The Korean journal of internal medicine

The Korean Association of Internal Medicine (대한내과학회)
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The virtual asthma guideline e-learning program: learning effectiveness and user satisfaction

  • Kang, Sung-Yoon (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kim, Sae-Hoon (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Kwon, Yong-Eun (Department of Internal Medicine, Chosun University College of Medicine) ;
  • Kim, Tae-Bum (Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Hye-Kyung (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Park, Heung-Woo (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Chang, Yoon-Seok (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Jee, Young-Koo (Department of Internal Medicine, Dankook University College of Medicine) ;
  • Moon, Hee-Bom (Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Min, Kyung-Up (Department of Internal Medicine, Seoul National University College of Medicine) ;
  • Cho, Sang-Heon (Department of Internal Medicine, Seoul National University College of Medicine)
  • Received : 2017.01.09
  • Accepted : 2017.03.23
  • Published : 2018.05.01
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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.

Keywords

Acknowledgement

Supported by : Ministry of Health and Welfare

References

  1. Braman SS. The global burden of asthma. Chest 2006;130:4S-12S. https://doi.org/10.1378/chest.130.1_suppl.4S
  2. Song WJ, Kang MG, Chang YS, Cho SH. Epidemiology of adult asthma in Asia: toward a better understanding. Asia Pac Allergy 2014;4:75-85. https://doi.org/10.5415/apallergy.2014.4.2.75
  3. Bahadori K, Doyle-Waters MM, Marra C, et al. Economic burden of asthma: a systematic review. BMC Pulm Med 2009;9:24. https://doi.org/10.1186/1471-2466-9-24
  4. Cho SH, Park HW, Rosenberg DM. The current status of asthma in Korea. J Korean Med Sci 2006;21:181-187. https://doi.org/10.3346/jkms.2006.21.2.181
  5. Rabe KF, Adachi M, Lai CK, et al. Worldwide severity and control of asthma in children and adults: the global asthma insights and reality surveys. J Allergy Clin Immunol 2004;114:40-47. https://doi.org/10.1016/j.jaci.2004.04.042
  6. Boulet LP, Borduas F, Bouchard J, Blais J, Hargreave FE, Rouleau M. Playing cards on asthma management: a new interactive method for knowledge transfer to primary care physicians. Can Respir J 2007;14:480-484. https://doi.org/10.1155/2007/504931
  7. Le TT, Rait MA, Jarlsberg LG, Eid NS, Cabana MD. A randomized controlled trial to evaluate the effectiveness of a distance asthma learning program for pediatricians. J Asthma 2010;47:245-250. https://doi.org/10.3109/02770900903560209
  8. Moonie SA, Strunk RC, Crocker S, Curtis V, Schechtman K, Castro M. Community Asthma Program improves appropriate prescribing in moderate to severe asthma. J Asthma 2005;42:281-289. https://doi.org/10.1081/JAS-200057900
  9. Ting S. Multicolored simplified asthma guideline reminder (MSAGR) for better adherence to national/global asthma guidelines. Ann Allergy Asthma Immunol 2002;88:326-330. https://doi.org/10.1016/S1081-1206(10)62016-9
  10. Korean Medical Guideline Information Center. Korean Asthma Management Guideline for Adults 2007 [Internet]. Seoul (KR): Korean Medical Guideline Information Center, c2008 [cited 2017 Jul 3]. Available from: http://guideline.or.kr/guideline/search.php?mode=search&-type=2&Msid=28&Fsid=667.
  11. Wang R, Hempton B, Dugan JP, Komives SR. Cultural differences: why do Asians avoid extreme responses? Surv Pract 2008;1:1-7.
  12. Masoli M, Fabian D, Holt S, Beasley R; Global Initiative for Asthma (GINA) Program. The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy 2004;59:469-478. https://doi.org/10.1111/j.1398-9995.2004.00526.x
  13. Lalloo UG, Walters RD, Adachi M, et al. Asthma programmes in diverse regions of the world: challenges, successes and lessons learnt. Int J Tuberc Lung Dis 2011;15:1574-1587. https://doi.org/10.5588/ijtld.11.0289
  14. Myers TR. Guidelines for asthma management: a review and comparison of 5 current guidelines. Respir Care 2008;53:751-767.
  15. Kim SH, Cho BL, Shin DW, et al. The effect of asthma clinical guideline for adults on inhaled corticosteroids prescriptiontrend: a quasi-experimental study. J Korean Med Sci 2015;30:1048-1054. https://doi.org/10.3346/jkms.2015.30.8.1048
  16. Balkrishnan R, Norwood GJ, Anderson A. Outcomes and cost benefits associated with the introduction of inhaled corticosteroid therapy in a medicaid population of asthmatic patients. Clin Ther 1998;20:567-580. https://doi.org/10.1016/S0149-2918(98)80066-0
  17. Donahue JG, Weiss ST, Livingston JM, Goetsch MA, Greineder DK, Platt R. Inhaled steroids and the risk of hospitalization for asthma. JAMA 1997;277:887-891. https://doi.org/10.1001/jama.1997.03540350037030
  18. Suissa S, Ernst P, Benayoun S, Baltzan M, Cai B. Low-dose inhaled corticosteroids and the prevention of death from asthma. N Engl J Med 2000;343:332-336. https://doi.org/10.1056/NEJM200008033430504
  19. Davis RS, Bukstein DA, Luskin AT, Kailin JA, Goodenow G. Changing physician prescribing patterns through problem-based learning: an interactive, teleconference casebased education program and review of problem-based learning. Ann Allergy Asthma Immunol 2004;93:237-242. https://doi.org/10.1016/S1081-1206(10)61494-9
  20. Ruiz JG, Mintzer MJ, Leipzig RM. The impact of E-learning in medical education. Acad Med 2006;81:207-212. https://doi.org/10.1097/00001888-200603000-00002
  21. Bero LA, Grilli R, Grimshaw JM, Harvey E, Oxman AD, Thomson MA. 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 1998;317:465-468. https://doi.org/10.1136/bmj.317.7156.465
  22. Shiffman RN, Liaw Y, Brandt CA, Corb GJ. Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. J Am Med Inform Assoc 1999;6:104-114. https://doi.org/10.1136/jamia.1999.0060104
  23. Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance: a systematic review of the effect of continuing medical education strategies. JAMA 1995;274:700-705. https://doi.org/10.1001/jama.1995.03530090032018
  24. Van Sickle D, Singh RB. A video-simulation study of the management of asthma exacerbations by physicians in India. Clin Respir J 2008;2:98-105. https://doi.org/10.1111/j.1752-699X.2007.00044.x
  25. Cook DA, Triola MM. Virtual patients: a critical literature review and proposed next steps. Med Educ 2009;43:303-311. https://doi.org/10.1111/j.1365-2923.2008.03286.x
  26. Stevens A, Hernandez J, Johnsen K, et al. The use of virtual patients to teach medical students history taking and communication skills. Am J Surg 2006;191:806-811. https://doi.org/10.1016/j.amjsurg.2006.03.002
  27. Satava RM. The revolution in medical education-the role of simulation. J Grad Med Educ 2009;1:172-175. https://doi.org/10.4300/JGME-D-09-00075.1
  28. Benedict N, Schonder K, McGee J. Promotion of self-directed learning using virtual patient cases. Am J Pharm Educ 2013;77:151. https://doi.org/10.5688/ajpe777151
  29. Benedict N, Schonder K. Patient simulation software to augment an advanced pharmaceutics course. Am J Pharm Educ 2011;75:21. https://doi.org/10.5688/ajpe75221
  30. Zary N, Johnson G, Boberg J, Fors UG. Development, implementation and pilot evaluation of a Web-based Virtual Patient Case Simulation environment: Web-SP. BMC Med Educ 2006;6:10. https://doi.org/10.1186/1472-6920-6-10
  31. Davids MR, Chikte UM, Halperin ML. Development and evaluation of a multimedia e-learning resource for electrolyte and acid-base disorders. Adv Physiol Educ 2011;35:295-306. https://doi.org/10.1152/advan.00127.2010
  32. Kang MK, Kim BK, Kim TW, et al. Physicians' preferences for asthma guidelines implementation. Allergy Asthma Immunol Res 2010;2:247-253. https://doi.org/10.4168/aair.2010.2.4.247
  33. Cook DA, Erwin PJ, Triola MM. Computerized virtual patients in health professions education: a systematic review and meta-analysis. Acad Med 2010;85:1589-1602. https://doi.org/10.1097/ACM.0b013e3181edfe13

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