mCME Delivering continuing medical education to community health workers using cell phones

mCME 使用手机向社区卫生工作者提供继续医学教育

基本信息

批准号：
8926486
负责人：
Christopher J GILL
金额：
$ 15.16万
依托单位：
BOSTON UNIVERSITY MEDICAL CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-11 至 2017-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8926486
关键词：
Acute Address American Breast Feeding British Budgets Car Phone Caring Cellular Phone Certification Child Clinical Clinical Competence Communities Community Health Competence Counseling Country Data Disadvantaged Educational Intervention Effectiveness Effectiveness of Interventions Family Planning Fever Focus Groups Government Grant Health Income Individual Internal Medicine Internet Intervention Job Satisfaction Journals Knowledge Learning Module Maintenance Malaria Medical Medical Societies Medicine Modeling Names Neonatal New England Online Systems Outcome Participant Performance Personal Computers Physician Assistants Population Prevention Primary Health Care Public Health Randomized Controlled Trials Reading Relative (related person)Rural Sanitation Self Efficacy Services Solutions Source System Tablet Computer Tablets Telephone Testing Text Training Training Activity Work arm base compare effectiveness continuing medical education cost cost effective cost effectiveness experience improved innovation insight novel strategies phrases programs randomized trial response trial design

项目摘要

DESCRIPTION (provided by applicant): Community health workers (CHWs) provide essential basic medical care to hundreds of millions of people across the globe. CHWs offer a myriad of services including community sanitation, breast feeding counseling, family planning, management of febrile children, and malaria control and prevention, to name but a few. In fact, CHWs are often the only source of primary health care available to some of the most disadvantaged populations in the world. However, to be effective, CHWs must be trained - and retrained - at regular intervals, and the costs for such trainings can be substantial. In the US, clinicians are required to stay current and maintain their competence through continuing medical education (CME). Increasingly, CME activities are delivered via internet-based, self-teaching modules. A typical example would be a set of topical readings followed by multiple-choice questions, with the answers, and CME credit, provided to the user upon satisfactory completion of the module. This content is typically delivered over the Internet. However, there is no intrinsi reason why this approach could not be adapted so that CME activities are delivered using standard cell phones via SMS text messaging. This would significantly expand professional training opportunities to a far greater range of CHWs than possible through computer/tablet/smart phone platforms, and would be particularly valuable in poorer countries with limited training budgets. In the mCME project, we propose to test the effectiveness and cost effectiveness of a mobile phone-based CME delivery strategy among Vietnamese community-based physician assistants (CBPAs), a cadre of CHW mandated to provide primary health care to rural and disadvantaged populations. We hypothesize that providing CME activities over a mobile platform will significantly improve their professional knowledge, and may also improve their job satisfaction and self- efficacy.

描述（由申请人提供）：社区卫生工作者（CHW）为全球数亿人提供了基本的基本医疗服务。 CHW提供了无数的服务，包括社区卫生，母乳喂养咨询，计划生育，高热儿童管理以及疟疾控制和预防，仅举几例。实际上，CHW通常是世界上一些最弱势群体的初级保健唯一来源。但是，为了有效，必须定期对CHW进行培训和再培训，并且此类培训的成本可能很大。在美国，临床医生必须通过继续医学教育（CME）保持最新并保持其能力。 CME活动越来越多地通过基于Internet的自学教学模块进行。一个典型的示例将是一组局部读数，然后是多项选择问题，并带有答案和CME信用，并在满足模块完成后提供给用户。该内容通常通过Internet交付。但是，没有Intrinsi无法调整此方法的原因，以便通过SMS文本消息使用标准手机进行CME活动。通过计算机/平板电脑/智能手机平台，这将大大将专业培训机会扩大到更大的CHW，并且在培训预算有限的贫困国家中特别有价值。在MCME项目中，我们建议在越南社区的医师助理（CBPA）（CBPA）中测试基于手机的CME交付策略的有效性和成本效益。我们假设在移动平台上提供CME活动将显着提高其专业知识，并可能提高他们的工作满意度和自我效能。