Effect of E-learning Training on National Institutes of Health Stroke Scale (NIHSS) and Modified Rankin Scale (mRS) Assessment Performance: a Web-based Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Stuby Loric
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Performance on a NIHSS 50-item quiz
Overview
Brief Summary
The goal of this web-based randomized clinical trial is to evaluate whether an e-learning training program improves the accuracy of National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) assessments among practicing paramedics in French-speaking Switzerland who have not previously received formal training in these scales.
The main questions it aims to answer are:
- Does e-learning training improve performance on a standardized NIHSS assessment quiz compared with no prior training?
- Does e-learning training improve the accuracy of mRS assessment using case-based clinical vignettes compared with no prior training?
Researchers will compare paramedics who complete the NIHSS and mRS e-learning modules before assessment (intervention group) with paramedics who complete the assessments without prior training (control group) to determine whether e-learning training leads to higher assessment performance scores.
Participants will:
- Provide electronic informed consent via a secure web-based platform
- Be randomly assigned to either the intervention group or the control group
- Complete either the e-learning modules before assessment or the assessments before training, depending on group allocation
- Complete an online NIHSS quiz and mRS case-based vignettes
- Receive access to the NIHSS and mRS e-learning modules by the end of the study
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Holding a paramedic title (recognized in Switzerland)
- •Currently actively practicing in Switzerland
- •Fluent in French (all study material will be provided in French)
Exclusion Criteria
- •Previously completed formal training on either the NIHSS or the mRS.
Arms & Interventions
Control group
Control group: Participants will first complete the NIHSS quiz and mRS case vignettes without prior training.
Intervention group
Participants will follow the e-learning modules (NIHSS and mRS).
Intervention: Educational intervention (Other)
Outcomes
Primary Outcomes
Performance on a NIHSS 50-item quiz
Time Frame: From enrollment to the end of the study path in a timeframe of maximum 4 weeks.
The primary outcome will be the performance on a NIHSS 50-item quiz consisting in 3 full assessments of a patient (3x15 items) plus 5 general questions (each question scores 1 point if correct, maximum total of 50 points).
Secondary Outcomes
- Performance of mRS assessment(From enrollment to the end of the study path in a timeframe of maximum 4 weeks.)
Investigators
Stuby Loric
Principal Investigator
Geneve TEAM Ambulances