Africa MNH Champions: Implementations that affect mothers and … · 2017. 12. 7. · Qstream,...
Transcript of Africa MNH Champions: Implementations that affect mothers and … · 2017. 12. 7. · Qstream,...
Africa MNH Champions: Implementations that affect mothers and babies Catherine Carr, USA Rhoda Amafumba, Zambia Kevin Kabarwani, Uganda
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MCHIP MNH Champions—a brief background
Building African institutions through leadership development
10 countries: 5 Anglophone, 5 Francophone Country teams of 3: midwives and physicians
18 months, Three group meetings, remote work between sessions over 18 months
Country action plans
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Working together and away
Combination of both group-based and remote Can be online or offline, allows pacing Does not disrupt work, possible for busy
professionals MNH Champions used three types remote
work and connection— Qstream, ModCAL, Community of Practice This presentation looks at Qstream
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Putting it to the test: Using a spaced learning platform for health professionals
Catherine Carr, CNM, DrPH
Objectives
Identify at least 3 strengths of using a spaced learning program
Discuss how to present new content using questions
Review the findings of a series of Qstream courses used in a leadership development project
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Why spaced learning? Timing
Timing is not everything…but it is important Low Dose/High Frequency presentation of material improves retention Example: 15 minute (low dose) weekly
sessions over 2 months (high frequency) can improve retention 4-fold
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Why spaced learning? Testing
The testing effect improves retention because— Testing is active learning and more engagement improves retention—the more engagement the better the learning
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Why electronic media?
Computer-based equally or slightly better One RCT found:
–Greater efficiency –Three months post-test results found no
difference in retention (Harrington and Walker).
Two RCTs found: computer-simulated patients equal and less expensive than live, standardized patients 9
However….
Media is only as effective as its technique Interactive Engaging Repeated
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How did we use spaced learning?
Presented content to busy health care professionals
LD/HF fits into crowded schedules Pre-course presentation reduces time spent
on basic content in group setting—more time for deeper exploration
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What we did
Used Qstream to present content to participants in a leadership development initiative, the MNH Africa Champions
Content courses on BEmONC May 2012
Teaching skills Sept 2012
PMTCT March 2013
Malaria in pregnancy March 2013
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Was it feasible?
A resounding YES (after a few bumps) Getting logged in was a very frustrating experience for me, until (facilitator) assisted, but now I can teach others to log in perfectly Usually use it after a busy clinical day mainly from office machine and many IT issues. Net is not always accessible
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Was it acceptable? Yes again!
This experience was really good because I learned a lot before coming to the SONU course. It was like a game.
It is called real time learning for the mobile generation. It is as good as CME on the go.
Qstream was easy to be accessed and it is a good method of passing on information to many people. I would love to continue using it.
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I use the computer very well but sometimes it is difficult to download especially when the document is long and/or has a lot of graphics
I definitely will like to use Qstream in the
future and I am willing to use Qstream in teaching/training others
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Take home lessons
Registering was not easy for some—do it in person
Clear instructions on timing questions Need for thoughtful, criterion referenced
questions with useful resources Internet is always a challenge—connectivity,
cost to participant
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How did we do? Completion rates by group*
0%10%20%30%40%50%60%70%80%90%
100%
BEmONCMay 2012
Effective TSSept 2012
MIPMarch 2013
PMTCTMarch 2013
AnglophoneFrancophone
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What next?
April 2013-2014: Caribbean Regional Midwives Association >50 signed up completed
Requests for more courses to use in PSE, CPD Other potential uses: Developing courses within
projects? How would you use it?
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And the other two types?
ModCAL: can be used online or download, focus is effective teaching skills Used as prerequisite for courses
Community of Practice: Often started, often not well-subscribed Requires monitoring, frequent use by large
numbers
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Now it is YOUR turn
Register for Qstream Sign up for a course (you can drop it later) Try a few questions—
For problems or questions Contact [email protected]
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Questions, comments and ideas
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Resources General information about Qstream:
http://app.qstream.com/info/howitworks http://qstream.com/solutions/cme/
Effective Inservice Training Techniques, Timing, Setting and Media: Evidence from an Integrative Review of the Literature http://reprolineplus.org/resources/effective-service-training-techniques-frequency-setting-and-media-evidence-integrative 25