Division of Pediatric Allergy and Immunology, Yale University School of Medicine, New Haven, Connecticut, USA.
Teaching and Learning Center, Yale University School of Medicine, New Haven, Connecticut, USA.
Clin Teach. 2024 Apr;21(2):e13689. doi: 10.1111/tct.13689. Epub 2023 Nov 7.
There exists strong evidence for the early introduction of peanut to at-risk infants for the primary prevention of peanut allergy. There is a need for educational initiatives to assist in dissemination and implementation of updated clinical guidelines on peanut allergy prevention.
The aim for this project was to create an innovative curriculum for paediatricians on peanut allergy prevention. The Intervention to Reduce Early Allergy (Peanut) in Childhood (iREACH) study was leveraged to recruit paediatricians for a needs assessment. Materials from the iREACH study, including an educational YouTube video and knowledge survey, were evaluated. Applying findings from the needs assessment, an innovative curriculum was developed, and updated knowledge survey questions were developed.
The iREACH YouTube video had suboptimal viewing behaviours, and iREACH participants had high baseline knowledge scores that did improve after viewing the video. The majority of respondents to the needs assessment felt that all paediatricians needed access to an effective educational module on peanut allergy prevention, and they wanted a broadly accessible curriculum that incorporated quality media and content segmentation. An online, interactive curriculum was developed that includes clinical cases and games, and updated knowledge questions were created with associated internal structure and reliability evidence, as well as relation to other variables evidence.
The next steps of this project will focus on curriculum implementation and evaluation through a randomised, prospective study with the aim to serve as an educational model for how to integrate specialty-specific guidelines into broader clinical practice through education.
有强有力的证据表明，应尽早向高危婴儿引入花生，以预防花生过敏。需要开展教育活动，协助传播和实施有关预防花生过敏的最新临床指南。
本项目旨在为儿科医生制定预防花生过敏的创新课程。利用干预减少儿童早期过敏（花生）（iREACH）研究招募儿科医生进行需求评估。评估了 iREACH 研究的材料，包括教育 YouTube 视频和知识调查。根据需求评估的结果，开发了一个创新课程，并开发了更新的知识调查问题。
iREACH YouTube 视频的观看行为不佳，而 iREACH 参与者的基线知识得分较高，但观看视频后有所提高。需求评估的大多数受访者认为，所有儿科医生都需要获得有关预防花生过敏的有效教育模块，并且他们希望获得一个广泛适用的课程，其中包含优质的媒体和内容分段。开发了一个在线互动课程，其中包括临床病例和游戏，并创建了更新的知识问题，这些问题具有相关的内部结构和可靠性证据，以及与其他变量证据的关系。
该项目的下一步将重点通过随机、前瞻性研究来实施和评估课程，旨在为如何通过教育将专业特定指南纳入更广泛的临床实践提供教育模式。
