School of Psychology, Newcastle University, Newcastle upon Tyne, England, UK.
Northern Foundation School, Newcastle upon Tyne, England, UK.
BMC Med Educ. 2023 Feb 27;23(1):129. doi: 10.1186/s12909-023-04113-7.
Early intervention in cerebral palsy could improve motor outcome but is only possible following early identification of those affected. There is a need for training of healthcare professionals (HCPs) in early detection of atypical motor development. We developed a video-based e-learning course - Training in Early Detection for Early Intervention (TEDEI) - to address this need. We evaluated whether participation in the course improved knowledge and changed behaviour of HCPs.
Participants were 332 HCPs (38% physiotherapists, 35.8% occupational therapists), predominantly UK-based (83.7%). Analysis of training effects used mixed methods and followed Kirkpatrick's model, first assessing "Reaction" through a feedback questionnaire involving Likert scale and free text responses (n = 141). "Learning" was assessed through multiple choice questions (MCQs): all 332 HCPs completed a pre-course quiz of 6 MCQs followed by the course, then a 16 item post-course quiz including the 6 pre-course questions. "Behaviour" was assessed through in-depth qualitative interviewing of 23 participants.
"Reaction": TEDEI was found to be effective, engaging and well structured. "Learning": Scores improved significantly between the pre-course and post-course quiz, median improvement 1/6 (z = 5.30, p < 0.001). HCPs also reported a perceived improvement in their knowledge, confidence and ability. "Behaviour": HCPs could see how TEDEI would improve their clinical practice through having an assessment framework, ways of working better with parents, and developing observational skills useful for tele-health assessments.
Our brief e-learning course on early detection for early intervention was viewed positively, improved knowledge and showed potential for positive changes in practice. Kirkpatrick's model provided a useful framework for undertaking this evaluation.
脑瘫的早期干预可以改善运动预后，但只有在早期识别出受影响的患者后才能实现。因此需要对医疗保健专业人员（HCP）进行早期发现非典型运动发育的培训。我们开发了一个基于视频的电子学习课程 - 早期干预的早期检测培训（TEDEI）- 以满足这一需求。我们评估了参加该课程是否可以提高 HCP 的知识并改变其行为。
参与者是 332 名 HCP（38%物理治疗师，35.8%职业治疗师），主要来自英国（83.7%）。使用混合方法分析培训效果，并遵循 Kirkpatrick 模型，首先通过包含李克特量表和自由文本回复的反馈问卷（n=141）评估“反应”。“学习”通过多项选择题（MCQs）进行评估：所有 332 名 HCP 在参加课程前完成了一个包含 6 个 MCQs 的预考，然后参加课程，再完成一个包含 6 个预考问题的 16 项课后测试。“行为”通过对 23 名参与者的深入定性访谈进行评估。
“反应”：TEDEI 被证明是有效、引人入胜且结构良好的。“学习”：预考和课后测试的分数有显著提高，中位数提高 1/6（z=5.30，p<0.001）。HCP 还报告说，他们的知识、信心和能力都有所提高。“行为”：HCP 可以看到 TEDEI 通过提供评估框架、与家长更好地合作的方式以及发展对远程健康评估有用的观察技能，如何改善他们的临床实践。
我们的早期检测早期干预简短电子学习课程受到了积极评价，提高了知识水平，并显示出对实践产生积极影响的潜力。Kirkpatrick 模型为进行这种评估提供了一个有用的框架。
