Comparing Effectiveness of Online Text-based and Video-based Material in Anesthesia with Jet Ventilation and Microlaryngeal Surgery: A Multicenter Randomized Trial

Sawita  Kanavitoon; Saowapark  Chumpathong; Arpa  Chutipongtanate; Jutarat  Tanasansuttiporn; Sirirat  Rattana-arpa

doi:10.33192/smj.v76i7.267386

Authors

Sawita Kanavitoon Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Saowapark Chumpathong Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Arpa Chutipongtanate Division of Pediatric Cardiac Anesthesia, Cincinnati Children’s Hospital Medical Center; Department of Anesthesiology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Jutarat Tanasansuttiporn Department of Anesthesiology, Songklanagarind Hospital, Prince of Songkla University, Thailand
Sirirat Rattana-arpa Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

DOI:

https://doi.org/10.33192/smj.v76i7.267386

Keywords:

Anesthesia, learning, self-directed learning

Abstract

Objective: Effective clinical training is essential for healthcare personnel with clinical skill requirements. This studyaimed to identify an effective learning medium for anesthesia residents by comparing text-based and video-based online training.

Materials and Methods: This online, randomized, multicenter study was conducted between October 2020 and March 2021. Three Thai institutions were involved: the Faculty of Medicine Siriraj Hospital, Mahidol University; the Faculty of Medicine, Ramathibodi Hospital, Mahidol University; and the Faculty of Medicine, Songklanagarind Hospital, Prince of Songkla University. In all, 126 anesthesia residents were randomized into a “text group” and a “video group.” Four residents were excluded due to contamination of their learning material. The 122 eligible students undertook 3 knowledge and skill assessments (“Pretest,” “24-hour posttest,” and “3-month posttest”). The primary outcome was the gain score after training. This was measured in 2 ways: the difference between the 24-hour
posttest and Pretest scores and the difference between the 3-month posttest and Pretest scores.

Results: The mean gain scores for Pretest and 24-hour posttest were higher in the text group with no significant difference (P = 0.347). The mean differences between the 3-month posttest and Pretest scores were higher in the text group without a significant difference (P = 0.488). The mean satisfaction score was higher in the video group.

Conclusion: Video-based e-learning training provided better satisfaction without significantly improving gain scores compared to text-based e-learning training. Online video-based was beneficial over text-based for ease of understanding in clinical learning points.

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