mCME project V.2.0: randomised controlled trial of a revised SMS-based continuing medical education intervention among HIV clinicians in Vietnam.

Autor:	Gill CJ; Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA., Le NB; Consulting Research for Community Development, Hanoi, Vietnam., Halim N; Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA., Chi CTH; Vietnam Authority for AIDS Control, Ministry of Health, Hanoi, Vietnam., Nguyen VH; Center for Population Research Information and Databases (CPRID), General Office for Population and Family Planning, Ministry of Health, Hanoi, Vietnam., Bonawitz R; Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA., Hoang PV; Center for Population Research Information and Databases (CPRID), General Office for Population and Family Planning, Ministry of Health, Hanoi, Vietnam., Nguyen HL; Vietnam Authority for AIDS Control, Ministry of Health, Hanoi, Vietnam., Huong PTT; Vietnam Authority for AIDS Control, Ministry of Health, Hanoi, Vietnam., Larson Williams A; Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA., Le NA; Hanoi Medical University, Hanoi, Vietnam., Sabin L; Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA.
Jazyk:	angličtina
Zdroj:	BMJ global health [BMJ Glob Health] 2018 Feb 26; Vol. 3 (1), pp. e000632. Date of Electronic Publication: 2018 Feb 26 (Print Publication: 2018).
DOI:	10.1136/bmjgh-2017-000632
Abstrakt:	Background: Continuing medical education (CME) is indispensable, but costs are a barrier. We tested the effectiveness of a novel mHealth intervention (mCME V.2.0) promoting CME among Vietnamese HIV clinicians. Methods: We enrolled HIV clinicians from three provinces near Hanoi. The 6-month intervention consisted of (1) daily short message service multiple-choice quiz questions, (2) daily linked readings, (3) links to online CME courses and (4) feedback messages describing the performance of the participant relative to the group. Control participants had equal access to the online CME courses. Our primary endpoint was utilisation of the online CME courses; secondary endpoints were self-study behaviour, performance on a standardised medical exam and job satisfaction. Results: From 121 total HIV clinicians in the three provinces, 106 (87.6%) enrolled, and 48/53 intervention (90%) and 47/53 control (89%) participants completed the endline evaluations. Compared with controls, intervention participants were more likely to use the CME courses (risk ratio (RR) 2.3, 95% CI 1.4 to 3.8, accounting for 83% of course use (P<0.001)). Intervention participants increased self-study behaviours over controls in terms of use of medical textbooks (P<0.01), consulting with colleagues (P<0.01), searching on the internet (P<0.001), using specialist websites (P=0.02), consulting the Vietnam HIV/AIDS treatment guidelines (P=0.02) and searching the scientific literature (P=0.09). Intervention participants outperformed controls on the exam (+23% vs +12% score gains, P=0.05) and had higher job satisfaction. Conclusion: The mCME V.2.0 intervention improved self-study behaviour, medical knowledge and job satisfaction. This approach has potential for expansion in Vietnam and similar settings. Trial Registration Number: NCT02381743. Competing Interests: Competing interests: None declared.
Databáze:	MEDLINE
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