Evidence map›Paper›PMID 30976599›Full record

ArticlemHealth2019

Implementing the mobile continuing medical education (mCME) project in Vietnam: making it work and sharing lessons learned.

Rachael Bonawitz, Liat Bird, Ngoc Bao Le, Viet Ha Nguyen, Nafisa Halim, Anna Larson Williams, Lora Sabin, Christopher J Gill

Open access · diamondAbstract read
In one paragraph

Article in mHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Rachael BonawitzDepartment of Global Health, Boston University School of Public Health, Boston, USA.
Liat BirdDepartment of Pediatrics, University of California, San Francisco, USA.
Ngoc Bao LeConsulting, Researching on Community Development (CRCD), Hanoi, Vietnam.
Viet Ha NguyenConsulting, Researching on Community Development (CRCD), Hanoi, Vietnam.
Nafisa HalimDepartment of Global Health, Boston University School of Public Health, Boston, USA.
Anna Larson WilliamsDepartment of Global Health, Boston University School of Public Health, Boston, USA.
Lora SabinDepartment of Global Health, Boston University School of Public Health, Boston, USA.
Christopher J GillDepartment of Global Health, Boston University School of Public Health, Boston, USA.
Boston University · USCenter for Health Consultation and Community Development · VNUniversity of California, San Francisco · US

Funding

mCME Delivering continuing medical education to community health workers using cell phonesR21TW009911 · FIC · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GILL, CHRISTOPHER J · 2014 to 2015
$372k
FIC NIH HHS R21 TW009911
6 · The paper itself

Abstract

backgroundMobile technology is a novel approach for delivering continuing medical education (CME), with numerous advantages including lower costs and the ability to reach larger numbers than traditional in-person CME workshops.

methodsFrom May 2015 to May 2017, we conducted two randomized controlled trials in a phased approach to evaluate the effectiveness of a mobile CME (mCME) approach for two cadres of health professionals in Vietnam. The first randomized controlled trial (RCT) tested the use of an SMS-based educational intervention among Community-Based Physician's Assistants; while feasible and acceptable, this intervention failed to improve medical knowledge among participants. Given the failure of the first RCT, and drawing on qualitative work conducted with participants at the conclusion of the trial, various modifications were employed in the second RCT conducted among HIV specialist physicians in Vietnam. Version 2.0 of the mCME intervention did lead to significant improvement in medical knowledge among intervention participants. Here, we discuss in detail the development of an mCME platform and the experiential "lessons learned" during two phases of implementation.

resultsNumerous lessons were learned during implementation, including the importance of: (I) mixed methods approaches; (II) an underlying theoretical framework for behavior change projects; (III) expertise in software programming; (IV) aligning educational content to a well-defined participant population; and (V) engaging and motivating adult learners. We also discuss the critical importance of projects with local ownership and investment that are relevant to local problems.

conclusionsmHealth approaches for continued healthcare training and education is increasingly relevant in many low-resource settings, the lessons learned here will be valuable to other organizations looking to scale-up similar mHealth-type educational programmes.

Indexed as

Continuing medical education (CME)distance learningHIVmHealthVietnam

Identifiers

PMID30976599
PMCPMC6414330
OpenAlexW2916273365

What OpenQuestion holds

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Registered trials

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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.