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Development and validation of structured training module for healthcare workers involved in managing pediatric
Rachna Pasi1, Thirunavukkarasu Arun Babu1, Vinoth Kumar Kalidoss2
1Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), New Delhi, India & Former Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), Mangalagiri, India.
Insights
A structured training module effectively improved healthcare workers' knowledge and skills for pediatric COVID-19 care. Multimodal assessment, including pre-tests, post-tests, and Observed Skill clinical examinations (OSCE), is crucial for evaluating training effectiveness.
Area of Science:
- Pediatric infectious diseases
- Medical education and training
- Public health preparedness
Background:
- The COVID-19 pandemic continues, with children remaining susceptible despite adult vaccination.
- Healthcare workers require updated knowledge and skills to manage pediatric COVID-19 infections effectively.
- A comprehensive training module and assessment strategy were developed to address this need.
Purpose of the Study:
- To develop and evaluate a training module for healthcare workers on pediatric COVID-19 management.
- To assess the effectiveness of the training using multimodal assessment methods.
Main Methods:
- A quasi-experimental study with pre- and post-intervention design was conducted.
- The training module was developed using the ADDIE model and validated by experts.
- Participants (n=92) were assessed using pre-tests, post-tests, and Observed Skill clinical examinations (OSCE).
Main Results:
- The training module significantly improved post-test scores compared to pre-test scores (mean difference 3.8, P < 0.001).
- Pre-test scores showed no association with participants' experience or prior training.
- A weak positive correlation was found between pre- and post-test scores; however, post-test and OSCE scores were not significantly correlated.
Conclusions:
- The structured training module proved effective in enhancing participants' understanding and skills.
- Multimodal assessment, incorporating pre-test, post-test, and OSCE, offers a more robust evaluation of training programs than pre- and post-tests alone.
Background:
COVID-19 (Coronavirus disease-19) is an ongoing pandemic. COVID vaccine administration in adults has provided some degree of protection from infection but children are still susceptible So, we have to be prepared to handle COVID-19 infection in children by training our healthcare workers by updating both their knowledge and skills. We developed a training module to train our healthcare workers in all domains of learning and also planned related assessment methods to know the effectiveness of the module.
Materials And Methods:
This was a quasi-experimental study with pre- and post-intervention conducted at a tertiary-level teaching medical college in southern India from July to September 2021. The training module was developed as per the "ADDIE" model of the development process module. It was further validated by five experts before implementation. In addition to the quasi-experimental method of evaluation like pre- and post-test, Observed Skill clinical examination (OSCE) had been also used as an assessment tool at the completion of training. A total of 92 participants have been trained as per this module in our tertiary-level care hospital. The association between continuous and categorical variables was assessed using an independent t-test and ANOVA, and paired t-test was used for comparing the difference between pre- and post-test scores.
Results:
Pre-test scores had no association with years of experience (P = 0.803) and previous training status of participants (P = 0.350). The mean difference of pre- and post-test scores was 3.8 and it was statistically significant (P value < 0.001) A weak positive correlation between pre- and post-test was present by the Spearmen correlation test (r = 0.337). The correlation between post-test score and OSCE score does not have a significant correlation.
Conclusion:
Structured training module was effective in training the participants. Multimode assessment method (Pre-test, Post-test, and OSCE) is an important step to evaluate any training program as compared to only the pre- and post-test methods of evaluation.
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