Latent Tuberculosis
Conditions
Keywords
Tuberculosis, Education
Brief summary
Latent Tuberculosis infection (LTBI) guidelines can be complex. LTBI-ASSIST is a web-based interactive tool to navigate US LTBI clinical practice guidelines in a patient-centered format that may guide clinical decision making around Latent TB care. The research goal is to determine the difference in reported confidence among trainees that are not experts in LTBI care. The investigators further aim to assess if access to the LTBI-ASSIST tool improves clinical decision making in a series of simulated case scenarios containing guideline-derived, multiple choice items, as well as assess the efficiency in navigating the scenarios - measured by time to complete the survey. The investigators proposed a randomized study design, in which an electronic survey/questionnaire with 4 case scenarios consisting of 14 multiple choice questions. Participants providing informed consent will be randomized to receiving access to either US Centers for Disease Control (CDC)/National Tuberculosis (TB) Controllers Association (NTCA) Guidelines or the LTBI-ASSIST online tool. Those in the experimental arm will further complete a 10 question System Usability Scale to assess usability of the LTBI-ASSIST tool. All Johns Hopkins medical trainees and residents will be eligible to participate.
Interventions
BEHAVIORALCDC/NTCA guidelines only
The control group will have a link to US guidelines only.
BEHAVIORALLTBI ASSIST and CDC/NTCA guidelines only
The intervention group will have a link to both US guidelines, and the LTBI-ASSIST tool.
Sponsors
Johns Hopkins University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Student at Johns Hopkins School of Medicine, or Medical trainee at Hopkins Hospital or Bayview Program
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reported confidence with LTBI management [using a Likert scale questionnaire developed by study team] | 3 months | The primary outcome will be the change in reported confidence with LTBI management, comparing between the control and intervention group. This outcome will be measured using a Likert Scale questionnaire administered pre- and post-intervention asking trainees to rate their confidence in performing critical LTBI care proficiencies. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of appropriate LTBI care selection | 3 months | The number of multiple choice questions answered correctly in the case scenarios comparing between trainees and/or CDC/NTCA guidelines. |
| Time to LTBI care selection | 3 months | The time required for each group to reach a correct answer. |
Countries
United States
Outcome results
None listed