Evidence map›Paper›PMID 40221771›Full record

ArticleBMC research notes2025

Development and evaluation of an online cardiotocography course tailored to LMIC settings: a feasibility study conducted in a tertiary care hospital in Sri Lanka.

M Rishard, I Weerasundara, R Fonseka, A de Abrew, M S D Wijesinghe, H Senanayake, M Lazzerini

Abstract read
In one paragraph

Article in BMC research notes, 2025. 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. Article
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.

M RishardFaculty of Medicine, University of Colombo, Colombo, Sri Lanka. mrishard@obg.cmb.ac.lk.
I WeerasundaraFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
R FonsekaFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
A de AbrewFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
M S D WijesingheHealth Promotion Bureau, Ministry of Health, Colombo, Sri Lanka.
H SenanayakeFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.
M LazzeriniWHO Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEffective cardiotocography (CTG) training is crucial for accurate interpretation and timely interventions in low-resource settings. This mixed-method study in Sri Lanka developed and assessed an online CTG course to address training gaps and improve neonatal outcomes. The study involved a clinical audit, course development, implementation, and evaluation via the Kirkpatrick model.

resultsThe audit revealed lapses in CTG documentation, interpretation, and interventions. The posttest scores improved by 40.6% (152.8%), but some participants did not complete the course because of a lack of motivation, time constraints, and inadequate facilities. Postimplementation audits revealed improvements in practices, although uterine contraction documentation and overall impression recording declined. The findings suggest the feasibility and effectiveness of online self-learning courses in improving CTG knowledge and practices in Sri Lanka. However, motivation, incentives, and reinforcement measures are needed for better outcomes.

Indexed as

CardiotocographyEducation, DistanceTertiary Care CentersAdultDeveloping CountriesFeasibility StudiesFemaleHumansMaleSri LankaCardiotocographyFeasibility studiesHealth personnel educationInternet-based interventionProgram evaluation

Identifiers

PMID40221771
PMCPMC11993943

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.