Limits...
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

Impact of e-learning on knowledge and clinical practice about the management of acute gastroenteritis in children before (Pre) and after the e-learning intervention (Post).A) learners’ scores, and B) time to complete the 15-question evaluation tests (as recorded by the e-learning platform), C) average adherence percentage score in 545 children <5 years managed before (Pre) and after (Post) the e-learning corse, D) proportion of patients managed in full adherence with the guidelines.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4493016&req=5

pone.0132213.g002: Impact of e-learning on knowledge and clinical practice about the management of acute gastroenteritis in children before (Pre) and after the e-learning intervention (Post).A) learners’ scores, and B) time to complete the 15-question evaluation tests (as recorded by the e-learning platform), C) average adherence percentage score in 545 children <5 years managed before (Pre) and after (Post) the e-learning corse, D) proportion of patients managed in full adherence with the guidelines.

Mentions: Knowledge about the CPG on AGE treatment increased after the e-learning course, based on the scores on the 15-question (1 point per question) knowledge test before (8.6 ± 2.7 points) and the course (12.8 ± 2.1 points, P <0.001). The response time also decreased after the course (878 ± 503 versus 579 ± 379 seconds, P <0.001) for the 59 physicians who completed the study (Fig 2).


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)

Impact of e-learning on knowledge and clinical practice about the management of acute gastroenteritis in children before (Pre) and after the e-learning intervention (Post).A) learners’ scores, and B) time to complete the 15-question evaluation tests (as recorded by the e-learning platform), C) average adherence percentage score in 545 children <5 years managed before (Pre) and after (Post) the e-learning corse, D) proportion of patients managed in full adherence with the guidelines.
© Copyright Policy
Related In: Results  -  Collection

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

pone.0132213.g002: Impact of e-learning on knowledge and clinical practice about the management of acute gastroenteritis in children before (Pre) and after the e-learning intervention (Post).A) learners’ scores, and B) time to complete the 15-question evaluation tests (as recorded by the e-learning platform), C) average adherence percentage score in 545 children <5 years managed before (Pre) and after (Post) the e-learning corse, D) proportion of patients managed in full adherence with the guidelines.
Mentions: Knowledge about the CPG on AGE treatment increased after the e-learning course, based on the scores on the 15-question (1 point per question) knowledge test before (8.6 ± 2.7 points) and the course (12.8 ± 2.1 points, P <0.001). The response time also decreased after the course (878 ± 503 versus 579 ± 379 seconds, P <0.001) for the 59 physicians who completed the study (Fig 2).

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