Randomized controlled trial comparing four strategies for delivering e-curriculum to health care professionals [ISRCTN88148532].
Randomized controlled trial comparing four strategies for delivering e-curriculum to health care professionals [ISRCTN88148532].
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DOI：
10.1186/1472-6920-6-2
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发表时间：
2006-01-11
影响因子：
3.6
通讯作者：
Woods, Charles
中科院分区：
文献类型：
--
作者：
Kemper, Kathi J;Gardiner, Paula;Woods, Charles
背景：互联网教育越来越多地提供给卫生专业人员，但很少有人知道最有效的策略来传递内容。本研究的目的是比较四种提供基于互联网(e)课程的策略，这些课程涉及临床医生关于草药和其他膳食补充剂（HDS）的知识(K)、信心（CONF）和沟通（COMM）。方法：这项全国随机2 × 2析因试验包括这些领域的医生、药剂师、护士、营养师和培训生。参与者被随机分配到关于HDS的40个简短模块的四种课程交付策略之一：a)通过电子邮件（滴推）每周提供四(4)个模块，持续十（10）周；B)可在网站上访问的模块，每周4次提醒，持续10周（滴拉）；C) 40个模块，4天内通过邮件（推送）交付；d)互联网上提供40个模块，并通过一封电子邮件通知参与者可用性（bolus-pull）。结果：1267名入组者中，25%为男性；平均年龄为40岁。完成率为62%，两组间无显著差异。课程结束后，K、CONF和COMM得分均有统计学上的显著提高(P
BACKGROUND: Internet education is increasingly provided to health professionals, but little is known about the most effective strategies for delivering the content. The purpose of this study is to compare four strategies for delivering an Internet-based (e-) curriculum on clinicians' knowledge (K), confidence (CONF), and communication (COMM) about herbs and other dietary supplements (HDS).METHODS: This national randomized 2 x 2 factorial trial included physicians, pharmacists, nurses, nutritionists and trainees in these fields. Participants were randomly assigned to one of four curriculum delivery strategies for 40 brief modules about HDS: a) delivering four (4) modules weekly over ten (10) weeks by email (drip-push); b) modules accessible on web site with 4 reminders weekly for 10 weeks (drip-pull); c) 40 modules delivered within 4 days by email (bolus-push); and d) 40 modules available on the Internet with one email informing participants of availability (bolus-pull).RESULTS: Of the 1,267 enrollees, 25% were male; the average age was 40 years. The completion rate was 62%, without significant differences between delivery groups. There were statistically significant improvements in K, CONF and COMM scores after the course (P