eLearning improves allied health professionals' knowledge and confidence to manage medically unexplained chronic fatigue states: A randomized controlled trial
To evaluate the impact of eLearning by allied health professionals on improving the knowledge and confidence to manage people with medically unexplained chronic fatigue states (FS). Using a parallel randomized controlled trial design, participants were randomized 1:1 to a 4-week eLearning or wait-li...
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| Veröffentlicht in: | Journal of psychosomatic research 2023-10, Vol.173, p.111462-111462, Article 111462 |
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| container_title | Journal of psychosomatic research |
| container_volume | 173 |
| creator | Jones, Matthew D. Casson, Sally M. Barry, Benjamin K. Li, Sophie H. Valenzuela, Trinidad Cassar, Joanne Lamanna, Camillo Lloyd, Andrew R. Sandler, Carolina X. |
| description | To evaluate the impact of eLearning by allied health professionals on improving the knowledge and confidence to manage people with medically unexplained chronic fatigue states (FS).
Using a parallel randomized controlled trial design, participants were randomized 1:1 to a 4-week eLearning or wait-list control group. Knowledge and self-reported confidence in clinical skills to implement a therapeutic intervention for patients with FS were assessed at baseline, post-intervention and follow-up. Secondary outcomes (adherence and satisfaction with online education, knowledge retention) were also assessed. Data was analyzed using intention-to-treat.
There were 239 participants were randomized (eLearning n = 119, control n = 120), of whom 101 (85%) eLearning and 107 (89%) control participants completed baseline assessments and were included in the analysis. Knowledge (out of 100) improved significantly more in the eLearning group compared to the control group [mean difference (95% CI) 8.6 (5.9 to 11.4), p |
| doi_str_mv | 10.1016/j.jpsychores.2023.111462 |
| format | Article |
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Using a parallel randomized controlled trial design, participants were randomized 1:1 to a 4-week eLearning or wait-list control group. Knowledge and self-reported confidence in clinical skills to implement a therapeutic intervention for patients with FS were assessed at baseline, post-intervention and follow-up. Secondary outcomes (adherence and satisfaction with online education, knowledge retention) were also assessed. Data was analyzed using intention-to-treat.
There were 239 participants were randomized (eLearning n = 119, control n = 120), of whom 101 (85%) eLearning and 107 (89%) control participants completed baseline assessments and were included in the analysis. Knowledge (out of 100) improved significantly more in the eLearning group compared to the control group [mean difference (95% CI) 8.6 (5.9 to 11.4), p < 0.001]. Knowledge was reduced in the eLearning group at follow-up but was still significantly higher than baseline [6.0 (3.7 to 8.3), p < 0.001]. Median change (out of 5) in confidence in clinical skills to implement the FS intervention was also significantly greater in the eLearning group compared to the control group [knowledge: eLearning (1.2), control (0); clinical skills: eLearning (1), control (0.1); both p < 0.001)]. Average time spent on the eLearning program was 8.8 h. Most participants (80%) rated the lesson difficulty as at the “right level”, and 91% would recommend it to others.
eLearning increased knowledge and confidence to manage FS amongst allied health professionals and was well-accepted.
Registration: ACTRN12616000296437 https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370222&isReview=true.
•eLearning is acceptable to clinicians.•eLearning improves clinicians' knowledge of chronic fatigue states.•eLearning improves clinicians' confidence to manage chronic fatigue states.•eLearning has little impact on clinicians' practice behaviours.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2023.111462</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>Cancer-related fatigue ; Chronic fatigue syndrome ; Cognitive behavioural therapy ; eLearning ; Graded exercise therapy ; Post-infective fatigue</subject><ispartof>Journal of psychosomatic research, 2023-10, Vol.173, p.111462-111462, Article 111462</ispartof><rights>2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-d54d8bef646b625064b9fca7e86e71f777659dd242a2195794a0565b94e9dfc43</citedby><cites>FETCH-LOGICAL-c401t-d54d8bef646b625064b9fca7e86e71f777659dd242a2195794a0565b94e9dfc43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2023.111462$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids></links><search><creatorcontrib>Jones, Matthew D.</creatorcontrib><creatorcontrib>Casson, Sally M.</creatorcontrib><creatorcontrib>Barry, Benjamin K.</creatorcontrib><creatorcontrib>Li, Sophie H.</creatorcontrib><creatorcontrib>Valenzuela, Trinidad</creatorcontrib><creatorcontrib>Cassar, Joanne</creatorcontrib><creatorcontrib>Lamanna, Camillo</creatorcontrib><creatorcontrib>Lloyd, Andrew R.</creatorcontrib><creatorcontrib>Sandler, Carolina X.</creatorcontrib><title>eLearning improves allied health professionals' knowledge and confidence to manage medically unexplained chronic fatigue states: A randomized controlled trial</title><title>Journal of psychosomatic research</title><description>To evaluate the impact of eLearning by allied health professionals on improving the knowledge and confidence to manage people with medically unexplained chronic fatigue states (FS).
Using a parallel randomized controlled trial design, participants were randomized 1:1 to a 4-week eLearning or wait-list control group. Knowledge and self-reported confidence in clinical skills to implement a therapeutic intervention for patients with FS were assessed at baseline, post-intervention and follow-up. Secondary outcomes (adherence and satisfaction with online education, knowledge retention) were also assessed. Data was analyzed using intention-to-treat.
There were 239 participants were randomized (eLearning n = 119, control n = 120), of whom 101 (85%) eLearning and 107 (89%) control participants completed baseline assessments and were included in the analysis. Knowledge (out of 100) improved significantly more in the eLearning group compared to the control group [mean difference (95% CI) 8.6 (5.9 to 11.4), p < 0.001]. Knowledge was reduced in the eLearning group at follow-up but was still significantly higher than baseline [6.0 (3.7 to 8.3), p < 0.001]. Median change (out of 5) in confidence in clinical skills to implement the FS intervention was also significantly greater in the eLearning group compared to the control group [knowledge: eLearning (1.2), control (0); clinical skills: eLearning (1), control (0.1); both p < 0.001)]. Average time spent on the eLearning program was 8.8 h. Most participants (80%) rated the lesson difficulty as at the “right level”, and 91% would recommend it to others.
eLearning increased knowledge and confidence to manage FS amongst allied health professionals and was well-accepted.
Registration: ACTRN12616000296437 https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370222&isReview=true.
•eLearning is acceptable to clinicians.•eLearning improves clinicians' knowledge of chronic fatigue states.•eLearning improves clinicians' confidence to manage chronic fatigue states.•eLearning has little impact on clinicians' practice behaviours.</description><subject>Cancer-related fatigue</subject><subject>Chronic fatigue syndrome</subject><subject>Cognitive behavioural therapy</subject><subject>eLearning</subject><subject>Graded exercise therapy</subject><subject>Post-infective fatigue</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkc1uGyEUhVHUSHWTvgO7djMOYIYZukujJqlkqZt2jTBcbBwGXMBp3IfJswbHlbrM6kr35zs69yCEKZlTQsXVdr7dlYPZpAxlzghbzCmlXLAzNKPjIDu6EOQdmhHCWLeQUr5HH0rZEkKEZP0MPcMSdI4-rrGfdjk9QsE6BA8Wb0CHusGt6aAUn6IO5RN-iOlPALsGrKPFJkXnLUQDuCY86ajbYALrTYMc8D7C0y5oHxvObHKK3mCnq1_vAZeqK5Qv-BrnRkqT_wuvvJpTaAK4Zq_DJTp3TRY-_qsX6Nftt583993yx933m-tlZzihtbM9t-MKnOBiJVhPBF9JZ_QAo4CBumEYRC-tZZxpRmU_SK5JL_qV5CCtM3xxgT6fuM3t7z2UqiZfDISgI6R9UWzsh5EzLo-r42nV5FRKBqd22U86HxQl6hiJ2qr_kahjJOoUSTv9ejqFZuXRQ1bF-OPzrM9gqrLJvw15AfYWnsI</recordid><startdate>202310</startdate><enddate>202310</enddate><creator>Jones, Matthew D.</creator><creator>Casson, Sally M.</creator><creator>Barry, Benjamin K.</creator><creator>Li, Sophie H.</creator><creator>Valenzuela, Trinidad</creator><creator>Cassar, Joanne</creator><creator>Lamanna, Camillo</creator><creator>Lloyd, Andrew R.</creator><creator>Sandler, Carolina X.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202310</creationdate><title>eLearning improves allied health professionals' knowledge and confidence to manage medically unexplained chronic fatigue states: A randomized controlled trial</title><author>Jones, Matthew D. ; Casson, Sally M. ; Barry, Benjamin K. ; Li, Sophie H. ; Valenzuela, Trinidad ; Cassar, Joanne ; Lamanna, Camillo ; Lloyd, Andrew R. ; Sandler, Carolina X.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c401t-d54d8bef646b625064b9fca7e86e71f777659dd242a2195794a0565b94e9dfc43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cancer-related fatigue</topic><topic>Chronic fatigue syndrome</topic><topic>Cognitive behavioural therapy</topic><topic>eLearning</topic><topic>Graded exercise therapy</topic><topic>Post-infective fatigue</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jones, Matthew D.</creatorcontrib><creatorcontrib>Casson, Sally M.</creatorcontrib><creatorcontrib>Barry, Benjamin K.</creatorcontrib><creatorcontrib>Li, Sophie H.</creatorcontrib><creatorcontrib>Valenzuela, Trinidad</creatorcontrib><creatorcontrib>Cassar, Joanne</creatorcontrib><creatorcontrib>Lamanna, Camillo</creatorcontrib><creatorcontrib>Lloyd, Andrew R.</creatorcontrib><creatorcontrib>Sandler, Carolina X.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jones, Matthew D.</au><au>Casson, Sally M.</au><au>Barry, Benjamin K.</au><au>Li, Sophie H.</au><au>Valenzuela, Trinidad</au><au>Cassar, Joanne</au><au>Lamanna, Camillo</au><au>Lloyd, Andrew R.</au><au>Sandler, Carolina X.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>eLearning improves allied health professionals' knowledge and confidence to manage medically unexplained chronic fatigue states: A randomized controlled trial</atitle><jtitle>Journal of psychosomatic research</jtitle><date>2023-10</date><risdate>2023</risdate><volume>173</volume><spage>111462</spage><epage>111462</epage><pages>111462-111462</pages><artnum>111462</artnum><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>To evaluate the impact of eLearning by allied health professionals on improving the knowledge and confidence to manage people with medically unexplained chronic fatigue states (FS).
Using a parallel randomized controlled trial design, participants were randomized 1:1 to a 4-week eLearning or wait-list control group. Knowledge and self-reported confidence in clinical skills to implement a therapeutic intervention for patients with FS were assessed at baseline, post-intervention and follow-up. Secondary outcomes (adherence and satisfaction with online education, knowledge retention) were also assessed. Data was analyzed using intention-to-treat.
There were 239 participants were randomized (eLearning n = 119, control n = 120), of whom 101 (85%) eLearning and 107 (89%) control participants completed baseline assessments and were included in the analysis. Knowledge (out of 100) improved significantly more in the eLearning group compared to the control group [mean difference (95% CI) 8.6 (5.9 to 11.4), p < 0.001]. Knowledge was reduced in the eLearning group at follow-up but was still significantly higher than baseline [6.0 (3.7 to 8.3), p < 0.001]. Median change (out of 5) in confidence in clinical skills to implement the FS intervention was also significantly greater in the eLearning group compared to the control group [knowledge: eLearning (1.2), control (0); clinical skills: eLearning (1), control (0.1); both p < 0.001)]. Average time spent on the eLearning program was 8.8 h. Most participants (80%) rated the lesson difficulty as at the “right level”, and 91% would recommend it to others.
eLearning increased knowledge and confidence to manage FS amongst allied health professionals and was well-accepted.
Registration: ACTRN12616000296437 https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=370222&isReview=true.
•eLearning is acceptable to clinicians.•eLearning improves clinicians' knowledge of chronic fatigue states.•eLearning improves clinicians' confidence to manage chronic fatigue states.•eLearning has little impact on clinicians' practice behaviours.</abstract><pub>Elsevier Inc</pub><doi>10.1016/j.jpsychores.2023.111462</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of psychosomatic research, 2023-10, Vol.173, p.111462-111462, Article 111462 |
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| source | Access via ScienceDirect (Elsevier) |
| subjects | Cancer-related fatigue Chronic fatigue syndrome Cognitive behavioural therapy eLearning Graded exercise therapy Post-infective fatigue |
| title | eLearning improves allied health professionals' knowledge and confidence to manage medically unexplained chronic fatigue states: A randomized controlled trial |
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