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eLearning improves allied health professionals' knowledge and confidence to manage medically unexplained chronic fatigue states: A randomized controlled trial.
Jones, Matthew D; Casson, Sally M; Barry, Benjamin K; Li, Sophie H; Valenzuela, Trinidad; Cassar, Joanne; Lamanna, Camillo; Lloyd, Andrew R; Sandler, Carolina X.
Afiliación
  • Jones MD; The Kirby Institute, The University of New South Wales, Sydney, Australia; School of Health Sciences, The University of New South Wales, Sydney, Australia; Centre for Pain IMPACT, Neuroscience Research Australia, Sydney, Australia.
  • Casson SM; The Kirby Institute, The University of New South Wales, Sydney, Australia; School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.
  • Barry BK; School of Health Sciences, The University of New South Wales, Sydney, Australia; Medical School, The University of Queensland, Brisbane, Australia; Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
  • Li SH; Black Dog Institute and School of Psychology, The University of New South Wales Australia, Sydney, Australia.
  • Valenzuela T; Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile.
  • Cassar J; The Kirby Institute, The University of New South Wales, Sydney, Australia; Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
  • Lamanna C; The Kirby Institute, The University of New South Wales, Sydney, Australia.
  • Lloyd AR; The Kirby Institute, The University of New South Wales, Sydney, Australia.
  • Sandler CX; The Kirby Institute, The University of New South Wales, Sydney, Australia; School of Health Sciences, Western Sydney University, Sydney, New South Wales, Australia; Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia. Electronic address: c.sandler@westernsydney.
J Psychosom Res ; 173: 111462, 2023 10.
Article en En | MEDLINE | ID: mdl-37619433
ABSTRACT

OBJECTIVES:

To evaluate the impact of eLearning by allied health professionals on improving the knowledge and confidence to manage people with medically unexplained chronic fatigue states (FS).

METHODS:

Using a parallel randomized controlled trial design, participants were randomized 11 to a 4-week eLearning or wait-list control group. Knowledge and self-reported confidence in clinical skills to implement a therapeutic intervention for patients with FS were assessed at baseline, post-intervention and follow-up. Secondary outcomes (adherence and satisfaction with online education, knowledge retention) were also assessed. Data was analyzed using intention-to-treat.

RESULTS:

There were 239 participants were randomized (eLearning n = 119, control n = 120), of whom 101 (85%) eLearning and 107 (89%) control participants completed baseline assessments and were included in the analysis. Knowledge (out of 100) improved significantly more in the eLearning group compared to the control group [mean difference (95% CI) 8.6 (5.9 to 11.4), p < 0.001]. Knowledge was reduced in the eLearning group at follow-up but was still significantly higher than baseline [6.0 (3.7 to 8.3), p < 0.001]. Median change (out of 5) in confidence in clinical skills to implement the FS intervention was also significantly greater in the eLearning group compared to the control group [knowledge eLearning (1.2), control (0); clinical skills eLearning (1), control (0.1); both p < 0.001)]. Average time spent on the eLearning program was 8.8 h. Most participants (80%) rated the lesson difficulty as at the "right level", and 91% would recommend it to others.

CONCLUSIONS:

eLearning increased knowledge and confidence to manage FS amongst allied health professionals and was well-accepted. REGISTRATION ACTRN12616000296437 https//anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370222&isReview=true.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Síndrome de Fatiga Crónica / Instrucción por Computador Tipo de estudio: Clinical_trials Límite: Humans Idioma: En Revista: J Psychosom Res Año: 2023 Tipo del documento: Article País de afiliación: Australia

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Síndrome de Fatiga Crónica / Instrucción por Computador Tipo de estudio: Clinical_trials Límite: Humans Idioma: En Revista: J Psychosom Res Año: 2023 Tipo del documento: Article País de afiliación: Australia