Evidence map›Paper›PMID 29334925›Full record

Trial reportBMC emergency medicine2018

Implementing blended learning in emergency airway management training: a randomized controlled trial.

Madeleine Huei Tze Kho, Keng Sheng Chew, Muhaimin Noor Azhar, Mohd Lotfi Hamzah, Kee Man Chuah, Aida Bustam, Hiang Chuan Chan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC emergency medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Current trends in emergency airway management: a clinical review.Clinical and experimental emergency medicine · 2024
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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

7 authors.

Madeleine Huei Tze KhoEmergency Medicine and Trauma Department, Sarawak General Hospital, Jalan Hospital, Kuching, 93586, Sarawak, Malaysia.
Keng Sheng ChewFaculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, 94300, Sarawak, Malaysia. kschew@unimas.my.ORCID 0000-0002-6326-8210
Muhaimin Noor AzharFaculty of Medicine, University of Malaya, Kuala Lumpur, 50603, Malaysia.
Mohd Lotfi HamzahEmergency Medicine and Trauma Department, Hospital Sultanah Nur Zahirah, Kuala Terengganu, 20400, Trengganu, Malaysia.
Kee Man ChuahFaculty of Language Studies and Communication Studies, Universiti Malaysia Sarawak, Kota Samarahan, 94300, Sarawak, Malaysia.
Aida BustamFaculty of Medicine, University of Malaya, Kuala Lumpur, 50603, Malaysia.
Hiang Chuan ChanEmergency Medicine and Trauma Department, Sarawak General Hospital, Jalan Hospital, Kuching, 93586, Sarawak, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile emergency airway management training is conventionally conducted via face-to-face learning (F2FL) workshops, there are inherent cost, time, place and manpower limitations in running such workshops. Blended learning (BL) refers to the systematic integration of online and face-to-face learning aimed to facilitate complex thinking skills and flexible participation at a reduced financial, time and manpower cost. This study was conducted to evaluate its effectiveness in emergency airway management training.

methodsA single-center prospective randomised controlled trial involving 30 doctors from Sarawak General Hospital, Malaysia was conducted from September 2016 to February 2017 to compare the effectiveness of BL versus F2FL for emergency airway management training. Participants in the BL arm were given a period of 12 days to go through the online materials in a learning management system while those in the F2FL arm attended a-day of face-to-face lectures (8 h). Participants from both arms then attended a day of hands-on session consisting of simulation skills training with airway manikins. Pre- and post-tests in knowledge and practical skills were administered. E-learning experience and the perception towards BL among participants in the BL arm were also assessed.

resultsSignificant improvements in post-test scores as compared to pre-test scores were noted for participants in both BL and F2FL arms for knowledge, practical, and total scores. The degree of increment between the BL group and the F2FL arms for all categories were not significantly different (total scores: 35 marks, inter-quartile range (IQR) 15.0 - 41.0 vs. 31 marks, IQR 24.0 - 41.0, p = 0.690; theory scores: 18 marks, IQR 9 - 24 vs. 19 marks, IQR 15 - 20, p = 0.992; practical scores: 11 marks, IQR 5 -18 vs. 10 marks, IQR 9 - 20, p = 0.461 respectively). The overall perception towards BL was positive.

conclusionsBlended learning is as effective as face-to-face learning for emergency airway management training of junior doctors, suggesting that blended learning may be a feasible alternative to face-to-face learning for such skill training in emergency departments.

trial registrationMalaysian National Medical Research NMRR-16-696-30190 . Registered 28 April 2016.

Indexed as

LearningStudents, MedicalAdultAirway ManagementClinical CompetenceComputer-Assisted InstructionFemaleHumansInternetMalaysiaMaleProspective StudiesBlended learningE-learningEmergency airway managementOnline learning

Identifiers

PMID29334925
PMCPMC5769207

What OpenQuestion holds

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Registered trials

None linked

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.