A Cluster Randomized Controlled Trial of the Pediatric Acute Care Education (PACE) Program Combining Adaptive E-Learning with In-Person Skills Practice in Tanzania
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Median Refresher Learning Progress (RLP) Among Providers
研究概览
简要总结
The goal of this clinical trial is to evaluate whether the integration of in-person skills practice (ISP) with an adaptive e-learning platform can improve refresher learning progress (RLP) among healthcare providers in pediatric care settings in Tanzania.
The main questions it aims to answer are:
Can healthcare providers who participate in ISP sessions facilitated by clinical champions achieve greater improvements in refresher learning progress (RLP)? Will providers in the intervention group demonstrate improved metacognition and practical skill performance compared to those in the control group? Researchers will compare healthcare providers using the ISP digital platform (Rhapsode Capable™) to providers using paper-based ISP to see if the digital platform results in significantly higher RLP and fewer skill-based errors.
Participants will:
Complete adaptive e-learning modules focused on pediatric care topics (e.g., newborn resuscitation, severe malnutrition).
Participate in ISP sessions where clinical champions provide feedback and assess performance.
详细描述
This study is a cluster randomized controlled trial (RCT) aimed at assessing the effectiveness of integrating In-Person Skills Practice (ISP) sessions facilitated by clinical champions into the existing Pediatric Acute Care Education (PACE) adaptive e-learning program. The study is designed to evaluate whether this blended learning approach can enhance the refresher learning progress (RLP), improve practical clinical skills, and increase metacognition (conscious competence) among healthcare providers responsible for pediatric care in Tanzania.
Study Design:
The trial will randomize four healthcare centers into two groups: an intervention group where providers use the Rhapsode Capable™ platform for ISP and a control group where providers receive paper-based ISP. Both groups will receive the same core content from the PACE adaptive learning modules.
The intervention group will utilize the Rhapsode Capable™ digital platform for ISP, which provides scheduling, skill tracking, and real-time feedback on performance. The control group will follow a similar protocol, but feedback and skill tracking will be done manually using paper forms. Clinical champions will facilitate all ISP sessions in both groups, providing structured guidance, peer support, and real-time feedback.
This trial will use a mixed-methods approach, including quantitative assessments (learning progress scores, ISP scores) and qualitative data collection (Focus Group Discussions and In-Depth Interviews) to gather insights into the barriers and facilitators of ISP integration into the PACE program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Healthcare providers actively involved in pediatric care at one of the selected healthcare centers.
- •Completion of core Pediatric Acute Care Education (PACE) adaptive learning modules prior to study participation.
- •Willingness to participate in In-Person Skills Practice (ISP) sessions.
- •Ability to engage with either the Rhapsode Capable™ platform (intervention group) or paper-based ISP methods (control group).
- •Minimum proficiency in written and spoken English.
排除标准
- •Healthcare providers not involved in pediatric or newborn clinical care at the time of recruitment.
- •Providers unable or unwilling to attend ISP sessions facilitated by clinical champions.
- •Individuals with no prior engagement in the PACE program.
- •Providers with significant technological barriers that prevent the use of the Rhapsode Capable™ platform (for the intervention group only).
结局指标
主要结局
Median Refresher Learning Progress (RLP) Among Providers
时间窗: 16 (Pilot) or 32 (repilot) weeks from baseline to study completion. Each participant's progress will be tracked weekly throughout the 16/32-week intervention period.
The percentage of refresher learning modules completed by healthcare providers with an initial learning progress (ILP) score of 95% or greater, who also complete at least one In-Person Skills Practice (ISP) session per month. The RLP will be measured as the progress in refresher module completion and adherence to ISP sessions, indicating the effectiveness of combining adaptive e-learning with in-person skills practice.
次要结局
- Improvement in Metacognition (Conscious Competence)(Assessed at baseline, 16 weeks(pilot only), and 32 weeks (repilot only) after intervention start.)
- Total ISP Score Improvement(Assessed after each ISP session and summarized at 16 (pilot) or 32 (repilot) weeks after intervention start.)
- Reduction in Common ISP Errors(Errors tracked throughout ISP sessions over the 16 or 32-week intervention period.)
- Proportion of Healthy Providers (HPs)(Assessed monthly and summarized at 16 or 32 weeks after intervention start.)
研究者
Peter A Meaney, MD MPH
Clinical Professor, Pediatric Critical Care
Stanford University