Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study
Background: Sepsis is a leading cause of morbidity and mortality especially in low- and middle-income countries such as Nigeria. Training of health workers using digital platforms may improve knowledge and lead to better patient outcomes. Objectives: To assess the effectiveness of a digital health e...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-02-01
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| Series: | Therapeutic Advances in Infectious Disease |
| Online Access: | https://doi.org/10.1177/20499361241233816 |
| _version_ | 1797289813353693184 |
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| author | Akaninyene Otu Obiageli Onwusaka Daniel E. Otokpa Ukam Edadi Ubong Udoh Peter Yougha Chinelo Oduche Okey Okuzu Shevin T. Jacob Jamie Rylance Emmanuel Effa |
| author_facet | Akaninyene Otu Obiageli Onwusaka Daniel E. Otokpa Ukam Edadi Ubong Udoh Peter Yougha Chinelo Oduche Okey Okuzu Shevin T. Jacob Jamie Rylance Emmanuel Effa |
| author_sort | Akaninyene Otu |
| collection | DOAJ |
| description | Background: Sepsis is a leading cause of morbidity and mortality especially in low- and middle-income countries such as Nigeria. Training of health workers using digital platforms may improve knowledge and lead to better patient outcomes. Objectives: To assess the effectiveness of a digital health educational module on sepsis in improving the knowledge of medical doctors in Cross River State Nigeria on the diagnosis and management of patients presenting with sepsis. Design: Quasi-experimental analytical study. Methods: We developed and deployed a sepsis module through an innovative application (Sepsis tutorial app) to doctors in Calabar, Nigeria. We assessed quantitative pre- and post-intervention knowledge scores for those completing the tutorial on sepsis between both assessments. A user satisfaction survey evaluated the content of the tutorial and the usability of the app. Results: One hundred and two doctors completed the course. There were more males than females (58.8% versus 41.2%). Over half (52%) were junior doctors, a minority were general practitioners and house officers (3% and 5%, respectively), and 72.6% had practiced for periods ranging from 1 to 15 years post-qualification. Gender and age appeared to have no significant association with pre- and post-test scores. The oldest age group (61–70) had the lowest mean pre- and post-test scores, while general practitioners had higher mean pre- and post-test scores than other cadres. The majority (95%) of participants recorded higher post-test than pre-test scores with a significant overall increase in mean scores (25.5 ± 14.7%, p < 0.0001). Participants were satisfied with the content and multimodal delivery of the material and found the app usable. Conclusion: Digital training using context-responsive platforms is feasible and may be used to close the critical knowledge gap required to respond effectively to medical emergencies such as sepsis in low- to middle-income settings. |
| first_indexed | 2024-03-07T19:11:26Z |
| format | Article |
| id | doaj.art-86e2de5300314c908d8ee3db1f9e941e |
| institution | Directory Open Access Journal |
| issn | 2049-937X |
| language | English |
| last_indexed | 2024-03-07T19:11:26Z |
| publishDate | 2024-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Infectious Disease |
| spelling | doaj.art-86e2de5300314c908d8ee3db1f9e941e2024-03-01T03:03:28ZengSAGE PublishingTherapeutic Advances in Infectious Disease2049-937X2024-02-011110.1177/20499361241233816Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional studyAkaninyene OtuObiageli OnwusakaDaniel E. OtokpaUkam EdadiUbong UdohPeter YoughaChinelo OducheOkey OkuzuShevin T. JacobJamie RylanceEmmanuel EffaBackground: Sepsis is a leading cause of morbidity and mortality especially in low- and middle-income countries such as Nigeria. Training of health workers using digital platforms may improve knowledge and lead to better patient outcomes. Objectives: To assess the effectiveness of a digital health educational module on sepsis in improving the knowledge of medical doctors in Cross River State Nigeria on the diagnosis and management of patients presenting with sepsis. Design: Quasi-experimental analytical study. Methods: We developed and deployed a sepsis module through an innovative application (Sepsis tutorial app) to doctors in Calabar, Nigeria. We assessed quantitative pre- and post-intervention knowledge scores for those completing the tutorial on sepsis between both assessments. A user satisfaction survey evaluated the content of the tutorial and the usability of the app. Results: One hundred and two doctors completed the course. There were more males than females (58.8% versus 41.2%). Over half (52%) were junior doctors, a minority were general practitioners and house officers (3% and 5%, respectively), and 72.6% had practiced for periods ranging from 1 to 15 years post-qualification. Gender and age appeared to have no significant association with pre- and post-test scores. The oldest age group (61–70) had the lowest mean pre- and post-test scores, while general practitioners had higher mean pre- and post-test scores than other cadres. The majority (95%) of participants recorded higher post-test than pre-test scores with a significant overall increase in mean scores (25.5 ± 14.7%, p < 0.0001). Participants were satisfied with the content and multimodal delivery of the material and found the app usable. Conclusion: Digital training using context-responsive platforms is feasible and may be used to close the critical knowledge gap required to respond effectively to medical emergencies such as sepsis in low- to middle-income settings.https://doi.org/10.1177/20499361241233816 |
| spellingShingle | Akaninyene Otu Obiageli Onwusaka Daniel E. Otokpa Ukam Edadi Ubong Udoh Peter Yougha Chinelo Oduche Okey Okuzu Shevin T. Jacob Jamie Rylance Emmanuel Effa Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study Therapeutic Advances in Infectious Disease |
| title | Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study |
| title_full | Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study |
| title_fullStr | Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study |
| title_full_unstemmed | Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study |
| title_short | Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study |
| title_sort | implementing health worker training on sepsis in south eastern nigeria using innovative digital strategies an interventional study |
| url | https://doi.org/10.1177/20499361241233816 |
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