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Is slide-based or video-based eLearning better at achieving behavioural change in bronchiolitis management? A
Rutty Talati1,2, Bob Fonseca2,3, Kylie-Ann Mallitt4,5
1Sydney Children's Hospital Randwick, Sydney, New South Wales, Australia.
Insights
Video-based eLearning significantly improved clinician management of infant bronchiolitis, reducing hospital admissions and enhancing discharge planning compared to slide-based methods. Both approaches boosted confidence and understanding.
Area of Science:
- Pediatrics
- Medical Education
- Health Services Research
Background:
- Bronchiolitis management requires adherence to evidence-based guidelines.
- Effective clinician training is crucial for optimizing pediatric care.
- eLearning offers a flexible platform for medical education.
Purpose of the Study:
- To compare the efficacy of video-based versus slide-based eLearning for teaching evidence-based bronchiolitis management.
- To assess the impact of eLearning on clinician behavior, confidence, and understanding.
- To evaluate the effect on patient care outcomes such as hospital admissions and discharge planning.
Main Methods:
- A cluster-based randomized controlled trial involving six hospitals.
- Clinicians (doctors and nurses) were assigned to either video-based or slide-based eLearning modules.
- Behavioral changes were assessed by evaluating responses to a standardized video scenario before and after training.
Main Results:
- Both eLearning methods led to reduced unnecessary investigations and treatments.
- Both methods improved clinician confidence and understanding of bronchiolitis management.
- Video-based eLearning resulted in significantly fewer hospital admissions and improved discharge planning compared to slide-based learning.
Conclusions:
- Both slide-based and video-based eLearning improve reported bronchiolitis management practices.
- Video-based eLearning appears more effective in driving significant practice changes.
- Video-based eLearning may enhance clinician confidence and improve patient experience in bronchiolitis care.
Aim:
This cluster-based randomised control trial examines the comparative efficacy of two eLearning programs that teach clinicians evidence-based bronchiolitis management for children less than 12 months of age.
Methods:
Six hospitals, matched for size, were randomly allocated to either video-based (arm A) or slide-based (arm B) eLearning programs. To assess behavioural change, participants (doctors and nurses) were asked to declare how they would manage a video scenario of an infant with bronchiolitis, before and after either eLearning method. Measured outcomes included the number of investigations and treatments ordered, admissions to hospital and discharge planning. Confidence scores and change in understanding for bronchiolitis management were also measured.
Results:
Both methods of eLearning instruction resulted in reductions in unnecessary investigations and treatments performed, as well as improved confidence and understanding of bronchiolitis management on the video scenario. Video-based eLearning instruction additionally demonstrated a significant reduction in unnecessary hospital admissions and better discharge planning, based on learners' declarations to the video scenario, relative to slide-based learning.
Conclusion:
Slide-based and video-based eLearning both demonstrate improvements in reported bronchiolitis management. However, video-based eLearning may yield more significant practice changes, improved clinician confidence in management, as well as improved patient experience.
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