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

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

Saved in:

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:	R Medicine
Online Access:	http://eprints.um.edu.my/21612/ https://doi.org/10.1186/s12873-018-0152-y
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my.um.eprints.21612
record_format	eprints
spelling	my.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 https://doi.org/10.1186/s12873-018-0152-y doi:10.1186/s12873-018-0152-y
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine
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
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.
format	Article
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
title	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_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_sort	implementing blended learning in emergency airway management training: a randomized controlled trial
publisher	BMC
publishDate	2018
url	http://eprints.um.edu.my/21612/ https://doi.org/10.1186/s12873-018-0152-y
_version_	1643691608981372928
score	13.211869

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

Similar Items