mCME project V.2.0: randomised controlled trial of a revised SMS-based continuing medical education intervention among HIV clinicians in Vietnam
BackgroundContinuing medical education (CME) is indispensable, but costs are a barrier. We tested the effectiveness of a novel mHealth intervention (mCME V.2.0) promoting CME among Vietnamese HIV clinicians.MethodsWe enrolled HIV clinicians from three provinces near Hanoi. The 6-month intervention c...
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| creator | Gill, Christopher J Le, Ngoc Bao Halim, Nafisa Chi, Cao Thi Hue Nguyen, Viet Ha Bonawitz, Rachael Hoang, Pham Vu Nguyen, Hoang Long Huong, Phan Thi Thu Larson Williams, Anna Le, Ngoc Anh Sabin, Lora |
| description | BackgroundContinuing medical education (CME) is indispensable, but costs are a barrier. We tested the effectiveness of a novel mHealth intervention (mCME V.2.0) promoting CME among Vietnamese HIV clinicians.MethodsWe enrolled HIV clinicians from three provinces near Hanoi. The 6-month intervention consisted of (1) daily short message service multiple-choice quiz questions, (2) daily linked readings, (3) links to online CME courses and (4) feedback messages describing the performance of the participant relative to the group. Control participants had equal access to the online CME courses. Our primary endpoint was utilisation of the online CME courses; secondary endpoints were self-study behaviour, performance on a standardised medical exam and job satisfaction.ResultsFrom 121 total HIV clinicians in the three provinces, 106 (87.6%) enrolled, and 48/53 intervention (90%) and 47/53 control (89%) participants completed the endline evaluations. Compared with controls, intervention participants were more likely to use the CME courses (risk ratio (RR) 2.3, 95% CI 1.4 to 3.8, accounting for 83% of course use (P |
| doi_str_mv | 10.1136/bmjgh-2017-000632 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5841494</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2551748181</sourcerecordid><originalsourceid>FETCH-LOGICAL-b464t-6c6c36ae32098a91f7ebd35309491d6e03c87b1e938a696c16202559b16006d23</originalsourceid><addsrcrecordid>eNqNkc1OGzEUha2qVUHAA3SDLLHpohP8M2OPWVSqIihIIBbQbC2PxwmOZuxgz0TiLXhkbhJAtKuufK373eNzfRD6RsmEUi5Om365eCgYobIghAjOPqF9RipVSEXqzx_qPXSU8xIYKsmG_Ir2mKqY5BXZR8_99OYcr1JcOjvg2YRNyBlOJrSx99m12MYwpNh1UA7Jmw7HOTY4ufW2e3dzVzTmjfNh9GGBe9d6C6RrR2sGHwP2YXBp7cL2YvoI0OXVDNvOB2-9CRkIPPNuCKY_RF_mpsvu6PU8QH8uzu-nl8X17e-r6a_roilFORTCCsuFcZwRVRtF59I1La84UaWirXCE21o21CleG6GEpYIRVlWqoQK-oGX8AP3c6a7GBhxbcJdMp1fJ9yY96Wi8_rsT_INexLWu6pKWqgSB768CKT6OLg8afsy6rjPBxTFrSIZTeFMqQE_-QZdxTAHW0-CJyrKmNQWK7iibYs7Jzd_NUKI3kett5BthqXeRw8zxxy3eJ94CBuDHDoDZ_9B7AdjJth4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2551748181</pqid></control><display><type>article</type><title>mCME project V.2.0: randomised controlled trial of a revised SMS-based continuing medical education intervention among HIV clinicians in Vietnam</title><source>BMJ Open Access Journals</source><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Gill, Christopher J ; Le, Ngoc Bao ; Halim, Nafisa ; Chi, Cao Thi Hue ; Nguyen, Viet Ha ; Bonawitz, Rachael ; Hoang, Pham Vu ; Nguyen, Hoang Long ; Huong, Phan Thi Thu ; Larson Williams, Anna ; Le, Ngoc Anh ; Sabin, Lora</creator><creatorcontrib>Gill, Christopher J ; Le, Ngoc Bao ; Halim, Nafisa ; Chi, Cao Thi Hue ; Nguyen, Viet Ha ; Bonawitz, Rachael ; Hoang, Pham Vu ; Nguyen, Hoang Long ; Huong, Phan Thi Thu ; Larson Williams, Anna ; Le, Ngoc Anh ; Sabin, Lora</creatorcontrib><description>BackgroundContinuing medical education (CME) is indispensable, but costs are a barrier. We tested the effectiveness of a novel mHealth intervention (mCME V.2.0) promoting CME among Vietnamese HIV clinicians.MethodsWe enrolled HIV clinicians from three provinces near Hanoi. The 6-month intervention consisted of (1) daily short message service multiple-choice quiz questions, (2) daily linked readings, (3) links to online CME courses and (4) feedback messages describing the performance of the participant relative to the group. Control participants had equal access to the online CME courses. Our primary endpoint was utilisation of the online CME courses; secondary endpoints were self-study behaviour, performance on a standardised medical exam and job satisfaction.ResultsFrom 121 total HIV clinicians in the three provinces, 106 (87.6%) enrolled, and 48/53 intervention (90%) and 47/53 control (89%) participants completed the endline evaluations. Compared with controls, intervention participants were more likely to use the CME courses (risk ratio (RR) 2.3, 95% CI 1.4 to 3.8, accounting for 83% of course use (P<0.001)). Intervention participants increased self-study behaviours over controls in terms of use of medical textbooks (P<0.01), consulting with colleagues (P<0.01), searching on the internet (P<0.001), using specialist websites (P=0.02), consulting the Vietnam HIV/AIDS treatment guidelines (P=0.02) and searching the scientific literature (P=0.09). Intervention participants outperformed controls on the exam (+23% vs +12% score gains, P=0.05) and had higher job satisfaction.ConclusionThe mCME V.2.0 intervention improved self-study behaviour, medical knowledge and job satisfaction. This approach has potential for expansion in Vietnam and similar settings.Trial registration numberNCT02381743.</description><identifier>ISSN: 2059-7908</identifier><identifier>EISSN: 2059-7908</identifier><identifier>DOI: 10.1136/bmjgh-2017-000632</identifier><identifier>PMID: 29527350</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Acquired immune deficiency syndrome ; AIDS ; Distance learning ; Education ; Feedback ; Global health ; HIV ; Human immunodeficiency virus ; Intervention ; Job satisfaction ; Knowledge ; Medical education ; Multiple choice ; Participation ; Pedagogy ; Population ; Primary care ; Public health ; Self study ; Text messaging</subject><ispartof>BMJ global health, 2018-01, Vol.3 (1), p.e000632-e000632</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>2018 Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b464t-6c6c36ae32098a91f7ebd35309491d6e03c87b1e938a696c16202559b16006d23</citedby><cites>FETCH-LOGICAL-b464t-6c6c36ae32098a91f7ebd35309491d6e03c87b1e938a696c16202559b16006d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://gh.bmj.com/content/3/1/e000632.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://gh.bmj.com/content/3/1/e000632.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27549,27550,27924,27925,53791,53793,77601,77632</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29527350$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gill, Christopher J</creatorcontrib><creatorcontrib>Le, Ngoc Bao</creatorcontrib><creatorcontrib>Halim, Nafisa</creatorcontrib><creatorcontrib>Chi, Cao Thi Hue</creatorcontrib><creatorcontrib>Nguyen, Viet Ha</creatorcontrib><creatorcontrib>Bonawitz, Rachael</creatorcontrib><creatorcontrib>Hoang, Pham Vu</creatorcontrib><creatorcontrib>Nguyen, Hoang Long</creatorcontrib><creatorcontrib>Huong, Phan Thi Thu</creatorcontrib><creatorcontrib>Larson Williams, Anna</creatorcontrib><creatorcontrib>Le, Ngoc Anh</creatorcontrib><creatorcontrib>Sabin, Lora</creatorcontrib><title>mCME project V.2.0: randomised controlled trial of a revised SMS-based continuing medical education intervention among HIV clinicians in Vietnam</title><title>BMJ global health</title><addtitle>BMJ Glob Health</addtitle><description>BackgroundContinuing medical education (CME) is indispensable, but costs are a barrier. We tested the effectiveness of a novel mHealth intervention (mCME V.2.0) promoting CME among Vietnamese HIV clinicians.MethodsWe enrolled HIV clinicians from three provinces near Hanoi. The 6-month intervention consisted of (1) daily short message service multiple-choice quiz questions, (2) daily linked readings, (3) links to online CME courses and (4) feedback messages describing the performance of the participant relative to the group. Control participants had equal access to the online CME courses. Our primary endpoint was utilisation of the online CME courses; secondary endpoints were self-study behaviour, performance on a standardised medical exam and job satisfaction.ResultsFrom 121 total HIV clinicians in the three provinces, 106 (87.6%) enrolled, and 48/53 intervention (90%) and 47/53 control (89%) participants completed the endline evaluations. Compared with controls, intervention participants were more likely to use the CME courses (risk ratio (RR) 2.3, 95% CI 1.4 to 3.8, accounting for 83% of course use (P<0.001)). Intervention participants increased self-study behaviours over controls in terms of use of medical textbooks (P<0.01), consulting with colleagues (P<0.01), searching on the internet (P<0.001), using specialist websites (P=0.02), consulting the Vietnam HIV/AIDS treatment guidelines (P=0.02) and searching the scientific literature (P=0.09). Intervention participants outperformed controls on the exam (+23% vs +12% score gains, P=0.05) and had higher job satisfaction.ConclusionThe mCME V.2.0 intervention improved self-study behaviour, medical knowledge and job satisfaction. This approach has potential for expansion in Vietnam and similar settings.Trial registration numberNCT02381743.</description><subject>Acquired immune deficiency syndrome</subject><subject>AIDS</subject><subject>Distance learning</subject><subject>Education</subject><subject>Feedback</subject><subject>Global health</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Intervention</subject><subject>Job satisfaction</subject><subject>Knowledge</subject><subject>Medical education</subject><subject>Multiple choice</subject><subject>Participation</subject><subject>Pedagogy</subject><subject>Population</subject><subject>Primary care</subject><subject>Public health</subject><subject>Self study</subject><subject>Text messaging</subject><issn>2059-7908</issn><issn>2059-7908</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc1OGzEUha2qVUHAA3SDLLHpohP8M2OPWVSqIihIIBbQbC2PxwmOZuxgz0TiLXhkbhJAtKuufK373eNzfRD6RsmEUi5Om365eCgYobIghAjOPqF9RipVSEXqzx_qPXSU8xIYKsmG_Ir2mKqY5BXZR8_99OYcr1JcOjvg2YRNyBlOJrSx99m12MYwpNh1UA7Jmw7HOTY4ufW2e3dzVzTmjfNh9GGBe9d6C6RrR2sGHwP2YXBp7cL2YvoI0OXVDNvOB2-9CRkIPPNuCKY_RF_mpsvu6PU8QH8uzu-nl8X17e-r6a_roilFORTCCsuFcZwRVRtF59I1La84UaWirXCE21o21CleG6GEpYIRVlWqoQK-oGX8AP3c6a7GBhxbcJdMp1fJ9yY96Wi8_rsT_INexLWu6pKWqgSB768CKT6OLg8afsy6rjPBxTFrSIZTeFMqQE_-QZdxTAHW0-CJyrKmNQWK7iibYs7Jzd_NUKI3kett5BthqXeRw8zxxy3eJ94CBuDHDoDZ_9B7AdjJth4</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Gill, Christopher J</creator><creator>Le, Ngoc Bao</creator><creator>Halim, Nafisa</creator><creator>Chi, Cao Thi Hue</creator><creator>Nguyen, Viet Ha</creator><creator>Bonawitz, Rachael</creator><creator>Hoang, Pham Vu</creator><creator>Nguyen, Hoang Long</creator><creator>Huong, Phan Thi Thu</creator><creator>Larson Williams, Anna</creator><creator>Le, Ngoc Anh</creator><creator>Sabin, Lora</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180101</creationdate><title>mCME project V.2.0: randomised controlled trial of a revised SMS-based continuing medical education intervention among HIV clinicians in Vietnam</title><author>Gill, Christopher J ; Le, Ngoc Bao ; Halim, Nafisa ; Chi, Cao Thi Hue ; Nguyen, Viet Ha ; Bonawitz, Rachael ; Hoang, Pham Vu ; Nguyen, Hoang Long ; Huong, Phan Thi Thu ; Larson Williams, Anna ; Le, Ngoc Anh ; Sabin, Lora</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b464t-6c6c36ae32098a91f7ebd35309491d6e03c87b1e938a696c16202559b16006d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>AIDS</topic><topic>Distance learning</topic><topic>Education</topic><topic>Feedback</topic><topic>Global health</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Intervention</topic><topic>Job satisfaction</topic><topic>Knowledge</topic><topic>Medical education</topic><topic>Multiple choice</topic><topic>Participation</topic><topic>Pedagogy</topic><topic>Population</topic><topic>Primary care</topic><topic>Public health</topic><topic>Self study</topic><topic>Text messaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gill, Christopher J</creatorcontrib><creatorcontrib>Le, Ngoc Bao</creatorcontrib><creatorcontrib>Halim, Nafisa</creatorcontrib><creatorcontrib>Chi, Cao Thi Hue</creatorcontrib><creatorcontrib>Nguyen, Viet Ha</creatorcontrib><creatorcontrib>Bonawitz, Rachael</creatorcontrib><creatorcontrib>Hoang, Pham Vu</creatorcontrib><creatorcontrib>Nguyen, Hoang Long</creatorcontrib><creatorcontrib>Huong, Phan Thi Thu</creatorcontrib><creatorcontrib>Larson Williams, Anna</creatorcontrib><creatorcontrib>Le, Ngoc Anh</creatorcontrib><creatorcontrib>Sabin, Lora</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ global health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gill, Christopher J</au><au>Le, Ngoc Bao</au><au>Halim, Nafisa</au><au>Chi, Cao Thi Hue</au><au>Nguyen, Viet Ha</au><au>Bonawitz, Rachael</au><au>Hoang, Pham Vu</au><au>Nguyen, Hoang Long</au><au>Huong, Phan Thi Thu</au><au>Larson Williams, Anna</au><au>Le, Ngoc Anh</au><au>Sabin, Lora</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>mCME project V.2.0: randomised controlled trial of a revised SMS-based continuing medical education intervention among HIV clinicians in Vietnam</atitle><jtitle>BMJ global health</jtitle><addtitle>BMJ Glob Health</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>3</volume><issue>1</issue><spage>e000632</spage><epage>e000632</epage><pages>e000632-e000632</pages><issn>2059-7908</issn><eissn>2059-7908</eissn><abstract>BackgroundContinuing medical education (CME) is indispensable, but costs are a barrier. We tested the effectiveness of a novel mHealth intervention (mCME V.2.0) promoting CME among Vietnamese HIV clinicians.MethodsWe enrolled HIV clinicians from three provinces near Hanoi. The 6-month intervention consisted of (1) daily short message service multiple-choice quiz questions, (2) daily linked readings, (3) links to online CME courses and (4) feedback messages describing the performance of the participant relative to the group. Control participants had equal access to the online CME courses. Our primary endpoint was utilisation of the online CME courses; secondary endpoints were self-study behaviour, performance on a standardised medical exam and job satisfaction.ResultsFrom 121 total HIV clinicians in the three provinces, 106 (87.6%) enrolled, and 48/53 intervention (90%) and 47/53 control (89%) participants completed the endline evaluations. Compared with controls, intervention participants were more likely to use the CME courses (risk ratio (RR) 2.3, 95% CI 1.4 to 3.8, accounting for 83% of course use (P<0.001)). Intervention participants increased self-study behaviours over controls in terms of use of medical textbooks (P<0.01), consulting with colleagues (P<0.01), searching on the internet (P<0.001), using specialist websites (P=0.02), consulting the Vietnam HIV/AIDS treatment guidelines (P=0.02) and searching the scientific literature (P=0.09). Intervention participants outperformed controls on the exam (+23% vs +12% score gains, P=0.05) and had higher job satisfaction.ConclusionThe mCME V.2.0 intervention improved self-study behaviour, medical knowledge and job satisfaction. This approach has potential for expansion in Vietnam and similar settings.Trial registration numberNCT02381743.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>29527350</pmid><doi>10.1136/bmjgh-2017-000632</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Acquired immune deficiency syndrome AIDS Distance learning Education Feedback Global health HIV Human immunodeficiency virus Intervention Job satisfaction Knowledge Medical education Multiple choice Participation Pedagogy Population Primary care Public health Self study Text messaging |
| title | mCME project V.2.0: randomised controlled trial of a revised SMS-based continuing medical education intervention among HIV clinicians in Vietnam |
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