Telemedicine Clinical Trial
Official title:
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.
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
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