Effectiveness of the CDC HEADS UP online training on healthcare providers’ mTBI knowledge and self-efficacy |
| |
| Institution: | 1. Health and Rehabilitation Sciences, Western University, London, Canada;2. School of Occupational Therapy, Faculty of Health Sciences, Western University, London, Canada;1. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA;2. Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;3. Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;4. Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;5. Human Movement Science Curriculum, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;6. Datalys Center for Sports Injury Research and Prevention, Indianapolis, IN, USA;7. School of Health Professions, University of Southern Mississippi, Hattiesburg, MS, USA;1. Division of Emergency Medicine, The Children''s Hospital of Philadelphia, Philadelphia, PA;2. Center for Injury Research and Prevention, The Children''s Hospital of Philadelphia, Philadelphia, PA;3. Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA;4. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;5. Sports Medicine and Performance Center, The Children''s Hospital of Philadelphia, Philadelphia, PA;1. University of Massachusetts — Lowell, Department of Physical Therapy and Kinesiology, United States;2. University of North Carolina — Chapel Hill, United States;3. Emerson Hospital, Department of Neurosurgery, United States;4. Clinical and Translational Sciences Institute, Tufts University, United States;5. University of Michigan, School of Kinesiology, United States;6. University of New Hampshire, Department of Kinesiology, United States |
| |
| Abstract: | Background: Many healthcare providers do not consistently implement recommendations contained in clinical guidelines on mild traumatic brain injury (mTBI). As such, the Centers for Disease Control and Prevention (CDC) created the HEADS UP to Healthcare Providers online training to promote uptake of five key recommendations in the CDC Pediatric mTBI Guideline. Methods: Using data from modules in the CDC HEADS UP to Healthcare Providers online training, healthcare providers’ self-reported knowledge and self-efficacy prior to and immediately following completion of the training was analyzed. Results: Improvements for 8 out of the 10 knowledge questions had a high level of practical significance. The knowledge question with the highest level of practical significance pre- to post-test improvement was for the key guideline recommendation on neuroimaging (pre-test correct: 70.2%; post-test correct: 87.8%; (p < 0.0001, Cohen’s g = 0.39). Four out of the six questions had a self-efficacy level increase of a high level of practical significance (r > 0.50) between the pre- and post-tests. The self-efficacy question with pre- to post-test improvement with the highest level of practical significance was “I am confident in my ability to manage the return to sports progression for my patients” (p < 0.001; r = 0.54). Conclusions: The HEADS UP to Healthcare Providers online training led to significant improvements in knowledge and self-efficacy related to mTBI diagnosis and management. Expanded use of this training among healthcare providers who commonly provide care for pediatric patients with mTBI may be beneficial. Practical Applications: This study highlights several factors guideline developers may take into consideration when creating an implementation tool, such as using health behavior theories, working with partners and key stakeholders, and focusing on digital-based tools. |
| |
| Keywords: | Concussion Guideline Physician Nurse Education Training |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
