The "ABCs of AD": A pilot test of an online educational module to increase use of the autonomic dysreflexia clinical practice guidelines among paramedic and nurse trainees
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Authors
Tomasone, Jennifer
Martin Ginis, Kathleen A.
Pulkkinen, Wayland
Krassioukov, Andrei
Date
2014-09
Type
journal article
Language
en
Keyword
Autonomic dysreflexia , Clinical practice guidelines , Knowledge translation , Psychological theory , Spinal cord injuries
Alternative Title
Abstract
Context/objective: Despite availability of clinical practice guidelines (CPGs), gaps in autonomic dysreflexia (AD) knowledge and practice persist. A free, online educational module, the "ABCs of AD", was developed to improve knowledge of the AD-CPGs among emergency healthcare personnel. We examine short-term changes in paramedic and nurse trainees' knowledge of, and social cognitions towards using, the AD-CPGs following module completion.
Design: Pre-post.
Methods: Thirty-four paramedic and nurse trainees from two training programs in Canada completed measures immediately before and after viewing the online "ABCs of AD" module.
Outcome measures: AD knowledge test; Theory of Planned Behavior social cognition questionnaire; module feedback survey.
Results: Paired samples t-tests revealed significant increases in participants' AD knowledge test scores (M ± SDpre = 9.00 ± 2.46, M ± SDpost = 12.03 ± 4.07, P < 0.001; d = 0.84). Prior to viewing the module, participants reported positive social cognitions for using the AD-CPGs (all Ms ≥ 4.84 out of 7). From pre- to post-module, no significant changes were seen in participants' social cognitions for using the AD-CPGs. Participants' average module viewing time was 36.73 ± 24.17 minutes (range 8-90 minutes). There was a decline in viewing from the first to the last module sections, with only half of participants viewing all six sections.
Conclusion: Knowledge alone is insufficient for clinical behavior change; as such, social cognitive determinants of behavior should be explicitly targeted in future iterations of the module to increase the likelihood of increased use of the AD-CPGs. To engage viewers across all module sections, the "ABCs of AD" module should include supplementary learning strategies, such as interactive quizzes and peer-to-peer interaction.
Description
Published version available at: https://doi.org/10.1179/2045772314Y.0000000253
Citation
Tomasone, J. R., Martin Ginis, K. A., Pulkkinen, W., & Krassioukov, A. (2014). The "ABCs of AD": A pilot test of an online educational module to increase use of the autonomic dysreflexia clinical practice guidelines among paramedic and nurse trainees. The journal of spinal cord medicine, 37(5), 598–607. https://doi.org/10.1179/2045772314Y.0000000253
Publisher
Taylor and Francis