Yarza Talitha Karisse L, Amoranto Abegail Jayne P, Sunga Monica B, Santos Abby Dariel F, Tulisana Mark Lenon O, Cruz Teresa Luisa G, Fullante Philip B, Marcin James P, Sison Luis G, Chiong Charlotte M, Marcelo Portia Grace F
Philippine National Ear Institute, National Institutes of Health, University of the Philippines Manila.
National Telehealth Center, National Institutes of Health, University of the Philippines Manila.
Acta Med Philipp. 2023 Sep 28;57(9):103-115. doi: 10.47895/amp.v57i9.5050. eCollection 2023.
Newborn hearing screening (NHS) in the Philippines has been mandated by law since 2009. However, lack of awareness and knowledge about NHS remains a challenge, especially among healthcare providers. This paper describes the pilot implementation of a computer-based training (CBT) course on NHS and teleaudiology among primary healthcare providers (PHCPs) in rural Philippines.
A four-module web-based training course on newborn hearing screening and teleaudiology in an online learning management system (LMS) was field-tested among PHCPs from eight rural communities in the Philippines. Participants were given four weeks to complete the course.
Forty-two PHCPs participated in the CBT. Thirty-four (81%) completed the whole course (mean attrition rate of 4.8% per module) at a mean duration of 10.2 days. Baseline data shows that participants had no NHS training, although the majority (83%) had information and communications technology (ICT) training. Comparison of pre- and post-test mean scores showed a 24.0% (p<0.001) significant increase in the post-test in all four modules. Passing rates (i.e., score ≥70%) from pre- to post-test increased by 54.6% (range: 38-80% increase). Usability of the CBT was rated high with a mean score of 4.32 out of 5 (range: 4.13 to 4.47), covering all eight parameters. Participants expressed general satisfaction and a positive attitude on CBT to improve knowledge on NHS and teleaudiology.
Even in low resource settings where gaps in ICT infrastructure exist, eLearning can be used as an alternative approach to increase awareness and support training of healthcare providers on newborn hearing screening.
自2009年起，菲律宾法律规定必须开展新生儿听力筛查（NHS）。然而，对新生儿听力筛查缺乏认识和了解仍然是一项挑战，尤其是在医疗服务提供者当中。本文描述了在菲律宾农村地区的基层医疗服务提供者（PHCPs）中试点实施关于新生儿听力筛查和远程听力学的计算机辅助培训（CBT）课程的情况。
在一个在线学习管理系统（LMS）中，针对新生儿听力筛查和远程听力学开展了一个四模块的网络培训课程，并在菲律宾八个农村社区的基层医疗服务提供者中进行了实地测试。参与者有四周时间完成该课程。
42名基层医疗服务提供者参加了计算机辅助培训。34名（81%）完成了全部课程（每个模块的平均流失率为4.8%），平均用时10.2天。基线数据显示，参与者此前未接受过新生儿听力筛查培训，不过大多数（83%）接受过信息通信技术（ICT）培训。测试前和测试后平均分数的比较显示，所有四个模块的测试后分数均显著提高了24.0%（p<0.001）。测试前到测试后的通过率（即分数≥70%）提高了54.6%（范围：提高38 - 80%）。计算机辅助培训的可用性评分很高，平均得分为4.32（满分5分，范围：4.13至4.47），涵盖所有八个参数。参与者对计算机辅助培训总体表示满意，并对其持积极态度，认为有助于提高对新生儿听力筛查和远程听力学的认识。
即使在信息通信技术基础设施存在差距的资源匮乏地区，电子学习也可作为一种替代方法，以提高医疗服务提供者对新生儿听力筛查的认识并支持相关培训。
