TY - JOUR
T1 - Development, Feasibility, and Knowledge Impact of a Massive Open Online Course on Radiation Safety
T2 - A Multicentre Prospective Cohort Study
AU - Soenens, Gilles
AU - Doyen, Bart
AU - Vlerick, Peter
AU - Hertault, Adrien
AU - Maurel, Blandine
AU - Kellens, Pieter-Jan
AU - Bacher, Klaus
AU - Van Herzeele, Isabelle
AU - VESTA (Vascular surgery in Europe radiation SafeTy Alliance)
A2 - Eiberg, Jonas Peter
N1 - Copyright © 2023 European Society for Vascular Surgery. Published by Elsevier B.V. All rights reserved.
PY - 2024/5
Y1 - 2024/5
N2 - OBJECTIVE: This study reports the development of an innovative, interactive Massive Open Online Course (MOOC) teaching radiation safety principles in the vascular workplace, using stepwise e-learning with multiple choice question tests (MCQs), educational videos, and a serious game. The aim was to study the MOOC impact on radiation safety knowledge and assess its feasibility and acceptability.METHODS: An international multicentre prospective study included team members active in the hybrid operating room. The MOOC was offered voluntarily via a secure online learning platform. A standardised MCQ test (15 questions) assessed radiation safety knowledge pre- and post-course (range 0 - 100%). Acceptability and feasibility were tested via the previously validated, Evaluating e-learning system success (EESS) model, using five point Likert scales.RESULTS: In eight centres across four countries, 150 of 203 invited endovascular team members consented. Over a seven week study period, surgeons (28%, including vascular surgery trainees and consultants), nurses (27%, including scrub, circulating and anaesthetic nurses), anaesthetists (43%, including trainees and consultants), and radiographers (3%) participated. Of those, 67% completed the course. The average radiation knowledge improved by 22.8% (95% CI 19.5 - 26.0%; p < .001) after MOOC completion, from 48% to 71% (standard deviation [SD] 14 and 15% respectively), requiring a mean time investment of 169 minutes (SD 89 minutes). In centres with a radiographer, mean knowledge gain after MOOC completion was significantly smaller (14%, SD 19% vs. 24%, SD 16%, p = .036). The course was deemed feasible and acceptable according to the EESS model with a total mean score of 3.68/5.CONCLUSION: This newly developed, multimodal MOOC was deemed feasible and effective across multiple international centres. The MOOC significantly contributes to radiation safety education of the entire endovascular team, improving radiation safety knowledge. The course may optimise workplace radiation safety behaviour and therefore enhance team and patient safety.
AB - OBJECTIVE: This study reports the development of an innovative, interactive Massive Open Online Course (MOOC) teaching radiation safety principles in the vascular workplace, using stepwise e-learning with multiple choice question tests (MCQs), educational videos, and a serious game. The aim was to study the MOOC impact on radiation safety knowledge and assess its feasibility and acceptability.METHODS: An international multicentre prospective study included team members active in the hybrid operating room. The MOOC was offered voluntarily via a secure online learning platform. A standardised MCQ test (15 questions) assessed radiation safety knowledge pre- and post-course (range 0 - 100%). Acceptability and feasibility were tested via the previously validated, Evaluating e-learning system success (EESS) model, using five point Likert scales.RESULTS: In eight centres across four countries, 150 of 203 invited endovascular team members consented. Over a seven week study period, surgeons (28%, including vascular surgery trainees and consultants), nurses (27%, including scrub, circulating and anaesthetic nurses), anaesthetists (43%, including trainees and consultants), and radiographers (3%) participated. Of those, 67% completed the course. The average radiation knowledge improved by 22.8% (95% CI 19.5 - 26.0%; p < .001) after MOOC completion, from 48% to 71% (standard deviation [SD] 14 and 15% respectively), requiring a mean time investment of 169 minutes (SD 89 minutes). In centres with a radiographer, mean knowledge gain after MOOC completion was significantly smaller (14%, SD 19% vs. 24%, SD 16%, p = .036). The course was deemed feasible and acceptable according to the EESS model with a total mean score of 3.68/5.CONCLUSION: This newly developed, multimodal MOOC was deemed feasible and effective across multiple international centres. The MOOC significantly contributes to radiation safety education of the entire endovascular team, improving radiation safety knowledge. The course may optimise workplace radiation safety behaviour and therefore enhance team and patient safety.
KW - Clinical Competence
KW - Computer-Assisted Instruction/methods
KW - Curriculum
KW - Education, Distance/methods
KW - Education, Medical, Continuing/methods
KW - Educational Measurement
KW - Endovascular Procedures/education
KW - Feasibility Studies
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - Patient Safety
KW - Prospective Studies
KW - Radiation Exposure/prevention & control
KW - Radiation Protection
KW - Vascular Surgical Procedures/education
UR - http://www.scopus.com/inward/record.url?scp=85182659265&partnerID=8YFLogxK
U2 - 10.1016/j.ejvs.2023.11.047
DO - 10.1016/j.ejvs.2023.11.047
M3 - Journal article
C2 - 38042252
SN - 1078-5884
VL - 67
SP - 838
EP - 846
JO - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
IS - 5
ER -