The virtual asthma guideline e-learning program: learning effectiveness and user satisfaction
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background/Aims: Effective educational tools are important for increasing adherence to asthma guidelines and clinical improvement of asthma patients. We developed a computer-based interactive education program for asthma guideline named the Virtual Learning Center for Asthma Management (VLCAM). We evaluated the usefulness of program in terms of its effects on user awareness of asthma guideline and level of satisfaction. Methods: Physicians-in-training at tertiary hospitals in Korea were enrolled in a cross-sectional questionnaire survey. The e-learning program on asthma guideline was conducted over a 2-week period. We investigated changes in the awareness of asthma guideline using 35-item self-administered questionnaire aiming at assessing physicians’ knowledge, attitude, and practice. Satisfaction with the program was scored on 4-point Likert scales. Results: A total of 158 physicians-in-training at six tertiary hospitals completed the survey. Compared with baseline, the overall awareness obtained from the scores of knowledge, attitude, and practice was improved significantly. Participants were satisfied with the VLCAM program in the following aspects: helpfulness, convenience, motivation, effectiveness, physicians’ confidence, improvement of asthma management, and willingness to recommend. All items in user satisfaction questionnaires received high scores over 3 points. Moreover, the problem- based learning with a virtual patient received the highest user satisfaction among all parts of the program. Conclusions: Our computer-based e-learning program is useful for improving awareness of asthma management. It could improve adherence to asthma guidelines and enhance the quality of asthma care.
Abstract
Background/Aims: Effective educational tools are important for increasing adherence to asthma guidelines and clinical improvement of asthma patients. We developed a computer-based interactive education program for asthma guideline named the Virtual Learning Center for Asthma Management (VLCAM). We evaluated the usefulness of program in terms of its effects on user awareness of asthma guideline and level of satisfaction. Methods: Physicians-in-training at tertiary hospitals in Korea were enrolled in a cross-sectional questionnaire survey. The e-learning program on asthma guideline was conducted over a 2-week period. We investigated changes in the awareness of asthma guideline using 35-item self-administered questionnaire aiming at assessing physicians’ knowledge, attitude, and practice. Satisfaction with the program was scored on 4-point Likert scales. Results: A total of 158 physicians-in-training at six tertiary hospitals completed the survey. Compared with baseline, the overall awareness obtained from the scores of knowledge, attitude, and practice was improved significantly. Participants were satisfied with the VLCAM program in the following aspects: helpfulness, convenience, motivation, effectiveness, physicians’ confidence, improvement of asthma management, and willingness to recommend. All items in user satisfaction questionnaires received high scores over 3 points. Moreover, the problem- based learning with a virtual patient received the highest user satisfaction among all parts of the program. Conclusions: Our computer-based e-learning program is useful for improving awareness of asthma management. It could improve adherence to asthma guidelines and enhance the quality of asthma care.
참고문헌 (33)
- Braman SS, "The global burden of asthma", Chest, 130, pp.4S~12S (2006)[DOI]
- Song WJ, "Epidemiology of adult asthma in Asia: toward a better understanding", Asia Pac Allergy, 4, pp.75~85 (2014)[DOI]
- Bahadori K, "Economic burden of asthma: a systematic review", BMC Pulm Med, 9, pp.24~ (2009)[DOI]
- 조상헌, "The Current Status of Asthma in Korea", Journal of Korean Medical Science, 21(2), pp.181~187 (2006), 대한의학회
- Rabe KF, "Worldwide severity and control of asthma in children and adults: the global asthma insights and reality surveys", J Allergy Clin Immunol, 114, pp.40~47 (2004)[DOI]
- Boulet LP, "Playing cards on asthma management: a new interactive method for knowledge transfer to primary care physicians", Can Respir J, 14, pp.480~484 (2007)[DOI]
- Le TT, "A randomized controlled trial to evaluate the effectiveness of a distance asthma learning program for pediatricians", J Asthma, 47, pp.245~250 (2010)[DOI]
- Moonie SA, "Community Asthma Program improves appropriate prescribing in moderate to severe asthma", J Asthma, 42, pp.281~289 (2005)[DOI]
- Ting S, "Multicolored simplified asthma guideline reminder (MSAGR) for better adherence to national", global asthma guidelines, 2002, pp.88, 326~330
- [URL]
- Wang R, "Cultural differences: why do Asians avoid extreme responses?", Surv Pract, 1, pp.1~7 (2008)
- Masoli M, "The global burden of asthma: executive summary of the GINA Dissemination Committee report", Allergy, 59, pp.469~478 (2004)[DOI]
- Lalloo UG, "Asthma programmes in diverse regions of the world: challenges, successes and lessons learnt", Int J Tuberc Lung Dis, 15, pp.1574~1587 (2011)[DOI]
- Myers TR, "Guidelines for asthma management: a review and comparison of 5 current guidelines", Respir Care, 53, pp.751~767 (2008)
- 김강혁, "The Effect of Asthma Clinical Guideline for Adults on Inhaled Corticosteroids PrescriptionTrend: A Quasi-Experimental Study", Journal of Korean Medical Science, 30(8), pp.1048~1054 (2015), 대한의학회
- Balkrishnan R, "Outcomes and cost benefits associated with the introduction of inhaled corticosteroid therapy in a medicaid population of asthmatic patients", Clin Ther, 20, pp.567~580 (1998)[DOI]
- Donahue JG, "Inhaled steroids and the risk of hospitalization for asthma", JAMA, 277, pp.887~891 (1997)[DOI]
- Suissa S, "Low-dose inhaled corticosteroids and the prevention of death from asthma", N Engl J Med, 343, pp.332~336 (2000)[DOI]
- Davis RS, "Changing physician prescribing patterns through problem-based learning: an interactive, teleconference casebased education program and review of problem-based learning", Ann Allergy Asthma Immunol, 93, pp.237~242 (2004)[DOI]
- Ruiz JG, "The impact of E-learning in medical education", Acad Med, 81, pp.207~212 (2006)[DOI]
- Bero LA, "Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. The Cochrane Effective Practice and Organization of Care Review Group", BMJ, 317, pp.465~468 (1998)[DOI]
- Shiffman RN, "Computer-based guideline implementation systems: a systematic review of functionality and effectiveness", J Am Med Inform Assoc, 6, pp.104~114 (1999)[DOI]
- Davis DA, "Changing physician performance: a systematic review of the effect of continuing medical education strategies", JAMA, 274, pp.700~705 (1995)[DOI]
- Van Sickle D, "A video-simulation study of the management of asthma exacerbations by physicians in India", Clin Respir J, 2, pp.98~105 (2008)[DOI]
- Cook DA, "Virtual patients: a critical literature review and proposed next steps", Med Educ, 43, pp.303~311 (2009)[DOI]
- Stevens A, "The use of virtual patients to teach medical students history taking and communication skills", Am J Surg, 191, pp.806~811 (2006)[DOI]
- Satava RM, "The revolution in medical education-the role of simulation", J Grad Med Educ, 1, pp.172~175 (2009)[DOI]
- Benedict N, "Promotion of self-directed learning using virtual patient cases", Am J Pharm Educ, 77, pp.151~ (2013)[DOI]
- Benedict N, "Patient simulation software to augment an advanced pharmaceutics course", Am J Pharm Educ, 75, pp.21~ (2011)[DOI]
- Zary N, "Development, implementation and pilot evaluation of a Web-based Virtual Patient Case Simulation environment: Web-SP", BMC Med Educ, 6, pp.10~ (2006)[DOI]
- Davids MR, "Development and evaluation of a multimedia e-learning resource for electrolyte and acid-base disorders", Adv Physiol Educ, 35, pp.295~306 (2011)[DOI]
- 조상헌, "Physicians' Preferences for Asthma Guidelines Implementation", Allergy, Asthma & Immunology Research, 2(4), pp.247~253 (2010), 대한천식알레르기학회
- Cook DA, "Computerized virtual patients in health professions education: a systematic review and meta-analysis", Acad Med, 85, pp.1589~1602 (2010)[DOI]
