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A theory-based adaptive E-learning program aimed at increasing intentions to provide brief behavior change
Guillaume Fontaine1, Sylvie Cossette1
1Faculty of Nursing, Université de Montréal, 2375 Chemin de la Côte-Sainte-Catherine, Montréal, QC H3T 1A8, Canada; Montreal Heart Institute Research Center, 5000 Bélanger, Montréal, QC H1T 1C8, Canada.
Nurse Education Today
|August 29, 2021
Summary
This study found that both adaptive and standard e-learning programs improved nurses' intentions to provide brief behavior change counseling. While the adaptive program showed a slight, non-significant trend towards greater improvement, both approaches yielded similar outcomes.
Area of Science:
- Health behavior change interventions
- Nursing education and practice
- Digital health learning
Background:
- Unhealthy behaviors contribute significantly to non-communicable diseases.
- Nurses play a crucial role in supporting patient health behavior change through brief counseling.
- Existing training programs often lack personalization and adaptation to clinical practice barriers.
Purpose of the Study:
- To evaluate the effectiveness of a theory-based adaptive e-learning program (E_MOTIVA) compared to a standard program (E_MOTIVB).
- To assess the impact on nurses' and nursing students' intentions to provide brief counseling for smoking, unhealthy eating, and medication nonadherence.
- To examine changes in Theory of Planned Behavior variables, cognitive load, and engagement.
Main Methods:
- A randomized controlled trial involving nurses and nursing students in Canada.
- Participants were assigned to either the adaptive E_MOTIVA or the standardized E_MOTIVB e-learning program.
- Outcomes measured included intention to provide brief counseling, Theory of Planned Behavior constructs, cognitive load, and engagement.
Main Results:
- No significant differences were found between the adaptive and standard e-learning groups in the change of intention to provide brief counseling.
- Both groups showed significant improvements in attitude, subjective norms, perceived behavioral control, and related beliefs.
- There were no statistically significant differences between the groups regarding these variables, cognitive load, or engagement.
Conclusions:
- Both the adaptive and standard e-learning programs demonstrated similar positive effects on nurses' and nursing students' intentions.
- The Theory of Planned Behavior variables also showed comparable improvements across both intervention groups.
- The findings suggest that while personalization may not be essential, e-learning is effective in enhancing counseling intentions.
Keywords:
AdaptiveBehavioral counselingE-learningEvidence-based practiceTailoredTheory-based interventionMore Related Videos
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