title: The "ABCs of AD": A pilot test of an online educational module to increase use of the autonomic dysreflexia clinical practice guidelines among paramedic and nurse trainees.
abstract: OBJECTIVE
  Despite availability of clinical practice guidelines (CPGs), gaps in autonomic dysreflexia (AD) knowledge and practice persist. A free, online educational module, the "ABCs of AD", was developed to improve knowledge of the AD-CPGs among emergency healthcare personnel. We examine short-term changes in paramedic and nurse trainees' knowledge of, and social cognitions towards using, the AD-CPGs following module completion.
  
  
  METHODS
  Pre-post.
  
  
  METHODS
  Thirty-four paramedic and nurse trainees from two training programs in Canada completed measures immediately before and after viewing the online "ABCs of AD" module.
  
  
  METHODS
  AD knowledge test; Theory of Planned Behavior social cognition questionnaire; module feedback survey.
  
  
  RESULTS
  Paired samples t-tests revealed significant increases in participants' AD knowledge test scores (M ± SDpre = 9.00 ± 2.46, M ± SDpost = 12.03 ± 4.07, P < 0.001; d = 0.84). Prior to viewing the module, participants reported positive social cognitions for using the AD-CPGs (all Ms ≥ 4.84 out of 7). From pre- to post-module, no significant changes were seen in participants' social cognitions for using the AD-CPGs. Participants' average module viewing time was 36.73 ± 24.17 minutes (range 8-90 minutes). There was a decline in viewing from the first to the last module sections, with only half of participants viewing all six sections.
  
  
  CONCLUSIONS
  Knowledge alone is insufficient for clinical behavior change; as such, social cognitive determinants of behavior should be explicitly targeted in future iterations of the module to increase the likelihood of increased use of the AD-CPGs. To engage viewers across all module sections, the "ABCs of AD" module should include supplementary learning strategies, such as interactive quizzes and peer-to-peer interaction.
authors: Jennifer R
authors: JR
authors: Tomasone
authors: Kathleen A
authors: KA
authors: Martin Ginis
authors: Wayland
authors: W
authors: Pulkkinen
authors: Andrei
authors: A
authors: Krassioukov
mesh_terms: D000488:Allied Health Personnel / Q000193:education*; D020211:Autonomic Dysreflexia / Q000175:diagnosis* / Q000628:therapy*; D003194:Computer-Assisted Instruction / Q000379:methods* / Q000706:statistics & numerical data; D003479:Curriculum; D004506:Education, Nursing / Q000379:methods*; D004521:Educational Measurement / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008297:Male; D009862:Online Systems; D009864:Ontario; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D055815:Young Adult
keywords: Autonomic dysreflexia; Clinical practice guideline; Knowledge translation; Psychological theory; Spinal cord injuries