Protocol for Evaluation of eLearning of Quality Improvement Methods

January 31, 2019 updated by: Vimal Sriram, Chelsea and Westminster NHS Foundation Trust

Evaluation of eLearning of Quality Improvement Methods

This study evaluates the use of eLearning of quality improvement methods. Participants who use eLearning only, facilitated learning only and a combination of eLearning and facilitated learning will complete questionnaires and be interviewed to establish the effect of eLearning of quality improvement methods to improve knowledge, change in behaviour and impact on healthcare services for better patient care.

Study Overview

Detailed Description

Quality improvement (QI) is an increasingly important element of delivering health care. Learning and feeling confident in using QI methods is an essential part of healthcare practice. eLearning is a cost effective way of capacity building to a large cohort of health care professionals and service users. National Institute of Health Research Collaboration for Leadership in Health Research and Care Northwest London has developed a suite of eLearning modules (QI4U) to support an introductory understanding of technical aspects of QI. This protocol describes a trial to evaluate the experience of learning, knowledge gained, change in behaviour, and impact of eLearning of QI methods.

Participants will belong to one of three Groups of learners over the course of 12 months: learners using only QI4U (group 1); people using only facilitated learning (Group 2); and learners using a combination of QI4U and facilitated learning (Group 3). The Kirkpatrick model will be used to evaluate the learning. The primary outcome of interest will be transfer of knowledge gained from learning into clinical practice for service improvement by individuals (level 3). Secondary outcomes will include reaction or experience of QI4U, knowledge gained, and the results or impact of learning through QI4U on service improvement (levels 1, 2 and 4).

Transfer of knowledge into clinical practice will be assessed by interviews with individual learners. Experience of eLearning and knowledge gained will be assessed using feedback forms, questionnaires, time spent doing QI4U and reflective logs. Impact will be assessed by interviews with organisational leads with a high prevalence of QI4U learners.

This study will provide evidence on the effectiveness of using eLearning as a means for learning QI. It will serve to evaluate learners' experience of using eLearning and the impact of various training methods within the context of learning QI.

Study Type

Interventional

Enrollment (Actual)

250

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • clinicians, managers, commissioners, service users and carers, and researchers who have an interest in learning QI methods.

Exclusion Criteria:

  • No exclusion criteria

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: QI4U Group
Group 1 - Learners who will learn QI methods using eLearning through QI4U
Learners will have access to 8 QI methods modules on QI4U
Active Comparator: Facilitated Learning Group
Group 2 - Learners who will learn QI methods by facilitated teaching
Learners will have access to quarterly learning events and bespoke training on QI methods through facilitated peer-to-peer learning workshops
Active Comparator: QI4U and Facilitated Learning Group
Group 3 - Learners who will learn QI methods using a combination of QI4U and facilitated teaching
Learners will have access to the 8 QI modules on QI4U and attend quarterly learning events and bespoke training on QI methods through peer-to-peer learning workshops

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Transfer of knowledge of QI method into clinical practice
Time Frame: 6-8 months
Change in behaviour that is a result of learning of QI methods into service improvement projects
6-8 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Experience of learning measured using eLearning systems success construct questionnaire
Time Frame: Immediately after learning.
The investigators will use the eLearning systems success construct questionnaire. This is a 36 item survey questionnaire that includes system quality, user satisfaction, net benefits and information quality. Survey items will be rated using a seven-point Likert scale indicating the degree to which respondents agree or disagree.
Immediately after learning.
Knowledge gained measured through the knowledge of QI methods questionnaire
Time Frame: pre learning, immediately after learning and 6-8 months after learning.
Knowledge of QI methods will be assessed through a question bank of multiple choice questions, the order of the questions are presented in random and learners' knowledge is scored as a percentage of correct answers.
pre learning, immediately after learning and 6-8 months after learning.
Impact of QI4U learning
Time Frame: 6-8 months
Impact of QI4U on QI through interviews with executives from trusts that have large cohorts of learners using QI4U
6-8 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Vimal Sriram, MSc, Nihr Clahrc Nwl

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 1, 2017

Primary Completion (Actual)

November 1, 2018

Study Completion (Actual)

December 1, 2018

Study Registration Dates

First Submitted

September 12, 2016

First Submitted That Met QC Criteria

September 19, 2016

First Posted (Estimate)

September 20, 2016

Study Record Updates

Last Update Posted (Actual)

February 4, 2019

Last Update Submitted That Met QC Criteria

January 31, 2019

Last Verified

January 1, 2019

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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