TY -非盟的詹星鑫盟——张Zhixia盟——太阳,方非盟-刘,钱非盟-彭,Weijun盟——张,恒盟——燕,Weirong PY - 2017 DA - 2017/05/01 TI -的影响提高初级卫生保健工作者的知识在中国农村公共卫生服务:混合式学习的比较研究,纯电子学习乔- J地中海互联网Res SP - e116六世- 19 - 5 KW -混合式学习KW -电子学习KW -初级卫生保健工作者KW -公共卫生服务AB -背景:初级卫生保健工作者是中国农村提供基本公共卫生服务的主要力量。采取有效的培训手段，提高基层医务人员的基层医疗服务能力是十分必要的。电子学习和混合学习在卫生工作者的教育中得到了广泛的应用。然而，与纯电子学习相比，混合学习效果的证据有限。目的:本研究的目的是评估混合学习方法在提高农村phcw对BPHS的知识和培训满意度方面的效果，与纯电子学习方法进行比较。方法:2013年8月至2014年4月，在中国湖北省6个农村县的家庭卫生工作者中进行研究。3个县随机分配混合学习课程(29个乡镇中心或612所普通卫生院为实验组)，3个县分配纯电子学习课程(31个乡镇中心或625所普通卫生院为对照组)。三个课程模块进行为期5周的管理，并在基线和课后进行评估。主要结果是课程知识的分数变化。 Secondary outcome was participant satisfaction (5-point Likert scale anchored between 1 [strongly agree] and 5 [strongly disagree]). Results: The experimental group had higher mean scores than the control group in knowledge achievement in three course modules: (1) module 1: 93.21 (95% CI 92.49-93.93) in experimental group versus 88.29 (95% CI 87.19-89.40) in the control group; adjusted difference, 4.92 (95% CI 2.61-7.24; P<.001); (2) module 2: 94.05 (95% CI 93.37-94.73) in the experimental group vs 90.22 (95% CI 89.12-91.31) in the control group; adjusted difference, 3.67 (95% CI 1.17-6.18; P=.004); (3) module 3: 93.88 (95% CI 93.08-94.68) in the experimental group versus 89.09 (95% CI 87.89-90.30) in control group; adjusted difference, 4.63 (95% CI 2.12-7.14; P<.001). The participants in the experimental learning group gave more positive responses with the four issues than control group participants: (1) the increase of interest in learning, 1.85 (95% CI 1.22-2.80; P=.003); (2) the increase of interaction with others, 1.77 (95% CI 1.20-2.60; P=.004); (3) the satisfaction with learning experience, 1.78 (95% CI 1.11-2.88; P=.02); and (4) achievement of learning objectives, 1.63 (95% CI 1.08-2.48; P=.02). Conclusions: Among PHCWs in rural China, a blended-learning approach to BPHS training could result in a higher knowledge achievement and satisfaction level compared with a pure e-learning approach. The findings of the study will contribute knowledge to improve the competency of PHCWs in similar settings. SN - 1438-8871 UR - //www.mybigtv.com/2017/5/e116/ UR - https://doi.org/10.2196/jmir.6453 UR - http://www.ncbi.nlm.nih.gov/pubmed/28461286 DO - 10.2196/jmir.6453 ID - info:doi/10.2196/jmir.6453 ER -