Skip to main content
Erschienen in: Journal of Diabetes & Metabolic Disorders 1/2021

23.01.2021 | Research article

Diabetic foot care course: a quasi-experimental study on E-learning versus interactive workshop

verfasst von: Maryam Aalaa, Mahnaz Sanjari, Mohammad Reza Amini, Ghobad Ramezani, Neda Mehrdad, Mohammad Reza Mohajeri Tehrani, Shoaleh Bigdeli, Hosein Adibi, Bagher Larijani, Zohreh Sohrabi

Erschienen in: Journal of Diabetes & Metabolic Disorders | Ausgabe 1/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

Nurses, as multidisciplinary Diabetic Foot Care (DFC) team members, need to be trained in DF prevention and management. Regarding the increasing use of e-learning educational courses as the new learning strategy with potential benefits among health care providers, this study attempted to evaluate the educational effects of an e-learning course on DFC compared to that of an interactive workshop in the related knowledge attainment.

Methods

This was a quasi-experimental study compared two non-randomized groups consisting of nurses who attended an e-learning course (intervention group) and a face-to-face interactive workshop (control group) on DFC using a pre- and post-test design. The eligible nurses enrolled by convenience sampling. All five e-modules on DF prevention and care were the same for both groups. A P value of <0.05 was considered as significant.

Results

The study findings indicated that both e-learning course and interactive workshop increased DFC knowledge among nurses. There is a significant difference between the learning level (after training) in the intervention and control groups (P < 0.01).

Conclusions

The findings suggest that the e-learning course of DF could be as effective as conventional educational methods. However, considering the time, cost savings and providing an opportunity to learn anytime and anywhere, of the e-learning course, it is recommend for the future and required that more health care providers be trained to use of distance learning.
Literatur
1.
Zurück zum Zitat Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019;157:107843.CrossRef Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract. 2019;157:107843.CrossRef
2.
Zurück zum Zitat Apelqvist, J. (2018) The diabetic foot syndrome today: a pandemic uprise, in The Diabetic Foot Syndrome, Karger Publishers. p. 1–18. Apelqvist, J. (2018) The diabetic foot syndrome today: a pandemic uprise, in The Diabetic Foot Syndrome, Karger Publishers. p. 1–18.
3.
Zurück zum Zitat Boulton AJ, Vileikyte L, Ragnarson-Tennvall G, Apelqvist J. The global burden of diabetic foot disease. Lancet. 2005;366(9498):1719–24.CrossRef Boulton AJ, Vileikyte L, Ragnarson-Tennvall G, Apelqvist J. The global burden of diabetic foot disease. Lancet. 2005;366(9498):1719–24.CrossRef
4.
Zurück zum Zitat De Berardis G, et al. Physician attitudes toward foot care education and foot examination and their correlation with patient practice. Diabetes Care. 2004;27(1):286–7.CrossRef De Berardis G, et al. Physician attitudes toward foot care education and foot examination and their correlation with patient practice. Diabetes Care. 2004;27(1):286–7.CrossRef
5.
Zurück zum Zitat Bakker K, Apelqvist J, Schaper NC, on behalf of the International Working Group on the Diabetic Foot Editorial Board. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev. 2012;28:225–31.CrossRef Bakker K, Apelqvist J, Schaper NC, on behalf of the International Working Group on the Diabetic Foot Editorial Board. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev. 2012;28:225–31.CrossRef
6.
Zurück zum Zitat Pataky Z, Golay A, Rieker A, Grandjean R, Schiesari L, Vuagnat H. A first evaluation of an educational program for health care providers in a long-term care facility to prevent foot complications. Int J Low Extrem Wounds. 2007;6(2):69–75.CrossRef Pataky Z, Golay A, Rieker A, Grandjean R, Schiesari L, Vuagnat H. A first evaluation of an educational program for health care providers in a long-term care facility to prevent foot complications. Int J Low Extrem Wounds. 2007;6(2):69–75.CrossRef
7.
Zurück zum Zitat Al-Wahbi AM. Impact of a diabetic foot care education program on lower limb amputation rate. Vasc Health Risk Manag. 2010;6:923–34.CrossRef Al-Wahbi AM. Impact of a diabetic foot care education program on lower limb amputation rate. Vasc Health Risk Manag. 2010;6:923–34.CrossRef
8.
Zurück zum Zitat Lavery LA, Wunderlich RP, Tredwell JL. Disease management for the diabetic foot: effectiveness of a diabetic foot prevention program to reduce amputations and hospitalizations. Diabetes Res Clin Pract. 2005;70(1):31–7.CrossRef Lavery LA, Wunderlich RP, Tredwell JL. Disease management for the diabetic foot: effectiveness of a diabetic foot prevention program to reduce amputations and hospitalizations. Diabetes Res Clin Pract. 2005;70(1):31–7.CrossRef
9.
Zurück zum Zitat Reeves S, Fletcher S, McLoughlin C, Yim A, Patel KD. Interprofessional online learning for primary healthcare: findings from a scoping review. BMJ Open. 2017;7(8):e016872.CrossRef Reeves S, Fletcher S, McLoughlin C, Yim A, Patel KD. Interprofessional online learning for primary healthcare: findings from a scoping review. BMJ Open. 2017;7(8):e016872.CrossRef
10.
Zurück zum Zitat Pachler N and C Daly (2011) Key issues in e-learning: Research and practice. A&C Black. Pachler N and C Daly (2011) Key issues in e-learning: Research and practice. A&C Black.
11.
Zurück zum Zitat Tudor Car L, Soong A, Kyaw BM, Chua KL, Low-Beer N, Majeed A. Health professions digital education on clinical practice guidelines: a systematic review by digital health education collaboration. BMC Med. 2019;17(1):139.CrossRef Tudor Car L, Soong A, Kyaw BM, Chua KL, Low-Beer N, Majeed A. Health professions digital education on clinical practice guidelines: a systematic review by digital health education collaboration. BMC Med. 2019;17(1):139.CrossRef
12.
Zurück zum Zitat Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Instructional design variations in internet-based learning for health professions education: a systematic review and meta-analysis. Acad Med. 2010;85(5):909–22.CrossRef Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Instructional design variations in internet-based learning for health professions education: a systematic review and meta-analysis. Acad Med. 2010;85(5):909–22.CrossRef
13.
Zurück zum Zitat Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. Jama. 2008;300(10):1181–96.CrossRef Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. Jama. 2008;300(10):1181–96.CrossRef
14.
Zurück zum Zitat Sanjari, M., et al. (2019) Conceptual map of diabetes education: necessity of establishing iran diabetes academy. Journal of Diabetes & Metabolic Disorders: p. 1–3. Sanjari, M., et al. (2019) Conceptual map of diabetes education: necessity of establishing iran diabetes academy. Journal of Diabetes & Metabolic Disorders: p. 1–3.
15.
Zurück zum Zitat Aalaa M, et al. Diabetic foot workshop: improving technical and educational skills for nurses. Med J Islam Repub Iran. 2017;31:8.CrossRef Aalaa M, et al. Diabetic foot workshop: improving technical and educational skills for nurses. Med J Islam Repub Iran. 2017;31:8.CrossRef
16.
Zurück zum Zitat Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: Theory and application. The American Journal of Medicine. 2006;119(2):166.e7–166.e16.CrossRef Cook DA, Beckman TJ. Current concepts in validity and reliability for psychometric instruments: Theory and application. The American Journal of Medicine. 2006;119(2):166.e7–166.e16.CrossRef
17.
Zurück zum Zitat Yaghmaie, F., Factors affecting the use of computerised information systems in community health. 1997. Yaghmaie, F., Factors affecting the use of computerised information systems in community health. 1997.
18.
Zurück zum Zitat Bland JM, Altman DG. Statistics notes: Cronbach's alpha. Bmj. 1997;314(7080):572.CrossRef Bland JM, Altman DG. Statistics notes: Cronbach's alpha. Bmj. 1997;314(7080):572.CrossRef
19.
Zurück zum Zitat Uding J, Jackson E, Hart AL. Efficacy of a teaching intervention on nurses’ knowledge regarding diabetes. J Nurses Prof Dev. 2002;18(6):297–303.CrossRef Uding J, Jackson E, Hart AL. Efficacy of a teaching intervention on nurses’ knowledge regarding diabetes. J Nurses Prof Dev. 2002;18(6):297–303.CrossRef
20.
Zurück zum Zitat Wright MAH (2008) Staff nurses' level of diabetes and diabetes management knowledge after a diabetes lecture-based and computer-based educational intervention., University of Alabama at Birmingham. Wright MAH (2008) Staff nurses' level of diabetes and diabetes management knowledge after a diabetes lecture-based and computer-based educational intervention., University of Alabama at Birmingham.
21.
Zurück zum Zitat Moattari M, Moosavinasab E, Dabbaghmanesh MH, ZarifSanaiey N. Validating a web-based diabetes education program in continuing nursing education: knowledge and competency change and user perceptions on usability and quality. Journal of Diabetes & Metabolic Disorders. 2014;13(1):70.CrossRef Moattari M, Moosavinasab E, Dabbaghmanesh MH, ZarifSanaiey N. Validating a web-based diabetes education program in continuing nursing education: knowledge and competency change and user perceptions on usability and quality. Journal of Diabetes & Metabolic Disorders. 2014;13(1):70.CrossRef
22.
Zurück zum Zitat Rick C, Kearns MA, Thompson NA. The reality of virtual learning for nurses in the largest integrated health care system in the nation. Nurs Adm Q. 2003;27(1):41–57.CrossRef Rick C, Kearns MA, Thompson NA. The reality of virtual learning for nurses in the largest integrated health care system in the nation. Nurs Adm Q. 2003;27(1):41–57.CrossRef
23.
Zurück zum Zitat Huang Z, Semwal M, Lee SY, Tee M, Ong W, Tan WS, et al. Digital health professions education on diabetes management: systematic review by the digital health education collaboration. J Med Internet Res. 2019;21(2):e12997.CrossRef Huang Z, Semwal M, Lee SY, Tee M, Ong W, Tan WS, et al. Digital health professions education on diabetes management: systematic review by the digital health education collaboration. J Med Internet Res. 2019;21(2):e12997.CrossRef
24.
Zurück zum Zitat Masys DR. Effects of current and future information technologies on the health care workforce. Health Aff. 2002;21(5):33–41.CrossRef Masys DR. Effects of current and future information technologies on the health care workforce. Health Aff. 2002;21(5):33–41.CrossRef
25.
Zurück zum Zitat Kulier R, Coppus SFPJ, Zamora J, Hadley J, Malick S, Das K, et al. The effectiveness of a clinically integrated e-learning course in evidence-based medicine: a cluster randomised controlled trial. BMC medical education. 2009;9(1):21.CrossRef Kulier R, Coppus SFPJ, Zamora J, Hadley J, Malick S, Das K, et al. The effectiveness of a clinically integrated e-learning course in evidence-based medicine: a cluster randomised controlled trial. BMC medical education. 2009;9(1):21.CrossRef
26.
Zurück zum Zitat Benson EP. Online learning: a means to enhance professional development. Crit Care Nurse. 2004;24(1):60–3.CrossRef Benson EP. Online learning: a means to enhance professional development. Crit Care Nurse. 2004;24(1):60–3.CrossRef
Metadaten
Titel
Diabetic foot care course: a quasi-experimental study on E-learning versus interactive workshop
verfasst von
Maryam Aalaa
Mahnaz Sanjari
Mohammad Reza Amini
Ghobad Ramezani
Neda Mehrdad
Mohammad Reza Mohajeri Tehrani
Shoaleh Bigdeli
Hosein Adibi
Bagher Larijani
Zohreh Sohrabi
Publikationsdatum
23.01.2021
Verlag
Springer International Publishing
Erschienen in
Journal of Diabetes & Metabolic Disorders / Ausgabe 1/2021
Elektronische ISSN: 2251-6581
DOI
https://doi.org/10.1007/s40200-020-00630-0

Weitere Artikel der Ausgabe 1/2021

Journal of Diabetes & Metabolic Disorders 1/2021 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.