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Otu, Akaninyene, Onwusaka, Obiageli, Otokpa, Daniel E., Edadi, Ukam, Udoh, Ubong, Yougha, Peter, Oduche, Chinelo, Okuzu, Okey, Jacob, Shevin 
ORCID: https://orcid.org/0000-0003-2425-9394, Rylance, Jamie ORCID: https://orcid.org/0000-0002-2323-3611 and Effa, Emmanuel
(2024)
'Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study'. Therapeutic Advances in Infectious Disease, Vol 11.
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10.1177_20499361241233816.pdf - Published Version Available under License Creative Commons Attribution Non-commercial. Download (867kB) | Preview |
Abstract
Background:
Sepsis is a leading cause of morbidity and mortality especially in low- and middle-income countries such as Nigeria. Training of health workers using digital platforms may improve knowledge and lead to better patient outcomes.
Objectives:
To assess the effectiveness of a digital health educational module on sepsis in improving the knowledge of medical doctors in Cross River State Nigeria on the diagnosis and management of patients presenting with sepsis.
Design:
Quasi-experimental analytical study. Methods:: We developed and deployed a sepsis module through an innovative application (Sepsis tutorial app) to doctors in Calabar, Nigeria. We assessed quantitative pre- and post-intervention knowledge scores for those completing the tutorial on sepsis between both assessments. A user satisfaction survey evaluated the content of the tutorial and the usability of the app. Results:: One hundred and two doctors completed the course. There were more males than females (58.8% versus 41.2%). Over half (52%) were junior doctors, a minority were general practitioners and house officers (3% and 5%, respectively), and 72.6% had practiced for periods ranging from 1 to 15 years post-qualification. Gender and age appeared to have no significant association with pre- and post-test scores. The oldest age group (61–70) had the lowest mean pre- and post-test scores, while general practitioners had higher mean pre- and post-test scores than other cadres. The majority (95%) of participants recorded higher post-test than pre-test scores with a significant overall increase in mean scores (25.5 ± 14.7%, p < 0.0001). Participants were satisfied with the content and multimodal delivery of the material and found the app usable. Conclusion:: Digital training using context-responsive platforms is feasible and may be used to close the critical knowledge gap required to respond effectively to medical emergencies such as sepsis in low- to middle-income settings.
| Item Type: | Article |
|---|---|
| Subjects: | WC Communicable Diseases > Infection. Bacterial Infections > Bacterial Infections > WC 240 Bacteremia. Sepsis. Toxemias |
| Faculty: Department: | Clinical Sciences & International Health > Clinical Sciences Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1177/20499361241233816 |
| SWORD Depositor: | JISC Pubrouter |
| Depositing User: | JISC Pubrouter |
| Date Deposited: | 01 Mar 2024 15:58 |
| Last Modified: | 01 Mar 2024 15:58 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/24132 |
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