43.9 ± 36.1%, P = 0.037).E-learning is effective in increasing knowledge and improving clinical practice in paediatric AGE and is an effective tool for implementing clinical practice guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Translational Medical Science, Sector of Pediatrics. University Federico II, Naples, Italy; Paediatric Hepatology Gastroenterology and Transplantation Unit, Hospital Papa Giovanni XXIII, Bergamo, Italy.

ABSTRACT

Objective: E-learning is a candidate tool for clinical practice guidelines (CPG) implementation due to its versatility, universal access and low costs. We aimed to assess the impact of a five-module e-learning course about CPG for acute gastroenteritis (AGE) on physicians' knowledge and clinical practice.

Study design: This work was conceived as a pre/post single-arm intervention study. Physicians from 11 European countries registered for the online course. Personal data, pre- and post-course questionnaires and clinical data about 3 to 5 children with AGE managed by each physician before and after the course were collected. Primary outcome measures included the proportion of participants fully adherent to CPG and number of patients managed with full adherence.

Results: Among the 149 physicians who signed up for the e-learning course, 59 took the course and reported on their case management of 519 children <5 years of age who were referred to their practice because of AGE (281 and 264 children seen before and after the course, respectively). The course improved knowledge scores (pre-course 8.6 ± 2.7 versus post-course 12.8 ± 2.1, P < 0.001), average adherence (from 87.0 ± 7.7% to 90.6 ± 7.1%, P = 0.001) and the number of patients managed in full adherence with the guidelines (from 33.6 ± 31.7% to 43.9 ± 36.1%, P = 0.037).

Conclusions: E-learning is effective in increasing knowledge and improving clinical practice in paediatric AGE and is an effective tool for implementing clinical practice guidelines.

No MeSH data available.


Related in: MedlinePlus