The mCME Project:Delivering Continuing Medical Education for Community Health Workers Via SMS Text Messages (mCME project)

Boston University

Status: Completed

Conditions: Medical Knowledge

Treatments: Behavioral: Group 3 intervention daily SMS bullet point; Behavioral: Group 2 intervention daily SMS bullet point

Study type: Interventional

Funder types: Other

Identifiers

NCT02381743

H-33241

Details and patient eligibility

About

Community health workers (CHWs) provide essential basic medical care to hundreds of millions of people across the globe. CHWs offer a myriad of services including community sanitation, breast feeding counseling, family planning, management of febrile children, and malaria control and prevention, to name but a few. In fact, CHWs are often the only source of primary health care available to some of the most disadvantaged populations in the world. However, to be effective, CHWs must be trained - and retrained - at regular intervals, and the costs for such trainings can be substantial. In the US, clinicians are required to stay current and maintain their competence through continuing medical education (CME). Increasingly, CME activities are delivered via internet-based, self-teaching modules. A typical example would be a set of topical readings followed by multiple-choice questions, with the answers, and CME credit, provided to the user upon satisfactory completion of the module. This content is typically delivered over the Internet. However, there is no intrinsic reason why this approach could not be adapted so that CME activities are delivered using standard cell phones via SMS text messaging. This would significantly expand professional training opportunities to a far greater range of CHWs than possible through computer/tablet/smart phone platforms, and would be particularly valuable in poorer countries with limited training budgets. In the mCME project, the investigators propose to test the effectiveness and cost effectiveness of a mobile phone-based CME delivery strategy among Vietnamese community-based physician assistants (CBPAs), a cadre of CHW mandated to provide primary health care to rural and disadvantaged populations. The investigators hypothesize that providing CME activities over a mobile platform will significantly improve their professional knowledge, and may also improve their job satisfaction and self-efficacy.

Enrollment: 638 patients

Sex: All

Ages: 18 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Graduated from a CBPA training program
2. Possesses their own cell phone
3. Phone able to send/receive text messages
4. Aged 18 years or older

Exclusion criteria

1. Unwilling to sign informed consent
2. Lives/operates in an area without cellular coverage
3. Unwilling to be randomized
4. Unwilling to adhere to study procedures

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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638 participants in 3 patient groups

Group 1

No Intervention group

Description:

Weekly non-medical SMS messages

Group 2

Experimental group

Description:

Receipt of a daily SMS text message describing various aspects of clinical practice

Treatment:

Behavioral: Group 2 intervention daily SMS bullet point

Group 3

Experimental group

Description:

Receipt of a daily SMS text message describing various aspects of clinical practice, but phrased as multiple choice question

Treatment:

Behavioral: Group 3 intervention daily SMS bullet point