Computer Assisted Learning (CAL) Module Use for Re-training of Blood Pressure Measurements by Physical Therapy Students

NCT05915039 | Completed

• 1 other identifier: 2023-297
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine the effectiveness of a Computer Assisted Learning Module for supplemental blood pressure measurement retraining for doctor of physical therapy students.

Conditions

Blood Pressure

Keywords

Physical Therapy; Education; Teaching

Outcome Measures

Primary Outcomes (3)

• Accuracy of blood pressure measurements

  Pre-programmed manikin arms will be set to different blood pressure values. Students must correctly identify each of the pre-set blood pressure measurements

  Baseline to 4 months

• Confidence of blood pressure measurements

  A 5-point Likert scale survey to assess student confidence in different aspects of measuring blood pressure. The scale ranges from 1 to 5 with the following values: 1 - Not confident at all, 2 - Slightly confident, 3 - Moderately confident, 4 - Very confident, and 5 - extremely confident. A higher score indicates that the individual has higher levels of confidence for the reported item.

  Baseline to 4 months

• Blood pressure measurement knowledge quiz

  A knowledge quiz regarding the proper steps of blood pressure measurement as defined by the American Heart Association. This is a 15 question multiple choice quiz. The higher the score, the better the performance.

  Baseline to 4 months

Study Arms (2)

Group A

EXPERIMENTAL

This is the initial experimental group who will be exposed to the CAL module 48 hours before the first retesting period 2 months out from initial baseline measurement.

Other: Computer Assisted Learning (CAL) Module

Group B

NO INTERVENTION

This is the initial control group who will not be exposed to the CAL module 48 hours before the first retesting period 2 months out from initial baseline measurement.

Interventions

Computer Assisted Learning (CAL) Module OTHER

The students assigned to Group A will undergo interactive CAL module training by the American Medical Association which outlines how to properly measure blood pressure manually following the American Heart Association guidelines.

Group A

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Current student enrolled in the DPT program
• Student is in good standing academically
• Student is enrolled in the Clinical Foundation Skills course for the first time
• Student provided informed consent to participate

You may not qualify if:

• Student not enrolled in the DPT program
• Student is taking the Clinical Skills Foundation course for the 2nd time
• Student is not in good academic standing
• Student did not provide informed consent to participate

Sponsors & Collaborators

• Youngstown State University: lead

Study Sites (1)

Youngstown State University

Youngstown, Ohio, 44555, United States

Location

Related Publications (13)

• Holmstrup M, Jensen B, Burkart R, Levis M. Using a novel assessment of procedural proficiency provides medical educators insight into blood pressure measurement. Int J Med Educ. 2016 Nov 19;7:375-381. doi: 10.5116/ijme.580b.2e4f.

  PMID: 27864919 BACKGROUND

• Gordon CJ, Frotjold A, Fethney J, Green J, Hardy J, Maw M, Buckley T. The effectiveness of simulation-based blood pressure training in preregistration nursing students. Simul Healthc. 2013 Oct;8(5):335-40. doi: 10.1097/SIH.0b013e3182a15fa7.

  PMID: 24061336 BACKGROUND

• Seybert AL, Barton CM. Simulation-based learning to teach blood pressure assessment to doctor of pharmacy students. Am J Pharm Educ. 2007 Jun 15;71(3):48. doi: 10.5688/aj710348.

  PMID: 17619648 BACKGROUND

• Bland M, Ousey K. Preparing students to competently measure blood pressure in the real-world environment: a comparison between New Zealand and the United Kingdom. Nurse Educ Pract. 2012 Jan;12(1):28-35. doi: 10.1016/j.nepr.2011.04.009. Epub 2011 Jun 8.

  PMID: 21641869 BACKGROUND

• Gazibara T, Rancic B, Maric G, Radovanovic S, Kisic-Tepavcevic D, Pekmezovic T. Medical students, do you know how to measure blood pressure correctly? Blood Press Monit. 2015 Feb;20(1):27-31. doi: 10.1097/MBP.0000000000000085.

  PMID: 25243713 BACKGROUND

• Rakotz MK, Townsend RR, Yang J, Alpert BS, Heneghan KA, Wynia M, Wozniak GD. Medical students and measuring blood pressure: Results from the American Medical Association Blood Pressure Check Challenge. J Clin Hypertens (Greenwich). 2017 Jun;19(6):614-619. doi: 10.1111/jch.13018. Epub 2017 Apr 28.

  PMID: 28452119 BACKGROUND

• Muntner P, Shimbo D, Carey RM, Charleston JB, Gaillard T, Misra S, Myers MG, Ogedegbe G, Schwartz JE, Townsend RR, Urbina EM, Viera AJ, White WB, Wright JT Jr. Measurement of Blood Pressure in Humans: A Scientific Statement From the American Heart Association. Hypertension. 2019 May;73(5):e35-e66. doi: 10.1161/HYP.0000000000000087.

  PMID: 30827125 BACKGROUND

• Gonzalez-Lopez JJ, Gomez-Arnau Ramirez J, Torremocha Garcia R, Albelda Esteban S, Alio del Barrio J, Rodriguez-Artalejo F. Knowledge of correct blood pressure measurement procedures among medical and nursing students. Rev Esp Cardiol. 2009 May;62(5):568-71. doi: 10.1016/s1885-5857(09)71840-7. English, Spanish.

  PMID: 19406072 BACKGROUND

• Crosley AM, Rose JR. Knowledge of accurate blood pressure measurement procedures in chiropractic students. J Chiropr Educ. 2013 Fall;27(2):152-7. doi: 10.7899/JCE-13-3. Epub 2013 Jun 27.

  PMID: 23957320 BACKGROUND

• Ibiyemi O, Ogunbodede O, Gbolahan OO, Ogah OS. Knowledge and practices of blood pressure measurement among final year students, house officers, and resident dental surgeons in a dental hospital, South West Nigeria. Niger J Clin Pract. 2020 Jun;23(6):848-856. doi: 10.4103/njcp.njcp_416_19.

  PMID: 32525122 BACKGROUND

• Rabbia F, Testa E, Rabbia S, Pratico S, Colasanto C, Montersino F, Berra E, Covella M, Fulcheri C, Di Monaco S, Buffolo F, Totaro S, Veglio F. Effectiveness of blood pressure educational and evaluation program for the improvement of measurement accuracy among nurses. High Blood Press Cardiovasc Prev. 2013 Jun;20(2):77-80. doi: 10.1007/s40292-013-0012-5. Epub 2013 May 8.

  PMID: 23653174 BACKGROUND

• Leung GK, Nicholls JM. Effect of clinical context on simulator-based assessment of blood pressure taking - a pilot randomized study. Med Teach. 2014 Feb;36(2):177-9. doi: 10.3109/0142159X.2013.849328. Epub 2013 Oct 24.

  PMID: 24156287 BACKGROUND

• Grim CM, Grim CE. A curriculum for the training and certification of blood pressure measurement for health care providers. Can J Cardiol. 1995 Nov;11 Suppl H:38H-42H.

  PMID: 7489543 BACKGROUND

Study Officials

• Edmund C Ickert, PhD

  Youngstown State University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: A faculty member without knowledge of the intervention and outcomes will randomize all subjects into 2 separate groups using random generated numbers from a computer software program: 1. Control Group - Group "B" - Will not receive the CAL module training for the first retest session (T1), but will for T2. 2. Experimental Group - Group "A" will complete the CAL module ahead of the first retest date (T1), but not for T2. Allocation of subjects to each group will be concealed in envelopes so that no other researcher knows who was assigned to a particular group (allocation concealment). The faculty member who performs the randomization and allocation will be the only researcher with knowledge of group allocation. This individual will open the envelopes and send the corresponding CAL module training link at the time points designated above. This faculty member is not involved in the class and has no knowledge of the outcomes or training provided.
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This study will utilize a randomized crossover design. Students enrolled in this study will undergo traditional blood pressure training. The students will be randomly divided into 2 groups (control and experimental). All students will undergo baseline testing 2 weeks after the class. At 48 hours before the 2 month timepoint, the experimental group will complete a CAL module entitled: "BP Measurement: Student Essentials". The control group will not undergo any retraining activities. All students will retest for accuracy, confidence, and knowledge. At the second 2 month mark, the control group will complete the CAL module and the experimental group will not. All students will retest for accuracy, confidence, and knowledge. All participants, the faculty teaching BP, and outcome assessors will be blinded from knowledge of groups throughout to reduce bias risk.

Study Record Dates

• First Submitted: June 13, 2023
• First Posted: June 22, 2023
• Study Start: July 20, 2023
• Primary Completion: December 1, 2023
• Study Completion: December 1, 2023
• Last Updated: January 25, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)