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- W4311897910 abstract "Introduction: Gaps in provider education contribute to millions of pediatric deaths in low- and middle-income countries (LMICs). Conventional education in LMICs is limited by reach, sustainability, and inability to scale. Adaptive electronic learning (AEL) is superior to conventional education in high-income countries and may overcome existing barriers in LMICs. In order to address the existing limitations of current provider education in LMICs, we developed an AEL curriculum based on evidence-based guidelines for the management of acutely-ill children. We undertook a feasibility trial of this curriculum among a cohort of medical interns at a tertiary referral hospital in Tanzania. Methods: We developed and tested our 11-module curriculum in a convenience sample of clinical interns at a zonal academic hospital in Mwanza, Tanzania. Following enrollment, participants accessed PACE for up to 10 weeks. RE-AIM is an established framework to assist in translating research into implementation. Using 3 of RE-AIM’s 5 evaluative dimensions, we defined feasibility as > 15% mean knowledge increase (efficacy), > 75% providers initiating PACE (adoption), and > 60% completing all modules (maintenance). These percentages reflect thresholds found in similar educational interventions. Results: 21 clinical interns participated. Overall efficacy was 24% (95% CI 3.06, 45.74), adoption was 81% (17/21) and maintenance was 33% (7/21). No differences in demographics, job satisfaction, motivation, or data usage were detected between those who completed maintenance and those who did not. Sixty-five percent (13/20) had previous conventional pediatric training and twenty percent (5/20) used electronic media as a primary learning source for continuing medical education. For those who maintained PACE, median number of learning episodes was 9 and time to completion was 181 minutes. Nine of eleven modules required < 30 minutes to complete. Conclusions: In its current implementation strategy, PACE was feasible for efficacy and adoption, but not maintenance. Our cohort reported high levels of previous training, but low use of electronic media as a learning source. Provider usage characteristics suggest that module size and content were appropriate for this cohort. Refinement of our implementation strategy is needed to increase maintenance." @default.
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- W4311897910 date "2022-12-15" @default.
- W4311897910 modified "2023-09-27" @default.
- W4311897910 title "862: FEASIBILITY TRIAL OF ADAPTIVE ELECTRONIC LEARNING FOR PEDIATRIC HEALTHCARE WORKERS IN TANZANIA" @default.
- W4311897910 doi "https://doi.org/10.1097/01.ccm.0000909176.92502.dc" @default.
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