Development of pediatric acute care education (PACE): An adaptive electronic learning (e-learning) environment for healthcare providers in Tanzania
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Date
2023-07-24
Authors
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Publisher
Digital Health
Abstract
Globally, inadequate healthcare provider (HCP) proficiency with evidence-based guidelines contributes to millions of newborn,
infant, and child deaths each year. HCP guideline proficiency would improve patient outcomes. Conventional (in person) HCP in-
service education is limited in 4 ways: reach, scalability, adaptability, and the ability to contextualize. Adaptive e-learning envir-
onments (AEE), a subdomain of e-learning, incorporate artificial intelligence technology to create a unique cognitive model of
each HCP to improve education effectiveness. AEEs that use existing internet access and personal mobile devices may overcome
limits of conventional education. This paper provides an overview of the development of our AEE HCP in-service education,
Pediatric Acute Care Education (PACE). PACE uses an innovative approach to address HCPs’ proficiency in evidence-based
guidelines for care of newborns, infants, and children. PACE is novel in 2 ways: 1) its patient-centric approach using clinical
audit data or frontline provider input to determine content and 2) its ability to incorporate refresher learning over time to solid-
ify knowledge gains. We describe PACE’s integration into the Pediatric Association of Tanzania’s (PAT) Clinical Learning Network
(CLN), a multifaceted intervention to improve facility-based care along a single referral chain. Using principles of co-design,
stakeholder meetings modified PACE’s characteristics and optimized integration with CLN. We plan to use three-phase,
mixed-methods, implementation process. Phase I will examine the feasibility of PACE and refine its components and protocol.
Lessons gained from this initial phase will guide the design of Phase II proof of concept studies which will generate insights into
the appropriate empirical framework for (Phase III) implementation at scale to examine effectiveness.
Description
Keywords
eHealth, Digital health, General education
Citation
Meaney, P.A., Hokororo, A., Masenge, T., Mwanga, J., Kalabamu, F.S., Berg, M., Rozenfeld, B., Smith, Z., Chami, N., Mkopi, N. and Mwanga, C., 2023. Development of pediatric acute care education (PACE): An adaptive electronic learning (e-learning) environment for healthcare providers in Tanzania. DIGITAL HEALTH, 9, p.20552076231180471.