E-learning on antibiotic prescribing-the role of autonomous motivation in participation: a prospective cohort study
| Autor: | Jonne J. Sikkens, Michiel A. van Agtmael, Martine G Caris, Rashmi A. Kusurkar |
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| Přispěvatelé: | Internal medicine, AII - Infectious diseases, IOO, Other Research |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Microbiology (medical)
Adult Male medicine.medical_specialty 020205 medical informatics E-learning (theory) Psychological intervention MEDLINE 02 engineering and technology Logistic regression Affect (psychology) 03 medical and health sciences Antimicrobial Stewardship 0302 clinical medicine Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering medicine Antimicrobial stewardship Humans Pharmacology (medical) 030212 general & internal medicine Prospective Studies Prospective cohort study Hospitals Teaching Original Research Pharmacology Motivation Education Medical Bacterial Infections Drug Utilization Anti-Bacterial Agents Infectious Diseases Family medicine Female Psychology Cohort study Computer-Assisted Instruction |
| Zdroj: | Journal of Antimicrobial Chemotherapy, 73(8), 509-513. Oxford University Press Journal of Antimicrobial Chemotherapy Caris, M G, Sikkens, J J, Kusurkar, R A & van Agtmael, M A 2018, ' E-learning on antibiotic prescribing-the role of autonomous motivation in participation: a prospective cohort study ', Journal of Antimicrobial Chemotherapy, vol. 73, no. 8, pp. 509-513 . https://doi.org/10.1093/jac/dky169 |
| ISSN: | 0305-7453 |
| DOI: | 10.1093/jac/dky169 |
| Popis: | Objectives E-learning is increasingly used in education on antimicrobial stewardship, but participation rates are often low. Insight into factors that affect participation is therefore needed. Autonomous motivation is associated with higher achievements in medical education and could also play a role in e-learning participation. We therefore aimed to investigate the role of residents’ autonomous motivation in their participation in e-learning on antibiotic prescribing. Methods We performed a multicentre cohort study in two academic and two teaching hospitals. Residents who filled out questionnaires on antibiotic knowledge, the perceived importance of antibiotics and motivation [Self-Regulation Questionnaire – Academic (SRQ-a)] received e-learning access. We used the SRQ-a to calculate relative autonomous motivation (RAM), an index that estimates the amount of autonomous motivation compared with the amount of controlled motivation. We then analysed associations between RAM and participation in e-learning with logistic regression. Results Eighty-six residents participated (74% female, mean age 30 years). Overall e-learning participation was 58% (n = 50). Participation was 41% in residents with negative RAM (i.e. more controlled motivation) and 62% in residents with positive RAM (i.e. more autonomous motivation). RAM was positively associated with participation, adjusted for residency in an academic hospital (adjusted OR 2.6, 95% CI 1.5–4.6). Conclusions Participation in non-obligatory e-learning on antibiotic prescribing is higher in residents with more autonomous motivation. Interventions to increase autonomous motivation could improve participation. Preceding e-learning on antibiotic prescribing with face-to-face education, to explain the importance of the subject, could enhance autonomous motivation and thus optimize e-learning efficiency. |
| Databáze: | OpenAIRE |
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