Electronic Continuing Education in the Health Professions: An Update on Evidence from RCTs
Electronic Continuing Education in the Health Professions: An Update on Evidence from RCTs
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DOI：
10.1002/chp.20005
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发表时间：
2009-12-01
影响因子：
1.8
通讯作者：
Tait, Gordon
中科院分区：
文献类型：
--
作者：
Lam-Antoniades, Margarita;Ratnapalan, Savithiri;Tait, Gordon
简介：证明电子继续教育（e-CE）的迅速扩大领域的有效性，CE在卫生专业具有重要意义。本研究提供了一个更新的随机对照试验（RCTs）的证据评估的有效性，电子CE在health professions.Methods：在MEDLINE中进行文献检索的RCTs。EMBASE和CINAHL，2004年至2007年。论文分别由2位作者和结果进行了分类，并根据研究comparison.Results审查：15项研究符合我们的纳入标准。6例患者将e-CE与无干预或安慰剂进行了比较。在这6项研究中。4例显示电子CE干预具有统计学显著优势，2例显示无显著影响。两项研究将电子商务比作讲座。其中，我显示了电子商务的优势，我没有表现出任何差异。两项研究将电子CE与小组互动干预进行了比较。在这两项研究中，e-CE组的表现优于对照组。两项研究比较了多成分的电子CF干预的基础上平面文本，都表明多成分的干预更有效。15项研究中有两项显示了对实践模式的统计学显著影响。电子商务的积极影响或!讨论：总体而言，这些研究表明，多组分e-CE干预措施可以有效地改变卫生专业人员的实践模式，并提高他们的知识。纯粹基于平面文本的E-CE干预措施似乎在改变知识或实践方面效果有限。这些结果支持使用多组分电子CE作为CE交付的方法。
Introduction: Demonstrating the effectiveness of the rapidly expanding field of electronic continuing education (e-CE) has important implications for CE in the health professions. This study provides an update on evidence from randomized controlled trials (RCTs) assessing the effectiveness of e-CE in the health professions.Methods: A literature search of RCTs was performed in MEDLINE. EMBASE, and CINAHL from 2004 to 2007. Papers were reviewed separately by 2 of the authors and results were categorized and reviewed according to study comparisons.Results: Fifteen studies met our inclusion criteria. Six compared e-CE to no intervention or placebo. Of these 6 studies. 4 showed a statistically significant advantage of the e-CE intervention and 2 showed no significant effect. Two studies compared e-CE to a lecture. Of these, I showed an advantage of e-CE and I showed no difference. Two studies compared e-CE to a small-group interactive intervention. In both studies, the e-CE group outperformed the control. Two studies compared a multicomponent e-CF intervention to one based on flat text, and both showed the multicomponent intervention to be more effective. Two of the 15 studies demonstrated a statistically significant effect on practice patterns. Positive effects of e-CE or! knowledge were shown to persist for up to 12 months and effects on practice up to 5 months.Discussion: Overall, these studies suggest that multicomponent e-CE interventions can be effective in changing health professionals' practice patterns, and improve their knowledge. E-CE interventions based purely on flat text appear to be of limited effectiveness in changing either knowledge or practice. These results support the use of multicomponent e-CE as a method of CE delivery.