NCT04173806

Brief Summary

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.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 19, 2019

Completed
3 days until next milestone

First Posted

Study publicly available on registry

November 22, 2019

Completed
3 days until next milestone

Study Start

First participant enrolled

November 25, 2019

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 27, 2020

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 29, 2020

Completed
Last Updated

August 31, 2020

Status Verified

November 1, 2019

Enrollment Period

3 months

First QC Date

November 19, 2019

Last Update Submit

August 28, 2020

Conditions

Keywords

Education, MedicalOnline Social NetworkingComputer User TrainingTelemedicine

Outcome Measures

Primary Outcomes (1)

  • Level of Knowledge about telemedicine

    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 Outcomes (1)

  • The satisfaction assessment will be carried out through the Wang questionnaire (Likert scale)

    through study completion, an average of 1 month

Study Arms (2)

Facebook group

EXPERIMENTAL

Participants will be included in an online classroom through a "closed group" of Facebook to receive an asynchronous course of telemedicine.

Other: Facebook intervention

Control group

ACTIVE COMPARATOR

In this group the participants are exposed to the same course of telemedicine but on the Moodle educational platform.

Other: Control Training:

Interventions

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.

Facebook group

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.

Control group

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • 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.

You may not qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Universidad Peruana Cayetano Heredia, Medicine School

Lima, San Martín de Porres, 15102, Peru

RECRUITING

Related Publications (11)

  • Tuckson RV, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017 Oct 19;377(16):1585-1592. doi: 10.1056/NEJMsr1503323. No abstract available.

    PMID: 29045204BACKGROUND
  • Celes RS, Rossi TRA, de Barros SG, Santos CML, Cardoso C. [Telehealth as state response strategy: systematic reviewLa telesalud como estrategia de respuesta del Estado: revision sistematica]. Rev Panam Salud Publica. 2018 Aug 10;42:e84. doi: 10.26633/RPSP.2018.84. eCollection 2018. Portuguese.

    PMID: 31093112BACKGROUND
  • Pathipati AS, Azad TD, Jethwani K. Telemedical Education: Training Digital Natives in Telemedicine. J Med Internet Res. 2016 Jul 12;18(7):e193. doi: 10.2196/jmir.5534.

    PMID: 27405323BACKGROUND
  • van Galen LS, Wang CJ, Nanayakkara PWB, Paranjape K, Kramer MHH, Car J. Telehealth requires expansion of physicians' communication competencies training. Med Teach. 2019 Jun;41(6):714-715. doi: 10.1080/0142159X.2018.1481284. Epub 2018 Jun 26.

    PMID: 29944031BACKGROUND
  • Edirippulige S, Armfield NR. Education and training to support the use of clinical telehealth: A review of the literature. J Telemed Telecare. 2017 Feb;23(2):273-282. doi: 10.1177/1357633X16632968. Epub 2016 Jul 8.

    PMID: 26892005BACKGROUND
  • dos Santos Ade F, Alves HJ, Nogueira JT, Torres RM, Melo Mdo C. Telehealth distance education course in Latin America: analysis of an experience involving 15 countries. Telemed J E Health. 2014 Aug;20(8):736-41. doi: 10.1089/tmj.2013.0291. Epub 2014 Jun 5.

    PMID: 24901742BACKGROUND
  • Nicolai L, Schmidbauer M, Gradel M, Ferch S, Anton S, Hoppe B, Pander T, von der Borch P, Pinilla S, Fischer M, Dimitriadis K. Facebook Groups as a Powerful and Dynamic Tool in Medical Education: Mixed-Method Study. J Med Internet Res. 2017 Dec 22;19(12):e408. doi: 10.2196/jmir.7990.

    PMID: 29273572BACKGROUND
  • Ghanem O, Logghe HJ, Tran BV, Huynh D, Jacob B. Closed Facebook groups and CME credit: a new format for continuing medical education. Surg Endosc. 2019 Feb;33(2):587-591. doi: 10.1007/s00464-018-6376-9. Epub 2018 Aug 13.

    PMID: 30105596BACKGROUND
  • Pander T, Pinilla S, Dimitriadis K, Fischer MR. The use of Facebook in medical education--a literature review. GMS Z Med Ausbild. 2014 Aug 15;31(3):Doc33. doi: 10.3205/zma000925. eCollection 2014.

    PMID: 25228935BACKGROUND
  • Ellaway R, Masters K. AMEE Guide 32: e-Learning in medical education Part 1: Learning, teaching and assessment. Med Teach. 2008 Jun;30(5):455-73. doi: 10.1080/01421590802108331.

    PMID: 18576185BACKGROUND
  • Masters K, Ellaway R. e-Learning in medical education Guide 32 Part 2: Technology, management and design. Med Teach. 2008 Jun;30(5):474-89. doi: 10.1080/01421590802108349.

    PMID: 18576186BACKGROUND

Study Officials

  • Cender U Quispe Juli, MD

    Universidad Peruana Cayetano Heredia

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Cender U Quispe Juli, MD

CONTACT

Carlos A Orellano Tuesta, MD, MSc

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Participants will be randomly assigned to one of two groups
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

November 19, 2019

First Posted

November 22, 2019

Study Start

November 25, 2019

Primary Completion

February 27, 2020

Study Completion

August 29, 2020

Last Updated

August 31, 2020

Record last verified: 2019-11

Data Sharing

IPD Sharing
Will not share

Locations