Managing Children with Clubfoot Course - Evaluation Report: Difference between revisions
Candace Goh (talk | contribs) No edit summary |
Candace Goh (talk | contribs) No edit summary |
||
| Line 467: | Line 467: | ||
==== English Course ==== | ==== English Course ==== | ||
[[File:General impressions.png|left| | [[File:General impressions.png|left|frameless|600x600px]] | ||
Revision as of 05:46, 26 January 2019
Original Editor - Managing Children with Clubfoot MOOC Evaluation Report Feb 2018
Top Contributors - Candace Goh, Kim Jackson and Chelsea Mclene
Summary[edit | edit source]
In November/December 2017 Physiopedia, the International Committee of the Red Cross (ICRC) and the Global Clubfoot Initiative (GCI) successfully delivered the Managing Children with Clubfoot Massive Open Online Course (Clubfoot MOOC) via the Physiopedia Plus online learning platform. In collaboration with Humanity & Inclusion (HI) there was a concurrent French version of the course.
The course provided a framework to develop theoretical principles for the management of children with clubfoot relevant in all contexts. It introduced the pathoanatomy, etiology and epidemiology underpinning idiopathic clubfoot, including: idiopathic in an infant, idiopathic clubfoot in the older child, relapse and atypical clubfoot. The course explored assessment and the roles of the multidisciplinary team, as well as providing a theoretical understanding of management techniques and related clinical considerations. It did not teach practical skills or lead to any clinical qualification. The global network formed through this course will allow for shared knowledge and experiences to support good health care and a better quality of life for children with clubfoot and their parents, all around the world.
Course Type - Open, Online
Course Co-ordinators - Rachael Lowe, Barbara Rau, Rosalind Owen
Collaborating Partners - Physiopedia, ICRC and GCI
About this course - This online course covers basic theoretical knowledge of managing children with clubfoot. There was an English and a parallel French version of the course.
Who was the course aimed at - The course was written for physiotherapy clinicians, students and assistants; other healthcare professionals interested in this subject were welcomed to participate.
Time commitment - 16 hours over 4 weeks
Date – 6 November to 3 December 2017 (final date of free course 31 Dec 2017; the course remains available on the Physiopedia Plus platform to members)
Requirements – Participants were required to complete online learning activities, engage with additional resources, take part in the conversation online and complete the course evaluation.Assessment - There was a final quiz and participants could optionally complete an assignment to demonstrate their learning.
Awards - Completion certificate plus 16 Physiopedia Plus (PP+) points.
Accreditation - The course was accredited by the South African Society of Physiotherapy (16 CEUs) and The Federation of State Board of Physical Therapy (10 CEUs)
Registrations - 7,277 (7153 English course and 124 French course)
Countries represented - 156 (156 English course and 13 French course)
Started the course - 2250 (2033 English course and 217 French course)
Passed final quiz - 805 (693 English course and 112 French course)
Received completion certificate - 405 (342 English course and 63 French course)
Acknowledgements[edit | edit source]
The Clubfoot MOOC was developed as a collaboration between Physiopedia, ICRC and GCI. Physiopedia and ICRC provided funding. The ACT Team and partners, including the University of Oxford, CURE International and Global Clubfoot Initiative kindly provided content for the course, which was supplemented with additional material from global experts. HI completed the French translation of the course.
Course coordinators:
● Rachael Lowe, Physiopedia
● Barbara Rau, ICRC
● Rosalind Owen, GCI
Course facilitators:
● Aijaz Rather, ICRC, India
● Elia Bernabeu, ICRC, Sudan
● Santosh George, ICRC, India
● Prem Saggurthi, ICRC, Ethiopia
● Gul Zaman, ICRC, Pakistan
● Denise Watson, Chelsea and Westminster Hospital, UK
● Christine Douglas, The Royal National Orthopaedic Hospital, UK
● Mohommad Mamun Hossen Chowdhury, Walk For Life, Bangladesh
● Martin Jacobs, HI, Belgium
● Graziella Lippolis, HI, Belgium
● Ben Gwilliam, Australia
● Debro Mashoro, ICRC, Zimbabwe
● Nicolas Peeters, Cliniques Universitaires Saint-Luc, Belgium
For any information regarding this report, please contact: Rachael Lowe - [email protected]
Introduction[edit | edit source]
During November and December 2017 Physiopedia ran their sixth Massive Open Online Course titled Managing Children with Clubfoot (Clubfoot MOOC). The course was developed as a collaboration between Physiopedia, ICRC and GCI. The ACT Team and partners, including the University of Oxford, CURE International and Global Clubfoot Initiative kindly provided content for the course, which was supplemented with additional material from global experts. A French version of the course, translated and facilitated by HI, ran concurrently.
The aim of the Clubfoot MOOC was to train the distributed team of ICRC staff and partners to have a basic understanding of the theoretical knowledge that underpins the management of children with clubfoot. The content of the course was designed for physiotherapists in any global context, all healthcare workers from any location and context were invited to participate. Being open for anyone to participate allowed for global conversation around the topic and enabled peer-to-peer learning across contexts and experiences.
The four week course presented different topics each week through a variety of learning activities to suit all learning styles. The required learning activities each week were proposed to take between 4-6 hours depending on the participant's learning style and optional activities were provided should the participant wish to take part in additional learning. A short orientation period before the course started provided participants with an opportunity to become familiar with the delivery platform and the topic via the provided pre-course resources.
The course was delivered through the Physiopedia Plus (PP+) online learning platform, an innovative platform specifically developed to deliver online education and provide learners with a personalised learning dashboard. Each week the new learning activities were released on a specific course page. As participants engaged with each learning activity it was recorded and displayed in their own personal learning dashboard.
To finish the course participants were required to complete all the required learning activities and pass a final quiz that tested knowledge. There was an optional assignment to demonstrate their learning. On completion of the course the participants could download a completion certificate and also export a record of their learning from their activity log.
This report evaluates the experiences and engagement of the participants on the Clubfoot MOOC.
Aim[edit | edit source]
This course aimed to provide a basic theoretical understanding of clubfoot and to align global understanding of the theoretical principles underlying the management of children with clubfoot.
Learning Objectives[edit | edit source]
At the end of this course participants were able to:
- Describe the role of three anatomical structures in the foot and ankle that play a role in clubfoot
- Identify the four major components characteristic of clubfoot
- Recognise the difference between idiopathic, positional and secondary clubfoot
- Describe the incidence or prevalence of clubfoot in your region
- Summarise an example article of quality published evidence on the prevalence or incidence of clubfoot
- Identify the four key features of clubfoot using C-A-V-E
- Interpret the Pirani Score to assess and monitor clubfoot deformity
- Explain the role of the multidisciplinary team in the management of clubfoot
- Examine the role of a physiotherapist within the multidisciplinary team in the management of clubfoot
- Explain the role of parents/carers within the multidisciplinary team in the management of clubfoot
- Evaluate the use of the ponseti method in the management of clubfoot
- Identify when a tenotomy is indicated
- Explain the role of bracing in preventing recurrence of CAVE signs
- Analyse the issue of adherence to the brace regime
- Compare and contrast two types of different foot abduction braces used in the management of clubfoot
- Develop a treatment plan utilising evidence based therapeutic interventions based on an assessment of a child with clubfoot
- Recognise four common errors that may occur during clubfoot treatment
- Identify two causes for clubfoot treatment not progressing
- Describe three features of atypical clubfoot
- Identify a sign of recurrent clubfoot deformity evident during gait
- Discuss the difference in treatment required in clubfoot in older children
- Outline three key elements for a successful clubfoot programme.
Intended Audience[edit | edit source]
This course was suitable for all healthcare professionals but specifically aimed at physiotherapy professionals including clinicians, assistant or students who have a good understanding of the key principles of physiotherapy but little prior experience in clubfoot. It was also of interest to any professionals (e.g. prosthetists, orthotists, nurses, occupational therapists, speech therapists, medical doctors) motivated to upgrade their knowledge on clubfoot.
Cost to Participants[edit | edit source]
The course was free to all participants who completed the course within 8 weeks from the start date.
Course Availability[edit | edit source]
The course started on the 6 November 2017 when the week one course contents were made available. A new section of the course was released each following Monday for another 3 weeks. Participants had until 31 Dec 2017 to complete the course under their free access to Physiopedia Plus. The course remains available on the Physiopedia Plus platform to members; membership is free to individuals from low income countries and available at a discounted rate to individuals in middle income countries,
Course Awards and Accreditation[edit | edit source]
Course completion certificates with 16 PP+ points were provided by Physiopedia to all participants that passed the course. The course was accredited by the South African Physiotherapy Society (SASP) for 16 CEUs and the the Federation of State Board of Physical Therapy (FSBPT) for 10 CEUs.
Demographics of the Participants[edit | edit source]
Country[edit | edit source]
| English Course | French Course | ||
|---|---|---|---|
| Total number of countries | 156 | Total number of countries | 13 |
| Pakistan | 770 | Haiti | 62 |
| Egypt | 718 | France | 24 |
| India | 638 | Belgium | 13 |
| Canada | 458 | Canada | 7 |
| Nigeria | 447 | Lebanon | 6 |
| United States | 447 | Spain | 3 |
| Australia | 332 | Switzerland | 2 |
| United Kingdom | 242 | Senegal | 1 |
| South Africa | 200 | Tunisia | 1 |
| Saudi Arabia | 189 | Reunion | 1 |
Profession[edit | edit source]
| English Course | French Course | |||
|---|---|---|---|---|
| Physiotherapy / Physical Therapy | 6348 | 88.75% | 84 | 67.20% |
| Prosthetics / Orthotics | 276 | 3.86% | 9 | 7.20% |
| Osteopath/Chiropractor | 137 | 1.92% | 0 | - |
| Occupational Therapy | 136 | 1.90% | 0 | - |
| Podiatry | 50 | 0.70% | 0 | - |
| Parent | 21 | 0.29% | 0 | - |
| Rehabilitation Therapist | 19 | 0.27% | 26 | 20.80% |
| Medical Doctor | 8 | 0.11% | 0 | - |
| Nurse | 5 | 0.07% | 0 | - |
| Other | 173 | 2.42% | 8 | 0.11% |
Role[edit | edit source]
| English Course | French Course | |||
|---|---|---|---|---|
| Clinician | 4869 | 68.07% | 65 | 52.42% |
| Student | 1272 | 17.78% | 15 | 12.10% |
| Educator | 340 | 4.75% | 6 | 4.84% |
| Assistant | 224 | 3.13% | 22 | 17.74% |
| Manager | 182 | 2.54% | 11 | 8.87% |
| Researcher | 131 | 1.83% | 1 | 0.81% |
| Other | 135 | 1.89% | 4 | 3.23% |
Years of experience[edit | edit source]
| English Course | French Course | |||
|---|---|---|---|---|
| no experience | 1552 | 21.70% | 76 | 61.29% |
| < 1 year | 3011 | 42.09% | 33 | 26.61% |
| 1 to 5 years | 2009 | 28.09% | 13 | 10.48% |
| > 5 years | 1065 | 14.89% | 6 | 4.84% |
Engagement of the Participants[edit | edit source]
Platform[edit | edit source]
The course was provided through a page on Physiopedia Plus (https://members.physio-pedia.com/learn/clubfoot/). This page was visited a total of 20,358 times before the final date of the supported course on 31 December 2017. This page directed participants to set up a free account with Physiopedia Plus; the participants had to login to access the course.
| English Course | French Course | |
|---|---|---|
| Number users started course | 2,033 | 217 |
Learning Activities[edit | edit source]
The course was made up of a total of 46 required learning activities (full details in Appendix 2). There was an additional X optional learning activities that participants could engage with as they wished.
| English Course | French Course | |
|---|---|---|
| Total number of learning activities logged | 47,578 | 8,308 |
Discussion Forum[edit | edit source]
Participants were required to participate in the discussion forum on a weekly basis. They were required to take part in a minimum of 8 discussions over the course with at least 2 posts per week. This was made a requirement as it provided a rich learning experience through self-reflection on learning and exposure to global discussions about clubfoot. This was the task that participants found most difficult to complete.
The discussion forum was hosted on the Physiopedia Plus platform where participants were asked to comment on the weekly guided discussions. It was clear that not all people engaging with the course joined participated in the discussions.
| English Course | French Course | |
|---|---|---|
| Number of people who introduced themselves in the forum | 945 | 155 |
| Total number of discussion posts | 12,428 | 2,481 |
Quizzes[edit | edit source]
Each week participants were given the opportunity to assess their knowledge and understanding of the topic through multiple-choice quizzes. Participants received immediate feedback on right and wrong responses making this a rich learning experience.
In the final week participants were invited to attempt the final multiple-choice quiz. This quiz was designed to assess knowledge and no feedback was given. The pass mark was 80% and they could attempt the quiz as many times as they liked.
| English Course | French Course | |
|---|---|---|
| Number of people attempting final quiz | 559 | 80 |
| Total final quiz attempts | 826 | 127 |
| Quiz passes | 693 | 112 |
Course Awards[edit | edit source]
To complete the course participants were required to fully engage with all 46 required learning activities (Appendix 2), participate in the discussion forums and pass the final quiz. From Physiopedia Plus, they received PP+ points (equivalent to hours of learning) for every learning activity that they completed and a course completion certificate on completion of all the required elements of the course. The SASP awarded 16 CEUs and the FSBPT CEUs are to be determined at the time of writing this report.
| English Course | French Course | |
|---|---|---|
| Number of certificates awarded | 342 | 63 |
| Total PP+ points awarded | 15,686 | 3,015 |
Final Assignment[edit | edit source]
Reflecting on their learning and using the knowledge gained throughout the course participants could submit an optional assignment. Participants were asked to follow the assignment guidelines on Physiopedia and the assignments were assessed by the Physiopedia team. The marking rubric was kept fairly simple but each assignment needed to demonstrate: evidence of learning from the course, academic skill with evidence based writing and proper referencing and written English skills.
| English Course | French Course | |
|---|---|---|
| Assignment submissions | 33 | This was not an option for the french course |
Participants were able to choose from 5 different assignments which allowed for different academic skills and learning styles. The patient case study and the knowledge translation resource were the most popular assignments:
| Patient case study | 16 |
| Knowledge translation resource | 11 |
| Training resource | 3 |
| Physiopedia page | 1 |
| Discussion summary | 1 |
| Pilot project | 1 |
Participant Feedback[edit | edit source]
554 (471 English and 83 french) participants completed the evaluation form at the end of the course.
Quantitative Data[edit | edit source]
Overall there was agreement that the course was enjoyable to work through, an appropriate length with the right amount of work required each week, was pitched at the right level and would be recommended to colleagues. The participants agreed that they found the Physiopedia pages, quizzes and videos most useful for learning.
English Course[edit | edit source]
