title: Predictors of attrition for a sexual assault forensic examiner (SAFE) blended learning training program.
abstract: BACKGROUND
  Participant attrition is a major concern for online continuing education health care courses. The current study sought to understand what factors predicted health care professionals completing the online component of a sexual assault forensic examiner (SAFE) blended learning training program (12-week online course and 2-day in-person clinical skills workshop).
  
  
  METHODS
  The study used a Web-based survey to examine participant characteristics, motivation, and external barriers that may influence training completion. Hierarchical logistic regression was utilized to examine the predictors of training completion, while the Cox proportional hazards (Cox PH) regression model helped determine the factors associated with the timing of participant attrition.
  
  
  RESULTS
  Results show that 79.3% of the enrolled professionals completed the online component. The study also found that clinicians who work in rural communities and those who were interested in a 2-day clinical skills workshop were more likely to complete the online course. In terms of when attrition occurred, we found that participants who were motivated by the 2-day clinical workshop, those who worked in a rural community, and participants interested in the training program because of its online nature were more likely to complete more of the online course.
  
  
  CONCLUSIONS
  Blending an online course with a brief in-person clinical component may serve as a motivator for completing an online course because it provides the opportunity to develop clinical skills while receiving immediate feedback. Participant attrition appears to be less of a concern for rural clinicians because this modality can reduce their barriers to accessing continuing education.
authors.forename: Debra
authors.initials: D
authors.lastname: Patterson
authors.forename: Stella
authors.initials: S
authors.lastname: Resko
mesh_terms: D003194:Computer-Assisted Instruction; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D005544:Forecasting; D005554:Forensic Medicine / Q000193:education*; D006801:Humans; D016016:Proportional Hazards Models; D012742:Sex Offenses; D011795:Surveys and Questionnaires
keywords: CE attrition; continuing education; evaluation-educational intervention; forensic nursing; online/computer-based education; sexual assault forensic examiners; training attrition