The mCME Project: A Randomized Controlled Trial of an SMS-Based Continuing Medical Education Intervention for Improving Medical Knowledge among Vietnamese Community Based Physicians' Assistants
| العنوان: | The mCME Project: A Randomized Controlled Trial of an SMS-Based Continuing Medical Education Intervention for Improving Medical Knowledge among Vietnamese Community Based Physicians' Assistants |
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| المؤلفون: | Hai An Phan Ha, Ha Nguyen Viet, Lora Sabin, Mahlet Yeshitla, Nhu Ha Van, Lien Tran Thi Ngoc, Christopher J. Gill, Nafisa Halim, Julia Rohr, Hoang Pham Vu, Bao Le Ngoc, Marion McNabb, Anna Larson Williams, Liat Bird, Ariel Falconer, Tam Nguyen Thi Thanh, Hai Hoang, Tan Nguyen Van, James Michiel |
| المصدر: | PLoS ONE, Vol 11, Iss 11, p e0166293 (2016) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, Medical Doctors, Health Care Providers, Social Sciences, lcsh:Medicine, Pediatrics, law.invention, Underserved Population, 0302 clinical medicine, Learning and Memory, Continuing medical education, Randomized controlled trial, Sociology, law, Medicine and Health Sciences, Medicine, Psychology, 030212 general & internal medicine, Community Health Services, lcsh:Science, Community Health Workers, Textbooks, Multidisciplinary, 030503 health policy & services, Middle Aged, 3. Good health, Professions, Physician Assistants, Vietnam, language, Engineering and Technology, Job satisfaction, Education, Medical, Continuing, Female, 0305 other medical science, Research Article, Adult, Educational measurement, medicine.medical_specialty, Short Message Service, Patients, Vietnamese, Political Science, Equipment, Standardized test, Education, 03 medical and health sciences, Young Adult, Physicians, Humans, Learning, Primary Care, Labor Studies, Communication Equipment, Text Messaging, business.industry, lcsh:R, Cognitive Psychology, Biology and Life Sciences, language.human_language, Health Care, Family medicine, People and Places, Cognitive Science, Population Groupings, lcsh:Q, Educational Measurement, Cell Phones, business, Neuroscience |
| الوصف: | Background Community health workers (CHWs) provide critical services to underserved populations in low and middle-income countries, but maintaining CHW’s clinical knowledge through formal continuing medical education (CME) activities is challenging and rarely occurs. We tested whether a Short Message Service (SMS)-based mobile CME (mCME) intervention could improve medical knowledge among a cadre of Vietnamese CHWs (Community Based Physician’s Assistants–CBPAs) who are the leading providers of primary medical care for rural underserved populations. Methods The mCME Project was a three arm randomized controlled trial. Group 1 served as controls while Groups 2 and 3 experienced two models of the mCME intervention. Group 2 (passive model) participants received a daily SMS bullet point, and were required to reply to the text to acknowledge receipt; Group 3 (interactive model) participants received an SMS in multiple choice question format addressing the same thematic area as Group 2, entering an answer (A, B, C or D) in their response. The server provided feedback immediately informing the participant whether the answer was correct. Effectiveness was based on standardized examination scores measured at baseline and endline (six months later). Secondary outcomes included job satisfaction and self-efficacy. Results 638 CBPAs were enrolled, randomized, and tested at baseline, with 592 returning at endline (93.7%). Baseline scores were similar across all three groups. Over the next six months, participation of Groups 2 and 3 remained high; they responded to >75% of messages. Group 3 participants answered 43% of the daily SMS questions correctly, but their performance did not improve over time. At endline, the CBPAs reported high satisfaction with the mCME intervention, and deemed the SMS messages highly relevant. However, endline exam scores did not increase over baseline, and did not differ between the three groups. Job satisfaction and self-efficacy scores also did not improve. Average times spent on self-study per week did not increase, and the kinds of knowledge resources used by the CBPAs did not differ between the three groups; textbooks, while widely available, were seldom used. Conclusions The SMS-based mCME intervention, while feasible and acceptable, did not result in increased medical knowledge. We hypothesize that this was because the intervention failed to stimulate lateral learning. For an intervention of this kind to be effective, it will be essential to find more effective ways to couple SMS as a stimulus to promote increased self-study behaviors. Trial Registration ClinicalTrials.gov NCT02381743 |
| اللغة: | English |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0764fe4658678ff1ba14779bd6a1fb9eTest http://europepmc.org/articles/PMC5115715?pdf=renderTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....0764fe4658678ff1ba14779bd6a1fb9e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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