Evidence map›Paper›PMID 26148301›Full record

ArticlePloS one2015

The Impact of E-Learning on Adherence to Guidelines for Acute Gastroenteritis: A Single-Arm Intervention Study.

Emanuele Nicastro, Andrea Lo Vecchio, Ilaria Liguoro, Anna Chmielewska, Caroline De Bruyn, Jernej Dolinsek, Elena Doroshina, Smaragdi Fessatou, Tudor Lucian Pop, Christine Prell and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04364529 (Impact of Pit Crew Resuscitation Model on Advanced Life Support Skills in a Simulated Setting), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04364529 nacompletednot on this mapstarted 2017, after this paper: background citation

Impact of Pit Crew Resuscitation Model on Advanced Life Support Skills in a Simulated Setting: a Randomized Controlled Trial

TypeinterventionalSponsorTurku University HospitalRan2017 to 2020Enrolled104ConditionsAdvanced Cardiac Life SupportArmsThe pit crew model
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  9. Acute Gastroenteritis in Children of the World: What Needs to Be Done?Journal of pediatric gastroenterology and nutrition · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Emanuele NicastroDepartment of Translational Medical Science, Sector of Pediatrics. University Federico II, Naples, Italy; Paediatric Hepatology Gastroenterology and Transplantation Unit, Hospital Papa Giovanni XXIII, Bergamo, Italy.
Andrea Lo VecchioDepartment of Translational Medical Science, Sector of Pediatrics. University Federico II, Naples, Italy.
Ilaria LiguoroDepartment of Translational Medical Science, Sector of Pediatrics. University Federico II, Naples, Italy.
Anna ChmielewskaDepartment of Pediatrics, The Medical University of Warsaw, Warsaw, Poland.
Caroline De BruynUniversitair Ziekenhuis Brussel Kinderen, Vrije Universiteit Brussel, Brussels, Belgium.
Jernej DolinsekUniversity Medical Centre, Maribor, Slovenia.
Elena DoroshinaRussian Medical Postgraduate Academy, Moscow, Russian Federation.
Smaragdi FessatouThird Department of Pediatrics of University of Athens, Greece.
Tudor Lucian Pop2nd Pediatric Clinic, Iuliu Haţieganu, University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Christine PrellDr. von Hauner Children's Hospital, University of Munich Medical Center, Munich, Germany.
Merit Monique TabbersEmma's Children's Hospital Academic Medical Centre, Amsterdam, Netherlands.
Marta TavaresDepartment of Pediatrics, Hospital Sao Joao, Porto, Portugal.
Pinar Urenden-ElicinDepartment of Pediatrics, Marmara University, Istanbul, Turkey.
Dario BruzzeseDepartment of Public Health, University of Naples "Federico II," Italy.
Irina ZakharovaRussian Medical Postgraduate Academy, Moscow, Russian Federation.
Bhupinder SandhuDepartment of Paediatric Gastroenterology, Bristol Royal Hospital for Children, Bristol, United Kingdom.
Alfredo GuarinoDepartment of Translational Medical Science, Sector of Pediatrics. University Federico II, Naples, Italy.

Funding

MARYLAND POPULATION RESEARCH CENTERR24HD041041 · NICHD · UNIV OF MARYLAND, COLLEGE PARK · PI HOFFERTH, SANDRA L · 2001 to 2016
$6.6M
NICHD NIH HHS R24 HD041041
6 · The paper itself

Abstract

objectiveE-learning is a candidate tool for clinical practice guidelines (CPG) implementation due to its versatility, universal access and low costs. We aimed to assess the impact of a five-module e-learning course about CPG for acute gastroenteritis (AGE) on physicians' knowledge and clinical practice. STUDY

designThis work was conceived as a pre/post single-arm intervention study. Physicians from 11 European countries registered for the online course. Personal data, pre- and post-course questionnaires and clinical data about 3 to 5 children with AGE managed by each physician before and after the course were collected. Primary outcome measures included the proportion of participants fully adherent to CPG and number of patients managed with full adherence.

resultsAmong the 149 physicians who signed up for the e-learning course, 59 took the course and reported on their case management of 519 children <5 years of age who were referred to their practice because of AGE (281 and 264 children seen before and after the course, respectively). The course improved knowledge scores (pre-course 8.6 ± 2.7 versus post-course 12.8 ± 2.1, P < 0.001), average adherence (from 87.0 ± 7.7% to 90.6 ± 7.1%, P = 0.001) and the number of patients managed in full adherence with the guidelines (from 33.6 ± 31.7% to 43.9 ± 36.1%, P = 0.037).

conclusionsE-learning is effective in increasing knowledge and improving clinical practice in paediatric AGE and is an effective tool for implementing clinical practice guidelines.

Indexed as

Guideline AdherenceAcute DiseaseAdultAgedChild, PreschoolEducation, Medical, ContinuingFemaleGastroenteritisHumansInfantLearningMaleMiddle AgedPractice Guidelines as Topic

Identifiers

PMID26148301
PMCPMC4493016

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.