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mCME project V.2.0: randomised controlled trial of a revised SMS-based continuing medical education intervention among HIV clinicians in Vietnam. | LitMetric

AI Article Synopsis

  • A study tested a new mobile health intervention (mCME V.2.0) aimed at boosting continuing medical education (CME) among HIV clinicians in Vietnam, addressing the barrier of costs.
  • The intervention included daily quizzes, readings, online course links, and personalized feedback, leading to a significant increase in CME course utilization and self-study behaviors compared to a control group.
  • Results showed that participants in the intervention not only improved their medical exam scores and job satisfaction but also demonstrated enhanced engagement in various self-study activities.

Article Abstract

Background: Continuing medical education (CME) is indispensable, but costs are a barrier. We tested the effectiveness of a novel mHealth intervention (mCME V.2.0) promoting CME among Vietnamese HIV clinicians.

Methods: We enrolled HIV clinicians from three provinces near Hanoi. The 6-month intervention consisted of (1) daily short message service multiple-choice quiz questions, (2) daily linked readings, (3) links to online CME courses and (4) feedback messages describing the performance of the participant relative to the group. Control participants had equal access to the online CME courses. Our primary endpoint was utilisation of the online CME courses; secondary endpoints were self-study behaviour, performance on a standardised medical exam and job satisfaction.

Results: From 121 total HIV clinicians in the three provinces, 106 (87.6%) enrolled, and 48/53 intervention (90%) and 47/53 control (89%) participants completed the endline evaluations. Compared with controls, intervention participants were more likely to use the CME courses (risk ratio (RR) 2.3, 95% CI 1.4 to 3.8, accounting for 83% of course use (P<0.001)). Intervention participants increased self-study behaviours over controls in terms of use of medical textbooks (P<0.01), consulting with colleagues (P<0.01), searching on the internet (P<0.001), using specialist websites (P=0.02), consulting the Vietnam HIV/AIDS treatment guidelines (P=0.02) and searching the scientific literature (P=0.09). Intervention participants outperformed controls on the exam (+23% vs +12% score gains, P=0.05) and had higher job satisfaction.

Conclusion: The mCME V.2.0 intervention improved self-study behaviour, medical knowledge and job satisfaction. This approach has potential for expansion in Vietnam and similar settings.

Trial Registration Number: NCT02381743.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841494PMC
http://dx.doi.org/10.1136/bmjgh-2017-000632DOI Listing

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