- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02907541
Protocol for Evaluation of eLearning of Quality Improvement Methods
Evaluation of eLearning of Quality Improvement Methods
Study Overview
Status
Conditions
Intervention / Treatment
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
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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London, United Kingdom, SW10 9NH
- Nihr Clahrc Nwl
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
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
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
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Learners will have access to 8 QI methods modules on QI4U
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Active Comparator: Facilitated Learning Group
Group 2 - Learners who will learn QI methods by facilitated teaching
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Learners will have access to quarterly learning events and bespoke training on QI methods through facilitated peer-to-peer learning workshops
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Active Comparator: QI4U and Facilitated Learning Group
Group 3 - Learners who will learn QI methods using a combination of QI4U and facilitated teaching
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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
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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
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Change in behaviour that is a result of learning of QI methods into service improvement projects
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6-8 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Experience of learning measured using eLearning systems success construct questionnaire
Time Frame: Immediately after learning.
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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.
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Immediately after learning.
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Knowledge gained measured through the knowledge of QI methods questionnaire
Time Frame: pre learning, immediately after learning and 6-8 months after learning.
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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.
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pre learning, immediately after learning and 6-8 months after learning.
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Impact of QI4U learning
Time Frame: 6-8 months
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Impact of QI4U on QI through interviews with executives from trusts that have large cohorts of learners using QI4U
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6-8 months
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Collaborators and Investigators
Investigators
- Principal Investigator: Vimal Sriram, MSc, Nihr Clahrc Nwl
Publications and helpful links
General Publications
- Glasziou P, Ogrinc G, Goodman S. Can evidence-based medicine and clinical quality improvement learn from each other? BMJ Qual Saf. 2011 Apr;20 Suppl 1(Suppl_1):i13-17. doi: 10.1136/bmjqs.2010.046524.
- Ogrinc G, Headrick LA, Morrison LJ, Foster T. Teaching and assessing resident competence in practice-based learning and improvement. J Gen Intern Med. 2004 May;19(5 Pt 2):496-500. doi: 10.1111/j.1525-1497.2004.30102.x.
- Batalden P, Davidoff F. Teaching quality improvement: the devil is in the details. JAMA. 2007 Sep 5;298(9):1059-61. doi: 10.1001/jama.298.9.1059. No abstract available.
- Wutoh R, Boren SA, Balas EA. eLearning: a review of Internet-based continuing medical education. J Contin Educ Health Prof. 2004 Winter;24(1):20-30. doi: 10.1002/chp.1340240105.
- George PP, Papachristou N, Belisario JM, Wang W, Wark PA, Cotic Z, Rasmussen K, Sluiter R, Riboli-Sasco E, Tudor Car L, Musulanov EM, Molina JA, Heng BH, Zhang Y, Wheeler EL, Al Shorbaji N, Majeed A, Car J. Online eLearning for undergraduates in health professions: A systematic review of the impact on knowledge, skills, attitudes and satisfaction. J Glob Health. 2014 Jun;4(1):010406. doi: 10.7189/jogh.04.010406.
- Mann KJ, Craig MS, Moses JM. Quality improvement educational practices in pediatric residency programs: survey of pediatric program directors. Acad Pediatr. 2014 Jan-Feb;14(1):23-8. doi: 10.1016/j.acap.2012.11.003.
- Boonyasai RT, Windish DM, Chakraborti C, Feldman LS, Rubin HR, Bass EB. Effectiveness of teaching quality improvement to clinicians: a systematic review. JAMA. 2007 Sep 5;298(9):1023-37. doi: 10.1001/jama.298.9.1023.
- Wong BM, Etchells EE, Kuper A, Levinson W, Shojania KG. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010 Sep;85(9):1425-39. doi: 10.1097/ACM.0b013e3181e2d0c6.
- Singh MK, Ogrinc G, Cox KR, Dolansky M, Brandt J, Morrison LJ, Harwood B, Petroski G, West A, Headrick LA. The Quality Improvement Knowledge Application Tool Revised (QIKAT-R). Acad Med. 2014 Oct;89(10):1386-91. doi: 10.1097/ACM.0000000000000456.
- Wang Y-S, Wang H-Y, Shee DY. Measuring e-learning systems success in an organizational context: Scale development and validation. Comput. Human Behav. 2007;23:1792-808.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- QI4U
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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