Development and evaluation of an online cardiotocography course tailored to LMIC settings: a feasibility study conducted in a tertiary care hospital in Sri Lanka.

IF 1.6 Q2 MULTIDISCIPLINARY SCIENCES

BMC Research Notes Pub Date : 2025-04-12 DOI:10.1186/s13104-025-07239-7

M Rishard, I Weerasundara, R Fonseka, A de Abrew, M S D Wijesinghe, H Senanayake, M Lazzerini

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Abstract

Objective: Effective cardiotocography (CTG) training is crucial for accurate interpretation and timely interventions in low-resource settings. This mixed-method study in Sri Lanka developed and assessed an online CTG course to address training gaps and improve neonatal outcomes. The study involved a clinical audit, course development, implementation, and evaluation via the Kirkpatrick model.

Results: The audit revealed lapses in CTG documentation, interpretation, and interventions. The posttest scores improved by 40.6% (152.8%), but some participants did not complete the course because of a lack of motivation, time constraints, and inadequate facilities. Postimplementation audits revealed improvements in practices, although uterine contraction documentation and overall impression recording declined. The findings suggest the feasibility and effectiveness of online self-learning courses in improving CTG knowledge and practices in Sri Lanka. However, motivation, incentives, and reinforcement measures are needed for better outcomes.

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开发和评估适合低收入和中等收入国家环境的在线心脏摄影课程：在斯里兰卡一家三级保健医院进行的可行性研究。

目的：有效的心脏造影（CTG）训练是在低资源环境下准确解释和及时干预的关键。斯里兰卡的这项混合方法研究开发并评估了一个在线CTG课程，以解决培训差距并改善新生儿结局。该研究包括临床审核、课程开发、实施和通过Kirkpatrick模型进行的评估。结果：审计发现CTG文件、解释和干预方面存在失误。测试后的成绩提高了40.6%(152.8%)，但一些参与者由于缺乏动力、时间限制和设施不足而没有完成课程。虽然子宫收缩文件和总体印象记录下降，但实施后审计显示在实践中有所改善。研究结果表明，在线自学课程在斯里兰卡提高CTG知识和实践方面的可行性和有效性。然而，为了取得更好的结果，需要动机、激励和强化措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Research Notes Biochemistry, Genetics and Molecular Biology-Biochemistry, Genetics and Molecular Biology (all)

CiteScore

3.60

自引率

0.00%

发文量

363

审稿时长

15 weeks

期刊介绍： BMC Research Notes publishes scientifically valid research outputs that cannot be considered as full research or methodology articles. We support the research community across all scientific and clinical disciplines by providing an open access forum for sharing data and useful information; this includes, but is not limited to, updates to previous work, additions to established methods, short publications, null results, research proposals and data management plans.