Evidence map›Paper›PMID 39425085›Full record

Trial reportPediatric rheumatology online journal2024

A randomized controlled educational study to evaluate an e-learning module to teach the physical examination of the temporomandibular joint in juvenile idiopathic arthritis.

Nancy Pan, Rebecca E Sadun, Melissa A Lerman, Cory M Resnick, James E Bost, Peter Stoustrup, Marinka Twilt, Tova Ronis, CARRA TMJ arthritis Workgroup

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric rheumatology online journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

9 authors.

Nancy PanDivision of Rheumatology, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th St, New York, NY, 10021, USA. pann@hss.edu.ORCID http://orcid.org/0000-0001-7884-3751
Rebecca E SadunDivision of Rheuamtology, Duke University School of Medicine, 2301 Erwin Rd, Chc, T-Level, Durham, NC, 27713, USA.
Melissa A LermanDivision of Rheuamtology, University of Pennsylvania, Children's Hospital of Philadelphia, 501 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Cory M ResnickDivision of Oral and Maxillofacial Surgery of Harvard Medical School, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA.
James E BostChildren's National Hospital, The George Washington University, 111 Michigan Ave NW, Washington, DC, 20010, USA.
Peter StoustrupSection of Orthodontics, Department of Dentistry and Oral Health, Aarhus University, Vennelyst Boulevard 9, Aarhus C, 1610, 493, 8000, Denmark.
Marinka TwiltDepartment of Pediatrics, Cumming School of Medicine, University of Calgary, Alberta Children's Hospital, 28 Oki Drive NW, Calgary, Alberta, T3B6A8, Canada.
Tova RonisDivision of Rheumatology, School of Medicine and Health Sciences, George Washington University, Children's National Hospital, 111 Michigan Ave NW, Washington, DC, 20010, USA.
CARRA TMJ arthritis Workgroup

Funding

Childhood Arthritis and Rheumatology Research Alliance Childhood Arthritis and Rheumatology Research Alliance
6 · The paper itself

Abstract

backgroundThe aim of the study was to evaluate the effectiveness of a novel e-learning module in teaching the physical exam of the temporomandibular joint (TMJ) in Juvenile idiopathic arthritis (JIA.).

methodsAn e-learning module was developed to convey the TMJ physical examination maneuvers that are considered to be best practice in JIA. Pediatric rheumatology fellows were randomized to two groups. One group received an article describing the physical examination skills while the second group received both the article and module. All participants completed a written pre-test, an in-person objective structured clinical examination (OSCE), a written post-test, and a follow-up survey.

resultsTwenty-two pediatric rheumatology fellows enrolled, with 11 per group. Written test: The two groups improved equally, although there was a trend toward improved defining of maximal incisal opening (MIO) in the module group. OSCE: The mean OSCE score was 11.1 (SD 3.3) in the article group and 13.5 (SD 1.9) in the module group (p = 0.06); significant differences were seen in measuring MIO (p = 0.01), calculating maximal unassisted mouth opening (MUMO; p = 0.01), and assessment of facial symmetry (p = 0.03), all favoring the module. Enjoyment scores in the module group were higher than in the article group (mean 7.7/10 vs. 5.9/10, p = 0.02). The two groups self-reported performing TMJ examinations at comparable rates three months following the intervention.

conclusionsThe study demonstrated that a formalized educational program improved knowledge of the physical exam of the TMJ in JIA. Learners viewing the module were more adept at obtaining quantitative TMJ measurements.

Indexed as

Arthritis, JuvenilePhysical ExaminationTemporomandibular JointChildClinical CompetenceComputer-Assisted InstructionEducational MeasurementFemaleHumansMaleRheumatologyTemporomandibular Joint DisordersArthritisEducationJuvenileMedicalTemporomandibular joint

Identifiers

PMID39425085
PMCPMC11490130

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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.