Clinical Competence, Distance Learning-Online Learning, Education, Modified Rankin Scale, National Institutes of Health Stroke Scale, Stroke Assessment
Conditions
Keywords
E-learning, Web-based training, Stroke assessment, National Institutes of Health Stroke Scale (NIHSS), Modified Rankin Scale (mRS), Paramedics, Emergency Medical Services, Prehospital care, Clinical competence, Educational intervention, Randomized controlled trial, Performance assessment, Distance education, Continuing professional education
Brief summary
The goal of this web-based randomized clinical trial is to evaluate whether an e-learning training program improves the accuracy of National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) assessments among practicing paramedics in French-speaking Switzerland who have not previously received formal training in these scales. The main questions it aims to answer are: * Does e-learning training improve performance on a standardized NIHSS assessment quiz compared with no prior training? * Does e-learning training improve the accuracy of mRS assessment using case-based clinical vignettes compared with no prior training? Researchers will compare paramedics who complete the NIHSS and mRS e-learning modules before assessment (intervention group) with paramedics who complete the assessments without prior training (control group) to determine whether e-learning training leads to higher assessment performance scores. Participants will: * Provide electronic informed consent via a secure web-based platform * Be randomly assigned to either the intervention group or the control group * Complete either the e-learning modules before assessment or the assessments before training, depending on group allocation * Complete an online NIHSS quiz and mRS case-based vignettes * Receive access to the NIHSS and mRS e-learning modules by the end of the study
Interventions
OTHEREducational intervention
Educational intervention by the mean of an e-learning modules (NIHSS and mRS).
Sponsors
University Hospital, Geneva
Geneve TEAM Ambulances
Stuby Loric
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Holding a paramedic title (recognized in Switzerland) * Currently actively practicing in Switzerland * Fluent in French (all study material will be provided in French)
Exclusion criteria
* Previously completed formal training on either the NIHSS or the mRS.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Performance on a NIHSS 50-item quiz | From enrollment to the end of the study path in a timeframe of maximum 4 weeks. | The primary outcome will be the performance on a NIHSS 50-item quiz consisting in 3 full assessments of a patient (3x15 items) plus 5 general questions (each question scores 1 point if correct, maximum total of 50 points). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Performance of mRS assessment | From enrollment to the end of the study path in a timeframe of maximum 4 weeks. | The secondary outcome will be the performance of mRS assessment of about 10 newly developed case-based vignettes (each question scores 1 point if correct, maximum total of 10 points). |
Countries
Switzerland
Contacts
Primary ContactLoric Stuby
Backup ContactLaurent Suppan
Outcome results
None listed