Project OPUS: Development and evaluation of an electronic platform for pain management education of medical undergraduates in resource-limited settings

Pain is a very frequent symptom that is reported by patients when they present to health professionals but remains undertreated or untreated, particularly in low-resource settings including Nigeria. Lack of training in pain management remains the most significant obstacle to pain treatment alongside...

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Veröffentlicht in:PloS one 2020-12, Vol.15 (12), p.e0243573
Hauptverfasser: Onyeka, Tonia C, Iloanusi, Nneka, Namisango, Eve, Onu, Justus U, Okunade, Kehinde S, Mohammed, Alhassan Datti, Gadanya, Muktar A, Nagoma, Abubakar U, Ojiakor, Samuel, Ilo, Chukwudi, Okuzu, Okey, Oduche, Chinelo, Ugwu, Ngozi, Allsop, Matthew J
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container_issue 12
container_start_page e0243573
container_title PloS one
container_volume 15
creator Onyeka, Tonia C
Iloanusi, Nneka
Namisango, Eve
Onu, Justus U
Okunade, Kehinde S
Mohammed, Alhassan Datti
Gadanya, Muktar A
Nagoma, Abubakar U
Ojiakor, Samuel
Ilo, Chukwudi
Okuzu, Okey
Oduche, Chinelo
Ugwu, Ngozi
Allsop, Matthew J
description Pain is a very frequent symptom that is reported by patients when they present to health professionals but remains undertreated or untreated, particularly in low-resource settings including Nigeria. Lack of training in pain management remains the most significant obstacle to pain treatment alongside an inadequate emphasis on pain education in undergraduate medical curricula, negatively impacting on subsequent care of patients. This study aimed to determine the effect of a 12-week structured e-Learning course on the knowledge of pain management among Nigerian undergraduate medical students. Prospective, multisite, pre-post study conducted across five medical colleges in Nigeria. Structured modules covering aspects of pain management were delivered on an e-Learning platform. Pre- and post-test self-assessments were carried out in the 12-week duration of the study. User experience questionnaires and qualitative interviews were conducted via instant messaging to evaluate user experiences of the platform. User experience data was analysed using the UEQ Data Analysis Tool and Framework Analysis. A total of 216 of 659 eligible students completed all sections of the e-Learning course. Participant mean age was 23.52 years, with a slight female predominance (55.3%). Across all participants, an increase in median pre- and post-test scores occurred, from 40 to 60 (Z = 11.3, p
doi_str_mv 10.1371/journal.pone.0243573
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Lack of training in pain management remains the most significant obstacle to pain treatment alongside an inadequate emphasis on pain education in undergraduate medical curricula, negatively impacting on subsequent care of patients. This study aimed to determine the effect of a 12-week structured e-Learning course on the knowledge of pain management among Nigerian undergraduate medical students. Prospective, multisite, pre-post study conducted across five medical colleges in Nigeria. Structured modules covering aspects of pain management were delivered on an e-Learning platform. Pre- and post-test self-assessments were carried out in the 12-week duration of the study. User experience questionnaires and qualitative interviews were conducted via instant messaging to evaluate user experiences of the platform. User experience data was analysed using the UEQ Data Analysis Tool and Framework Analysis. A total of 216 of 659 eligible students completed all sections of the e-Learning course. Participant mean age was 23.52 years, with a slight female predominance (55.3%). Across all participants, an increase in median pre- and post-test scores occurred, from 40 to 60 (Z = 11.3, p&lt;0.001, effect size = 1.3), suggestive of increased knowledge acquisition relating to pain management. Participants suggested e-Learning is a valuable approach to delivering pain education alongside identifying factors to address in future iterations. e-Learning approaches to pain management education can enhance traditional learning methods and may increase students' knowledge. Future iterations of e-Learning approaches will need to consider facilitating the download of data and content for the platform to increase user uptake and engagement. The platform was piloted as an optional adjunct to existing curricula. 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Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Onyeka, Tonia C</au><au>Iloanusi, Nneka</au><au>Namisango, Eve</au><au>Onu, Justus U</au><au>Okunade, Kehinde S</au><au>Mohammed, Alhassan Datti</au><au>Gadanya, Muktar A</au><au>Nagoma, Abubakar U</au><au>Ojiakor, Samuel</au><au>Ilo, Chukwudi</au><au>Okuzu, Okey</au><au>Oduche, Chinelo</au><au>Ugwu, Ngozi</au><au>Allsop, Matthew J</au><au>Papa, Filomena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Project OPUS: Development and evaluation of an electronic platform for pain management education of medical undergraduates in resource-limited settings</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-12-10</date><risdate>2020</risdate><volume>15</volume><issue>12</issue><spage>e0243573</spage><pages>e0243573-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Pain is a very frequent symptom that is reported by patients when they present to health professionals but remains undertreated or untreated, particularly in low-resource settings including Nigeria. Lack of training in pain management remains the most significant obstacle to pain treatment alongside an inadequate emphasis on pain education in undergraduate medical curricula, negatively impacting on subsequent care of patients. This study aimed to determine the effect of a 12-week structured e-Learning course on the knowledge of pain management among Nigerian undergraduate medical students. Prospective, multisite, pre-post study conducted across five medical colleges in Nigeria. Structured modules covering aspects of pain management were delivered on an e-Learning platform. Pre- and post-test self-assessments were carried out in the 12-week duration of the study. User experience questionnaires and qualitative interviews were conducted via instant messaging to evaluate user experiences of the platform. User experience data was analysed using the UEQ Data Analysis Tool and Framework Analysis. A total of 216 of 659 eligible students completed all sections of the e-Learning course. Participant mean age was 23.52 years, with a slight female predominance (55.3%). Across all participants, an increase in median pre- and post-test scores occurred, from 40 to 60 (Z = 11.3, p&lt;0.001, effect size = 1.3), suggestive of increased knowledge acquisition relating to pain management. Participants suggested e-Learning is a valuable approach to delivering pain education alongside identifying factors to address in future iterations. e-Learning approaches to pain management education can enhance traditional learning methods and may increase students' knowledge. Future iterations of e-Learning approaches will need to consider facilitating the download of data and content for the platform to increase user uptake and engagement. The platform was piloted as an optional adjunct to existing curricula. Future efforts to advocate and support integration of e-Learning for pain education should be two-fold; both to include pain education in the curricula of medical colleges across Nigeria and the use of e-Learning approaches to enhance teaching where feasible.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33301477</pmid><doi>10.1371/journal.pone.0243573</doi><tpages>e0243573</tpages><orcidid>https://orcid.org/0000-0002-7399-0194</orcidid><orcidid>https://orcid.org/0000-0001-8138-3100</orcidid><orcidid>https://orcid.org/0000-0002-0957-7389</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Adult
Biology and Life Sciences
Clinical Competence
Colleges & universities
Computer and Information Sciences
Curricula
Curriculum
Data analysis
Distance learning
Education
Education, Medical - methods
Education, Medical, Undergraduate - methods
Evaluation
Female
Health Personnel - education
Humans
Instant messaging systems
Knowledge acquisition
Learning
Male
Management
Medical personnel
Medical personnel training
Medicine and Health Sciences
Methods
Nigeria
Online education
Online instruction
Pain
Pain management
Pain Management - methods
Patients
People and Places
Prospective Studies
Qualitative Research
Resource management
Social Sciences
Software
Students
Students, Medical - psychology
Study and teaching
Surveys and Questionnaires
Technology application
Training
Young Adult
title Project OPUS: Development and evaluation of an electronic platform for pain management education of medical undergraduates in resource-limited settings
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