TY - JOUR
T1 - Pilot test of an online training module on near-infrared spectroscopy monitoring for the randomised clinical trial SafeBoosC-III
AU - Hansen, Mathias Lühr
AU - Rasmussen, Marie Isabel
AU - Rubin, Snorre
AU - Pellicer, Adelina
AU - Cheng, Guoqiang
AU - Xu, Xin
AU - Zhaoqing, Yin
AU - Zoffmann, Vibeke
AU - Greisen, Gorm
PY - 2020/4/23
Y1 - 2020/4/23
N2 - BACKGROUND: SafeBoosC-III is an international randomised clinical trial to evaluate the effect of treatment of extremely preterm infants during the first 3 days of life based on cerebral near-infrared spectroscopy (NIRS) monitoring versus treatment and monitoring as usual. To ensure high quality of the trial intervention as well as of patient care, we have developed a multilingual web-based training program to train relevant staff and test their competence. As we enter an under-explored area of e-learning, we have conducted a pilot study on the first of the five modules comprising the web-based training program to test the feasibility of developing such a program for an international trial with limited resources.METHODS: The module in this study focuses on the principles and practice of NIRS monitoring. The pedagogical idea was to integrate training and certification. One-hundred doctors and nurses from five Neonatal Intensive Care Units across China, Spain and Denmark were invited to participate in the pilot study. Upon completion of the NIRS module, participants were invited to evaluate their experience by completing an online survey. Data from closed-ended questions were analysed using descriptive statistics while data from open-ended questions underwent thematic analysis.RESULTS: In total, 81 of 100 invited staff members entered the training module and completed the online survey. The median time and the number of questions to pass the module was 15 minutes and seven questions, respectively. Most staff found the academic level of the learning material and quiz appropriate (85% and 93% of all staff members, respectively), as well as agreeing that the module was relevant to prepare them to 'use the NIRS device' (90%). Thematic analysis revealed issues such as a discrepancy between learning material and quiz questions, lack of clarity, and technical issues.CONCLUSION: We provide evidence of the feasibility of developing a multilingual web-based training program for an international trial, despite challenges such as low budget, language barriers and possibly differences in the clinical training of staff. Exploring the integration of training and certification for international trials, the positive results of this study motivate further developments.TRIAL REGISTRATION: ClinicalTrial.gov, NCT03770741. Registered 10 December 2018.
AB - BACKGROUND: SafeBoosC-III is an international randomised clinical trial to evaluate the effect of treatment of extremely preterm infants during the first 3 days of life based on cerebral near-infrared spectroscopy (NIRS) monitoring versus treatment and monitoring as usual. To ensure high quality of the trial intervention as well as of patient care, we have developed a multilingual web-based training program to train relevant staff and test their competence. As we enter an under-explored area of e-learning, we have conducted a pilot study on the first of the five modules comprising the web-based training program to test the feasibility of developing such a program for an international trial with limited resources.METHODS: The module in this study focuses on the principles and practice of NIRS monitoring. The pedagogical idea was to integrate training and certification. One-hundred doctors and nurses from five Neonatal Intensive Care Units across China, Spain and Denmark were invited to participate in the pilot study. Upon completion of the NIRS module, participants were invited to evaluate their experience by completing an online survey. Data from closed-ended questions were analysed using descriptive statistics while data from open-ended questions underwent thematic analysis.RESULTS: In total, 81 of 100 invited staff members entered the training module and completed the online survey. The median time and the number of questions to pass the module was 15 minutes and seven questions, respectively. Most staff found the academic level of the learning material and quiz appropriate (85% and 93% of all staff members, respectively), as well as agreeing that the module was relevant to prepare them to 'use the NIRS device' (90%). Thematic analysis revealed issues such as a discrepancy between learning material and quiz questions, lack of clarity, and technical issues.CONCLUSION: We provide evidence of the feasibility of developing a multilingual web-based training program for an international trial, despite challenges such as low budget, language barriers and possibly differences in the clinical training of staff. Exploring the integration of training and certification for international trials, the positive results of this study motivate further developments.TRIAL REGISTRATION: ClinicalTrial.gov, NCT03770741. Registered 10 December 2018.
KW - Brain/diagnostic imaging
KW - China
KW - Denmark
KW - Education, Distance/methods
KW - Education, Medical, Continuing/methods
KW - Education, Nursing/methods
KW - Feasibility Studies
KW - Female
KW - Humans
KW - Infant, Extremely Premature/physiology
KW - Infant, Newborn
KW - Intensive Care Units, Neonatal
KW - Male
KW - Oximetry/methods
KW - Pilot Projects
KW - Randomized Controlled Trials as Topic
KW - Spain
KW - Spectroscopy, Near-Infrared/methods
KW - Surveys and Questionnaires
KW - E-learning
KW - RCT
KW - Randomized clinical trial
KW - Web-based training
KW - Near-infrared spectroscopy
KW - NIRS
KW - Extremely preterm
KW - Online training
KW - Randomised clinical trial
KW - SafeBoosC
UR - http://www.scopus.com/inward/record.url?scp=85084030190&partnerID=8YFLogxK
U2 - 10.1186/s13063-020-4206-6
DO - 10.1186/s13063-020-4206-6
M3 - Journal article
C2 - 32326953
SN - 1745-6215
VL - 21
SP - 356
JO - Trials
JF - Trials
IS - 1
M1 - 356
ER -