Evaluation of an Online Telemedicine Course Through Facebook

August 28, 2020 updated by: Cender Udai Quispe Juli, Universidad Peruana Cayetano Heredia

Development and Evaluation of an Online Telemedicine Course Through Facebook: a Randomized Controlled Trial

Health professionals with adequate training are required to provide quality remote care. There are few telemedicine and telehealth training programs for doctors and medical students. On the other hand, the use of social networks (Facebook and Twitter) as a medical education tool is becoming frequent. However, there is a lack of conclusive evidence in terms of its effectiveness. The objective of the present study is to develop and evaluate a telemedicine course for resident doctors through Facebook and compare it with one through Moodle. A randomized, triple-blind, parallel block controlled trial will be conducted that tests the effectiveness of an educational intervention through Facebook compared to another control intervention using Moodle. Intervention training is a telemedicine course focused on teleconsultation provided through Facebook. Control training is the same educational content but through Moodle. The level of telemedicine knowledge of the participants before and after the intervention will be evaluated. The inferential analysis to see the association between the variables of interest will be carried out by Student's T tests or analysis of variance (ANOVA). If potential confounding factors were found, the variable will be adjusted through linear regression. The pre and post intervention analysis will be carried out with student t or wilcoxon rank test according to the normality of the data. Resident doctors who receive the telemedicine course through Facebook are expected to have a greater knowledge gain than those who take the course through Moodle.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

Main Objective:

Develop and evaluate a telemedicine course for resident doctors through Facebook and compare it with one through Moodle.

Study Design:

A randomized, triple-blind, parallel block controlled trial will be conducted that tests the effectiveness of an educational intervention through Facebook compared to another control intervention using Moodle. Intervention training is a telemedicine course focused on teleconsultation provided through Facebook. Control training is the same educational content but through Moodle. The level of telemedicine knowledge of the participants before and after the intervention will be evaluated. In addition, at the end of the intervention the level of satisfaction of the participants will be evaluated.

Population:

Resident doctors of the Faculty of Medicine of the Universidad Peruana Cayetano Heredia.

Sample:

In a previous study, the response within each group of subjects was normally distributed with a standard deviation of 2.62. If the true difference in the experimental and control means is 3, the investigators will have to study 13 experimental subjects and 13 control subjects to be able to reject the null hypothesis that the population means of the experimental and control groups are equal with the probability (power) 0.8. The probability of Type I error associated with this test of this null hypothesis is 0.05. Then the investigators consider the 30% follow-up loss rate, according to previous reports, our final sample size being 38 people, therefore our intervention and control group will be made up of 19 people each. This is the minimum sample size needed; however, a larger number improves the power of the study.

Group assignment:

Participants will be randomly assigned to the intervention or control training by simple random assignment (random numbers generated by computer). Once the assigned group of each participant has been determined, they will be given access to the course content on their respective platforms.

Ethical considerations:

This project will be guided by the principles of scientific integrity. The project was submitted to the Institutional Committee of Research Ethics of the Universidad Peruana Cayetano Heredia for evaluation and approval. The content of the classes (educational videos) will be based on specialized scientific literature and current technical standards. In the end of the course, participants will have received telemedicine training as part of their curriculum and they will increase their professional skills. They will not be offered any additional incentive. When enrolling in the course, participants will be informed of the research objectives and procedures. Resident doctors will accept the use of their data generated by the course for the purpose of this study voluntarily

Study Type

Interventional

Enrollment (Anticipated)

100

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 Contact

Study Contact Backup

  • Name: Carlos A Orellano Tuesta, MD, MSc

Study Locations

  • Peru
    • San Martín De Porres
      • Lima, San Martín De Porres, Peru, 15102
        • Recruiting
        • Universidad Peruana Cayetano Heredia, Medicine School
        • Contact:
          • Carlos Orellano Tuesta, MD, MSc

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Physician enrolled in the resident program of Universidad Peruana Cayetano Heredia, who has passed the first year of residence.
  • Motivation to learn telemedicine and participate in educational activities during the intervention.
  • Access to the internet through a computer or mobile device during the intervention of the study.

Exclusion Criteria:

  • Resident doctors who have had some type of training in e-Health, telemedicine or telehealth.
  • Rotating doctors from other national or foreign universities.

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Facebook group
Participants will be included in an online classroom through a "closed group" of Facebook to receive an asynchronous course of telemedicine.
Other: Facebook intervention
The intervention consists of the content of the course on telemedicine through a "closed group" of Facebook according to the established syllabus whose educational material is video classes, discussion forums and online questionnaires. The duration of the course will be 5 weeks, each week two classes will be uploaded to the Facebook platform in succession until the course is completed. So that the student can visualize the content progressively and continuously.
Active Comparator: Control group
In this group the participants are exposed to the same course of telemedicine but on the Moodle educational platform.
Other: Control Training:
In this group the participants are exposed to the same course content and perform similar activities as the intervention group on Facebook during the same period but on the Moodle educational platform. The Moodle platform was chosen because it has been widely used in several institutions, with a large user community worldwide, with approximately 50,000 registrations in more than 200 countries and due to the many easy-to-use educational tools it offers. So it is one of the educational platforms that has demonstrated its efficiency in the medical educational field.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Level of Knowledge about telemedicine
Time Frame: through study completion, an average of 1 month
Measured by automatic scoring after the participant took the tests on a web platform. The instrument is a questionnaire made up of 32 multiple-choice questions about knowledge in telemedicine focused on teleconsultation. The test is according to guidelines of the National Board of Medical Examiners of the United States. Each correct question is worth 3.125 points so the scale range will be 0-100 points in total but then it will be converted to vigesimal score from 0 to 20 points, being the passing grade 11.00.
through study completion, an average of 1 month

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The satisfaction assessment will be carried out through the Wang questionnaire (Likert scale)
Time Frame: through study completion, an average of 1 month
Wang questionnaire is an electronic learning satisfaction model of 26 elements related to four qualities: content, learning interface, personalization, learning community and also with two questions which refer to the overall measurement in the context of end-user satisfaction. The measurement scale will be a 7-point Likert scale, with scores ranging from 1 to 7 ("strongly disagree" to "strongly agree" respectively).
through study completion, an average of 1 month

Collaborators and Investigators

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

Sponsor

Universidad Peruana Cayetano Heredia

Investigators

  • Principal Investigator: Cender U Quispe Juli, MD, Universidad Peruana Cayetano Heredia

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)

November 25, 2019

Primary Completion (Actual)

February 27, 2020

Study Completion (Anticipated)

August 29, 2020

Study Registration Dates

First Submitted

November 19, 2019

First Submitted That Met QC Criteria

November 20, 2019

First Posted (Actual)

November 22, 2019

Study Record Updates

Last Update Posted (Actual)

August 31, 2020

Last Update Submitted That Met QC Criteria

August 28, 2020

Last Verified

November 1, 2019

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 104043

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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