Effectiveness of blended versus fully digital training in primary care psychiatry: A retrospective comparison from India.

Autor:	Gajera GV; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India., Pandey P; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India., Malathesh BC; Department of Psychiatry, All India Institute of Medical Sciences, Hyderabad, Telangana, India., Nirisha PL; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India., Suchandra KHH; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India., Ibrahim FA; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India., Suhas S; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India., Manjunatha N; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India., Kumar CN; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India., Suresha BM; Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India., Jain S; Department of Non-Communicable Diseases, National Health Mission, Chhattisgarh, India.
Jazyk:	angličtina
Zdroj:	Journal of neurosciences in rural practice [J Neurosci Rural Pract] 2023 Jan-Mar; Vol. 14 (1), pp. 91-97. Date of Electronic Publication: 2022 Dec 15.
DOI:	10.25259/JNRP-2022-4-20
Abstrakt:	Objectives: We compared effectiveness of blended mode (consisting of traditional classroom teaching and e-learning sessions) and fully digital mode (e-learning sessions alone) of primary care psychiatry training for primary care doctors in Chhattisgarh. Materials and Methods: We retrospectively compared the engagement in training, knowledge (K), attitude (A), and practice (P) in primary care psychiatry, and patient identification by primary care doctors ( n = 941) from Chhattisgarh region who underwent training through either blended training mode ( n = 546) or fully digital training mode ( n = 395) for 16 h each, using Clinical Schedules for Primary Care Psychiatry based modules between June 2019 and November 2020 with a tertiary care center (NIMHANS, Bengaluru) as hub. Statistical Analysis: The Statistical Package for the Social Sciences version 27 was used to analyze the data. Continuous variables were analyzed using the independent samples t -test, and discrete variables were analyzed using the Chi-square test. A repeated measures analysis of variance (ANOVA) (two-way mixed design) was used to see the interaction of training type and time of pre- and post-KAP measurement while controlling for years of experience. The number of patients identified by both training groups over 8 months was also compared using the repeated measures ANOVA (two-way mixed design). Results: Engagement inferred by the number of participants completing pre-KAP forms (75%), post-KAP forms (43%), post-session assessments (37- 47%), case presentation (33.9%), and certification (32.1%) was better in the blended group ( P < 0.05). The mean gain in KAP scores was significantly higher in the blended group controlling for the years of experience as primary care doctor (PCD) (F = 30.36, P < 0.001). PCDs in the blended training group consistently identified a higher number of patients with mental illness over 8 months of follow-up (F = 6.21, P < 0.001). Conclusion: The blended mode yielded better results in primary care psychiatry training compared to fully digital mode. In-person interactions while provided for a very brief proportion of the training seem to have an unmistakable imprint on the outcomes and seem critical for better consolidation and assimilation of information, which translates into better practice. Competing Interests: There are no conflicts of interest. (© 2023 Published by Scientific Scholar on behalf of Journal of Neurosciences in Rural Practice.)
Databáze:	MEDLINE
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