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E-learning versus face-to-face training: Comparison of two learning methods for Lyme borreliosis - 26/01/22

Doi : 10.1016/j.idnow.2021.11.001 
M. Gaudin a, G. Tanguy b, M. Plagne a, A. Saussac a, Y. Hansmann c, B. Jaulhac c, M. Kelly d, L. Ouchchane e, O. Lesens a,
the

expert group for the teaching of Lyme disease1

  Xavier Argemi, Aix-en-Provence; France Cazenave–Roblot, Poitiers; Catherine Chirouze, Besançon; Sébastien Gallien, Créteil; Jean-Philippe Lanoix, Amiens; Paule Letertre–Gibert, Marc Ruivard, Alexandre Lautrette, Natacha Mrozek, Clermont-Ferrand; Christian Rabaud, Nancy; Pierre Tattevin, Rennes.

a Infectious and Tropical Diseases Department, Clermont-Ferrand University Hospital Center, Reference Center for Osteoarticular Infections, Regional Reference Center for Tick-Based Vector Diseases, Genome and Environment Microorganisms Laboratory, Clermont Auvergne University, Clermont-Ferrand, France 
b Research Unit ACCePPT self-medication, multi-professional support for patients, Clermont Auvergne University, Clermont-Ferrand, France 
c Service des Maladies Infectieuses, Hôpitaux Universitaires de Strasbourg, Unistra, Strasbourg, France 
d Medical Microbiologist and Infectious Diseases Specialist, Centre Universitaire de Santé de l’Estrie, Hôpital de Granby, Québec, Canada 
e Biostatistics Unit, Department of Public Health, Clermont-Ferrand University Hospital, Clermont-Ferrand, France 

Corresponding author.

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Highlights

E-learning is a good alternative to face-to-face training for Lyme disease.
E-learning is more effective than face-to-face training for the acquisition of theoretical knowledge.
E-learning is also a time-consuming method requiring computer skills.

Il testo completo di questo articolo è disponibile in PDF.

Abstract

Objectives

To compare two learning methods for Lyme disease (e-learning versus face-to-face training) to assess knowledge and know-how.

Methods

The study population was volunteer general medicine residents and family physicians (FP). Face-to-face training on Lyme disease was offered to each group. E-learning training was then offered to those who had not attended the face-to-face training. Theoretical knowledge was assessed by an identical pre- and post-test questionnaire and know-how by a script concordance test.

Results

Seventy learners (47 FPs and 23 general medicine residents) were included in the face-to-face training group and 61 (33 FPs and 28 general medicine residents) in the e-learning group. The pre- and post-test scores were significantly improved in the FP group (difference of 29.3±1.9 [P<0.0001] out of 100) as well as in the general medicine resident group (difference of 38.2±2.7 [P<0.0001] out of 100). E-learning was more effective than face-to-face training, particularly among general medicine residents (progression of mean difference of 44.3±3.4/100 vs. 30.9±4.0/100; P=0.0138) and to a lesser extent among FPs (progression of 25.3±2.3/100 vs. 31.9±2.7/100; P=0.0757). Forty-six script concordance tests were completed by FPs and 20 by general medicine residents. Script concordance test results did not seem significant between the subgroups.

Conclusions

E-learning seems to be a good alternative to face-to-face training for Lyme disease. It seems to be more effective than face-to-face training for the acquisition of theoretical knowledge. The script concordance test evaluation of know-how did not show any difference between the two learning methods.

Il testo completo di questo articolo è disponibile in PDF.

Keywords : E-learning, General medicine, Lyme, Script concordance test


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