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A randomized trial to evaluate e-learning interventions designed to improve learner's performance, satisfaction, and
Melissa C Brouwers1, Julie Makarski, Anthony J Levinson
1McMaster University, Department of Oncology and Department of Clinical Epidemiology, McMaster University, Hamilton, Ontario, Canada. mbrouwer@mcmaster.ca
Implementation Science : IS
|April 21, 2010
Summary
This study tested two internet-based educational interventions to improve the use of the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool. Results will identify effective strategies for enhancing guideline development and evaluation capacity globally.
Area of Science:
- Health Services Research
- Medical Education
- Guideline Development
Background:
- Practice Guidelines (PGs) are crucial for informed patient, practitioner, and policy decisions.
- The Appraisal of Guidelines for Research and Evaluation II (AGREE II) is the updated standard for guideline evaluation.
- The AGREE II tool and its manual are currently available for use.
Purpose of the Study:
- To develop and evaluate two internet-based educational interventions aimed at improving stakeholder capacity in using the AGREE II tool.
- Interventions include a multimedia didactic tutorial with a virtual coach and a more intensive program with an added practice component.
- The goal is to accelerate the adoption and accurate application of the AGREE II.
Main Methods:
- Participants (clinicians, developers, policymakers) were randomized into three groups: didactic tutorial only, tutorial plus practice, or control (PDF only).
- All participants appraised a test guideline using the AGREE II.
- Outcomes measured included performance, satisfaction, self-efficacy, mental effort, and time-on-task.
Main Results:
- Comparisons of learner performance, satisfaction, self-efficacy, mental effort, and time-on-task will be made across the three intervention groups.
- Immediate feedback and hints were provided in the practice component to guide appraisal.
- Performance was compared against expert norms for the practice guideline appraisal.
Conclusions:
- Innovative educational interventions of varying intensities and designs will be tested to promote AGREE II adoption.
- The research aims to identify the most effective strategies for training users of the AGREE II tool.
- Findings will enhance international capacity for accurate AGREE II application and improve the overall guideline enterprise.
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