Implementing blended learning in emergency airway management training: a randomized controlled trial

Background: While emergency airway management training is conventionally conducted via face-to-face learning (F2FL) workshops, there are inherent cost, time, place and manpower limitations in running such workshops. Blended learning (BL) refers to the systematic integration of online and face-to-fac...

Full description

Bibliographic Details
Main Authors: Kho, Madeleine Huei Tze, Chew, Keng Sheng, Azhar, Muhaimin Noor, Hamzah, Mohd Lotfi, Chuah, Kee Man, Bustam, Aida, Chan, Hiang Chuan
Format: Article
Published: BMC 2018
Subjects:
_version_ 1796961472171999232
author Kho, Madeleine Huei Tze
Chew, Keng Sheng
Azhar, Muhaimin Noor
Hamzah, Mohd Lotfi
Chuah, Kee Man
Bustam, Aida
Chan, Hiang Chuan
author_facet Kho, Madeleine Huei Tze
Chew, Keng Sheng
Azhar, Muhaimin Noor
Hamzah, Mohd Lotfi
Chuah, Kee Man
Bustam, Aida
Chan, Hiang Chuan
author_sort Kho, Madeleine Huei Tze
collection UM
description Background: While emergency airway management training is conventionally conducted via face-to-face learning (F2FL) workshops, there are inherent cost, time, place and manpower limitations in running such workshops. Blended learning (BL) refers to the systematic integration of online and face-to-face learning aimed to facilitate complex thinking skills and flexible participation at a reduced financial, time and manpower cost. This study was conducted to evaluate its effectiveness in emergency airway management training. Methods: A single-center prospective randomised controlled trial involving 30 doctors from Sarawak General Hospital, Malaysia was conducted from September 2016 to February 2017 to compare the effectiveness of BL versus F2FL for emergency airway management training. Participants in the BL arm were given a period of 12 days to go through the online materials in a learning management system while those in the F2FL arm attended a-day of face-to-face lectures (8 h). Participants from both arms then attended a day of hands-on session consisting of simulation skills training with airway manikins. Pre- and post-tests in knowledge and practical skills were administered. E-learning experience and the perception towards BL among participants in the BL arm were also assessed. Results: Significant improvements in post-test scores as compared to pre-test scores were noted for participants in both BL and F2FL arms for knowledge, practical, and total scores. The degree of increment between the BL group and the F2FL arms for all categories were not significantly different (total scores: 35 marks, inter-quartile range (IQR) 15.0 - 41.0 vs. 31 marks, IQR 24.0 - 41.0, p = 0.690; theory scores: 18 marks, IQR 9 - 24 vs. 19 marks, IQR 15 - 20, p = 0.992; practical scores: 11 marks, IQR 5 -18 vs. 10 marks, IQR 9 - 20, p = 0.461 respectively). The overall perception towards BL was positive. Conclusions: Blended learning is as effective as face-to-face learning for emergency airway management training of junior doctors, suggesting that blended learning may be a feasible alternative to face-to-face learning for such skill training in emergency departments. Trial registration: Malaysian National Medical Research NMRR-16-696-30190. Registered 28 April 2016.
first_indexed 2024-03-06T05:54:37Z
format Article
id um.eprints-21612
institution Universiti Malaya
last_indexed 2024-03-06T05:54:37Z
publishDate 2018
publisher BMC
record_format dspace
spelling um.eprints-216122019-07-15T04:33:51Z http://eprints.um.edu.my/21612/ Implementing blended learning in emergency airway management training: a randomized controlled trial Kho, Madeleine Huei Tze Chew, Keng Sheng Azhar, Muhaimin Noor Hamzah, Mohd Lotfi Chuah, Kee Man Bustam, Aida Chan, Hiang Chuan R Medicine Background: While emergency airway management training is conventionally conducted via face-to-face learning (F2FL) workshops, there are inherent cost, time, place and manpower limitations in running such workshops. Blended learning (BL) refers to the systematic integration of online and face-to-face learning aimed to facilitate complex thinking skills and flexible participation at a reduced financial, time and manpower cost. This study was conducted to evaluate its effectiveness in emergency airway management training. Methods: A single-center prospective randomised controlled trial involving 30 doctors from Sarawak General Hospital, Malaysia was conducted from September 2016 to February 2017 to compare the effectiveness of BL versus F2FL for emergency airway management training. Participants in the BL arm were given a period of 12 days to go through the online materials in a learning management system while those in the F2FL arm attended a-day of face-to-face lectures (8 h). Participants from both arms then attended a day of hands-on session consisting of simulation skills training with airway manikins. Pre- and post-tests in knowledge and practical skills were administered. E-learning experience and the perception towards BL among participants in the BL arm were also assessed. Results: Significant improvements in post-test scores as compared to pre-test scores were noted for participants in both BL and F2FL arms for knowledge, practical, and total scores. The degree of increment between the BL group and the F2FL arms for all categories were not significantly different (total scores: 35 marks, inter-quartile range (IQR) 15.0 - 41.0 vs. 31 marks, IQR 24.0 - 41.0, p = 0.690; theory scores: 18 marks, IQR 9 - 24 vs. 19 marks, IQR 15 - 20, p = 0.992; practical scores: 11 marks, IQR 5 -18 vs. 10 marks, IQR 9 - 20, p = 0.461 respectively). The overall perception towards BL was positive. Conclusions: Blended learning is as effective as face-to-face learning for emergency airway management training of junior doctors, suggesting that blended learning may be a feasible alternative to face-to-face learning for such skill training in emergency departments. Trial registration: Malaysian National Medical Research NMRR-16-696-30190. Registered 28 April 2016. BMC 2018 Article PeerReviewed Kho, Madeleine Huei Tze and Chew, Keng Sheng and Azhar, Muhaimin Noor and Hamzah, Mohd Lotfi and Chuah, Kee Man and Bustam, Aida and Chan, Hiang Chuan (2018) Implementing blended learning in emergency airway management training: a randomized controlled trial. BMC Emergency Medicine, 18 (1). p. 1. ISSN 1471-227X, DOI https://doi.org/10.1186/s12873-018-0152-y <https://doi.org/10.1186/s12873-018-0152-y>. https://doi.org/10.1186/s12873-018-0152-y doi:10.1186/s12873-018-0152-y
spellingShingle R Medicine
Kho, Madeleine Huei Tze
Chew, Keng Sheng
Azhar, Muhaimin Noor
Hamzah, Mohd Lotfi
Chuah, Kee Man
Bustam, Aida
Chan, Hiang Chuan
Implementing blended learning in emergency airway management training: a randomized controlled trial
title Implementing blended learning in emergency airway management training: a randomized controlled trial
title_full Implementing blended learning in emergency airway management training: a randomized controlled trial
title_fullStr Implementing blended learning in emergency airway management training: a randomized controlled trial
title_full_unstemmed Implementing blended learning in emergency airway management training: a randomized controlled trial
title_short Implementing blended learning in emergency airway management training: a randomized controlled trial
title_sort implementing blended learning in emergency airway management training a randomized controlled trial
topic R Medicine
work_keys_str_mv AT khomadeleinehueitze implementingblendedlearninginemergencyairwaymanagementtrainingarandomizedcontrolledtrial
AT chewkengsheng implementingblendedlearninginemergencyairwaymanagementtrainingarandomizedcontrolledtrial
AT azharmuhaiminnoor implementingblendedlearninginemergencyairwaymanagementtrainingarandomizedcontrolledtrial
AT hamzahmohdlotfi implementingblendedlearninginemergencyairwaymanagementtrainingarandomizedcontrolledtrial
AT chuahkeeman implementingblendedlearninginemergencyairwaymanagementtrainingarandomizedcontrolledtrial
AT bustamaida implementingblendedlearninginemergencyairwaymanagementtrainingarandomizedcontrolledtrial
AT chanhiangchuan implementingblendedlearninginemergencyairwaymanagementtrainingarandomizedcontrolledtrial