Evidence map›Paper›PMID 35313834›Full record

ArticleBMC public health2022

Development of a simple and effective online training for health workers: results from a pilot in Nigeria.

Marshall P Thomas, Samantha Kozikott, Moreen Kamateeka, Ramatu Abdu-Aguye, Emmanuel Agogo, Bakunawa Garba Bello, Karen Brudney, Olivier Manzi, Leena N Patel, Amy Elizabeth Barrera-Cancedda and 2 more

Abstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

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  13. Expanding provision of professional education for nurses, Africa.Bulletin of the World Health Organization · 2023
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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

12 authors.

Marshall P ThomasResolve to Save Lives, an Initiative of Vital Strategies, New York, NY, USA. mthomas.consultant@resolvetosavelives.org.
Samantha KozikottResolve to Save Lives, an Initiative of Vital Strategies, New York, NY, USA.
Moreen KamateekaAfrican Field Epidemiology Network (AFENET), Abuja, Nigeria.
Ramatu Abdu-AguyeAfrican Field Epidemiology Network (AFENET), Abuja, Nigeria.
Emmanuel AgogoResolve to Save Lives, an Initiative of Vital Strategies, New York, NY, USA.
Bakunawa Garba BelloNational Primary Health Care Development Agency (NPHCDA), Abuja, Nigeria.
Karen BrudneyResolve to Save Lives, an Initiative of Vital Strategies, New York, NY, USA.
Olivier ManziResolve to Save Lives, an Initiative of Vital Strategies, New York, NY, USA.
Leena N PatelResolve to Save Lives, an Initiative of Vital Strategies, New York, NY, USA.
Amy Elizabeth Barrera-CanceddaResolve to Save Lives, an Initiative of Vital Strategies, New York, NY, USA.
Jobin Abraham *Resolve to Save Lives, an Initiative of Vital Strategies, New York, NY, USA.
Christopher T Lee *Resolve to Save Lives, an Initiative of Vital Strategies, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth workers (HWs) in Africa face challenges accessing and learning from existing online training opportunities. To address these challenges, we developed a modular, self-paced, mobile-ready and work-relevant online course covering foundational infection prevention and control (IPC) concepts. Here, we evaluate the first pilot of this course, conducted with HWs in Nigeria.

methodsWe used a learner-centered design and prototyping process to create a new approach to delivering online training for HWs. The resulting course comprised 10 self-paced modules optimized for use on mobile devices. Modules presented IPC vignettes in which learning was driven by short assessment questions with feedback. Learners were recruited by distributing a link to the training through Nigeria-based email lists, WhatsApp groups and similar networks of HWs, managers and allied professionals. The course was open to learners for 8 weeks. We tracked question responses and time on task with platform analytics and assessed learning gains with pre- and post-testing. Significance was evaluated with the Wilcoxon signed-rank test, and effect size was calculated using Cohen's d.

resultsThree hundred seventy-two learners, with roles across the health system, enrolled in the training; 59% completed all 10 modules and earned a certificate. Baseline knowledge of foundational IPC concepts was low, as measured by pre-test scores (29%). Post-test scores were significantly higher at 54% (effect size 1.22, 95% confidence interval 1.00-1.44). Learning gains were significant both among learners with low pre-test scores and among those who scored higher on the pre-test. We used the Net Promoter Score (NPS), a common user experience metric, to evaluate the training. The NPS was + 62, which is slightly higher than published scores of other self-paced online learning experiences.

conclusionsHigh completion rates, significant learning gains and positive feedback indicate that self-paced, mobile-ready training that emphasizes short, low-stakes assessment questions can be an effective, scalable way to train HWs who choose to enroll. Low pre-test scores suggest that there are gaps in IPC knowledge among this learner population.

Indexed as

Education, DistanceHealth PersonnelHealth WorkforceHumansInfection ControlNigeriaAfricaDesign thinkingHealth workersInfection prevention and controlLearning scienceMobile healthNigeriaOnline learningPrimary health care

Identifiers

PMID35313834
PMCPMC8934907

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.