Online Learning Portal on Under Five Pneumonia

NCT04495361 | Completed DMC

• 1 other identifier: 16/136/108
• Study Type: interventional
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

Despite the availability of standard pneumonia management guidelines and multiple global efforts, pneumonia continues to be the leading killer of children under five, accounting to around 17% of the total under five deaths globally. In Pakistan, pneumonia contributes to 16% of under five mortality in the country having a well-defined yet poorly functional healthcare system. Although, there are standard set of guidelines for management of pneumonia patients however, the management practices of this illness are variable across the country. This could be attributed to non-availability of work ready graduates which in turn is due to variations of teaching methods across various institutions. Although the medical students across these institutions do get exposed to clinical cases in the final year however, this exposure is also variable. If this clinical experience is coupled with an adjunct capacity building mode using an online platform. there is a possibility that students could be trained in a better way.

Conditions

Pneumonia; Childhood Pneumonia; Infectious Disease; Acute Respiratory Infection

Keywords

Childhood Pneumonia; Acute respiratory illness; Pakistan

Outcome Measures

Primary Outcomes (2)

• Change from baseline knowledge of all participants on under five pneumonia at 6 months

  Self administered questionnaire with multiple choice questions will be filled by the participants. 1 score for each correct response and 0 for incorrect response will be given.

  6 months

• Change from baseline confidence in skills of all participants in diagnosing and managing under five pneumonia at 6 months

  Self-administered Likert scale questionnaire where 1 means low and 5 high will be filled by the participants

  6 months

Study Arms (1)

Online learning portal

EXPERIMENTAL

Final year medical students will use an online learning portal in which three case scenarios of under five pneumonia patients will be displayed each month. Based on history and examination, the user will diagnose and manage the patient.

Other: E-learning portal

Interventions

E-learning portal OTHER

An online learning portal for the identification and management of pneumonia in under five children

Online learning portal

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Final year medical students studying in institutions in Rawalpindi/Islamabad registered under the higher education commission
• Medical students whose heads have provided permission to undertake the study with them
• Medical students who have provided a written consent to be included in the study.
• Patients less than five years diagnosed with no pneumonia, pneumonia or severe pneumonia
• Parents/Carers who provide consent for their under five children to be videotaped.

You may not qualify if:

• Medical students withdrawing/leaving the institute
• Medical students who are not in final year
• Patients under five suffering from comorbidity with pneumonia

Sponsors & Collaborators

• University of Edinburgh: lead
• Maternal, Neonatal and Child Health Research Network: collaborator

Study Sites (1)

MNCHRN

Islamabad, Federal, 44000, Pakistan

Location

MeSH Terms

Conditions

Pneumonia; Communicable Diseases

Condition Hierarchy (Ancestors)

Respiratory Tract Infections; Infections; Lung Diseases; Respiratory Tract Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Dr Tabish Hazir, MBBS, FRCPCH

  Maternal, Neonatal and Child Health Research Network

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Students will be exposed to an online learning portal in which they will undergo planned electronic encounters with under five patients having pneumonia. For each case, students will have to identify the category of pneumonia and the appropriate treatment/ management in a timed session. Upon clicking on the available case, the participant will be shown a typical case of either no pneumonia, pneumonia or severe pneumonia. The video will run for around thirty seconds to one minute during and after which the students will try to identify the case and select its category from the drop down menu of diagnosis. There will be tabs for history, examination, diagnosis and management. The student will select the best suited response from a range of options. Based on the selection of the response and the time taken to do so, a score will be generated. The student can take two attempts for each case. Students will be required to a login for 6 months whereby 3 cases will be assigned per month.

Study Record Dates

• First Submitted: April 17, 2020
• First Posted: July 31, 2020
• Study Start: April 1, 2019
• Primary Completion: December 1, 2020
• Study Completion: December 30, 2020
• Last Updated: June 12, 2024

Record last verified: 2024-06

Locations

PA (1)