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The mCME Project:Delivering Continuing Medical Education for Community Health Workers Via SMS Text Messages (mCME project)

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ClinicalTrials.gov Identifier: NCT02381743
Recruitment Status : Completed
First Posted : March 6, 2015
Last Update Posted : January 12, 2016
Sponsor:
Information provided by (Responsible Party):
Christopher J. Gill, Boston University

Tracking Information
First Submitted Date  ICMJE March 3, 2015
First Posted Date  ICMJE March 6, 2015
Last Update Posted Date January 12, 2016
Study Start Date  ICMJE May 2015
Actual Primary Completion Date November 2015   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: March 5, 2015)
Medical knowledge (Score on medical knowledge exams) [ Time Frame: 6 months ]
Score on medical knowledge exams administered at baseline and at the end of six months of the intervention
Original Primary Outcome Measures  ICMJE Same as current
Change History Complete list of historical versions of study NCT02381743 on ClinicalTrials.gov Archive Site
Current Secondary Outcome Measures  ICMJE
 (submitted: March 5, 2015)
  • Job satisfaction (Score on likert scale) [ Time Frame: 6 months ]
    Score on likert scale measuring job satisfaction
  • Self efficacy (Score in likert scale) [ Time Frame: 6 months ]
    Score in likert scale measuring self efficacy
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures
 (submitted: March 5, 2015)
cost effectiveness analysis of the mCME intervention in terms of costs to increase a study test score by X % [ Time Frame: Duration of project ]
costs and cost effectiveness analysis of the mCME intervention in terms of costs to increase a study test score by X %
Original Other Pre-specified Outcome Measures Same as current
 
Descriptive Information
Brief Title  ICMJE The mCME Project:Delivering Continuing Medical Education for Community Health Workers Via SMS Text Messages
Official Title  ICMJE The mCME Project:Delivering Continuing Medical Education for Community Health Workers Via SMS Text Messages
Brief Summary Community health workers (CHWs) provide essential basic medical care to hundreds of millions of people across the globe. CHWs offer a myriad of services including community sanitation, breast feeding counseling, family planning, management of febrile children, and malaria control and prevention, to name but a few. In fact, CHWs are often the only source of primary health care available to some of the most disadvantaged populations in the world. However, to be effective, CHWs must be trained - and retrained - at regular intervals, and the costs for such trainings can be substantial. In the US, clinicians are required to stay current and maintain their competence through continuing medical education (CME). Increasingly, CME activities are delivered via internet-based, self-teaching modules. A typical example would be a set of topical readings followed by multiple-choice questions, with the answers, and CME credit, provided to the user upon satisfactory completion of the module. This content is typically delivered over the Internet. However, there is no intrinsic reason why this approach could not be adapted so that CME activities are delivered using standard cell phones via SMS text messaging. This would significantly expand professional training opportunities to a far greater range of CHWs than possible through computer/tablet/smart phone platforms, and would be particularly valuable in poorer countries with limited training budgets. In the mCME project, the investigators propose to test the effectiveness and cost effectiveness of a mobile phone-based CME delivery strategy among Vietnamese community-based physician assistants (CBPAs), a cadre of CHW mandated to provide primary health care to rural and disadvantaged populations. The investigators hypothesize that providing CME activities over a mobile platform will significantly improve their professional knowledge, and may also improve their job satisfaction and self-efficacy.
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Condition  ICMJE Medical Knowledge
Intervention  ICMJE
  • Behavioral: Group 2 intervention daily SMS bullet point
    Group 2 subjects receive a daily SMS bullet point, summarizing a key clinical point pertinent to the CBPA's daily work.
    Other Name: non interactive model CME
  • Behavioral: Group 3 intervention daily SMS bullet point
    Group 3 subjects receive a c phrased as a multiple choice question. The content mirrors that of group 2, but is presented as a question to render it interactive
    Other Name: Interactive model CME
Study Arms  ICMJE
  • No Intervention: Group 1
    Weekly non-medical SMS messages
  • Experimental: Group 2
    Receipt of a daily SMS text message describing various aspects of clinical practice
    Intervention: Behavioral: Group 2 intervention daily SMS bullet point
  • Experimental: Group 3
    Receipt of a daily SMS text message describing various aspects of clinical practice, but phrased as multiple choice question
    Intervention: Behavioral: Group 3 intervention daily SMS bullet point
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: January 11, 2016)
638
Original Estimated Enrollment  ICMJE
 (submitted: March 5, 2015)
660
Actual Study Completion Date  ICMJE November 2015
Actual Primary Completion Date November 2015   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  1. Graduated from a CBPA training program
  2. Possesses their own cell phone
  3. Phone able to send/receive text messages
  4. Aged 18 years or older

Exclusion Criteria:

  1. Unwilling to sign informed consent
  2. Lives/operates in an area without cellular coverage
  3. Unwilling to be randomized
  4. Unwilling to adhere to study procedures
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 99 Years   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Not Provided
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT02381743
Other Study ID Numbers  ICMJE H-33241
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Responsible Party Christopher J. Gill, Boston University
Study Sponsor  ICMJE Boston University
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Christopher J Gill, MD MS Boston University
PRS Account Boston University
Verification Date January 2016

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP