Institute for Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle (Saale), Germany.
BMC Med Educ. 2020 Mar 18;20(1):77. doi: 10.1186/s12909-020-1966-3.
The Guideline Evidence-based Health Information was published in 2017 and addresses health information providers. The long-term goal of the guideline is to improve the quality of health information. Evidence-based health information represents a prerequisite for informed decision-making. Health information providers lack competences in evidence-based medicine. Therefore, our aim was to develop and pilot-test a blended learning training programme for health information providers to enhance application of the guideline.
We developed the training programme according to the Medical Research Council guidance for developing and evaluating complex interventions. The training programme was planned on the basis of problem-based learning. It aims to impart competences in evidence-based medicine. Furthermore, it comprises the application of criteria for evidence-based health information. 2.Pilot testing: We conducted a qualitative pilot study focusing on the acceptability and feasibility of the training programme. Health information providers were recruited and in-house training sessions were offered. Feasibility and acceptability were explored by structured class observations and in semi-structured focus group interviews with the participants after the training sessions. The transcripts and documentations were analysed using qualitative content analysis according to Mayring. The training was revised iteratively according to the results.
We conducted two training courses with 17 participants between November 2018 and March 2019. The adequacy of the training for the target group was identified as a major issue. There was significant heterogeneity concerning previous knowledge. Some wished to delve deeper while others seemed to be overwhelmed. In general, the work tasks were understandable. However, the participants asked for a more detailed theoretical introduction in advance. The practical relevance of the evidence-based medicine contents was rated rather low compared to the content about evidence-based health information. Based on these results, we revised the programme.
Overall, the training proved to be feasible for implementation. Meeting the needs of all the participants was a challenge, since they were heterogeneous. Not all of them will be able or intend to implement the training contents into their working routine to the full extent. The implementation will be evaluated in a randomised controlled trial.
《循证卫生信息指南》于 2017 年发布，面向卫生信息提供者。该指南的长期目标是提高卫生信息的质量。循证卫生信息是知情决策的前提。卫生信息提供者在循证医学方面能力不足。因此，我们的目标是为卫生信息提供者开发和试点混合学习培训计划，以提高该指南的应用。
开发：我们根据医学研究委员会制定和评估复杂干预措施的指南开发培训计划。该培训计划是基于基于问题的学习而计划的。它旨在传授循证医学方面的能力。此外，它还包括应用循证卫生信息标准。
试点测试：我们进行了一项定性试点研究，重点关注培训计划的可接受性和可行性。招募了卫生信息提供者，并提供了内部培训课程。在培训课程结束后，通过结构化课堂观察和参与者的半结构化焦点小组访谈来探索可行性和可接受性。根据 Mayring 的方法，对培训记录和文件进行了定性内容分析。根据结果对培训进行了迭代修订。
我们在 2018 年 11 月至 2019 年 3 月期间进行了两次培训课程，共有 17 名参与者参加。培训对目标群体的适当性被确定为一个主要问题。之前的知识存在很大的差异。有些人希望深入研究，而有些人似乎不知所措。总的来说，工作任务是可以理解的。但是，参与者要求提前进行更详细的理论介绍。与循证卫生信息内容相比，参与者对循证医学内容的实际相关性评价较低。基于这些结果，我们对计划进行了修订。
总的来说，培训实施起来是可行的。满足所有参与者的需求是一个挑战，因为他们的情况存在差异。并非所有人都能够或愿意将培训内容全部应用到他们的工作中。将在一项随机对照试验中评估实施情况。
