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Online Education Improves Confidence in Mechanical Insufflation-Exsufflation
Elizabeth Lambrinos1, Mark R Elkins2,3, Collette Menadue4
1Respiratory Support Service, Department of Respiratory and Sleep Medicine, Royal Prince Alfred Hospital, Sydney, Australia. elizabeth.lambrinos@health.nsw.gov.au.
Respiratory Care
|July 11, 2023
Summary
An online education course significantly improved clinician confidence and competence in using mechanical insufflation-exsufflation (MI-E) for airway clearance. This training may overcome barriers to MI-E use in clinical practice.
Area of Science:
- Respiratory Therapy
- Pulmonary Rehabilitation
- Medical Education Technology
Background:
- Mechanical insufflation-exsufflation (MI-E) is a vital cough augmentation technique for individuals with ineffective coughs.
- Complexity in MI-E settings and clinician-reported barriers like inadequate training hinder its optimal use.
- Effective MI-E delivery requires specialized knowledge and practical skills.
Purpose of the Study:
- To evaluate the effectiveness of an online education course in enhancing clinician confidence and competence in MI-E.
- To determine if digital learning can address training gaps in MI-E application.
- To assess the impact of structured education on MI-E prescription and delivery.
Main Methods:
- Physiotherapists with relevant caseloads were recruited and randomized into intervention (online course access) and control groups.
- An online, 6-hour educational module covering theoretical and practical MI-E aspects was developed by experts.
- Confidence in MI-E prescription and application was measured using visual analog scales, alongside a multiple-choice knowledge assessment.
Main Results:
- The intervention group demonstrated statistically significant improvements in both prescription (mean difference 3.6) and application (mean difference 2.9) confidence.
- Knowledge assessment scores also showed significant improvement in the intervention group compared to the control (mean difference 3.2).
- These findings indicate a positive impact of the online education on MI-E proficiency.
Conclusions:
- An evidence-based online education course effectively enhances clinician confidence and competence in MI-E.
- Online learning platforms offer a valuable and accessible tool for training healthcare professionals in complex respiratory support techniques.
- This educational approach has the potential to improve patient care by increasing MI-E utilization and efficacy.
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