This study aims to ascertain whether (1) an educational program is sufficient to achieve adequate Diaphragm Ultrasound (DUS) assessments on healthy volunteers and (2) combining a video tutorial with a practical session is more effective in making learners capable to obtain accurate DUS measurements, as opposed to sole video tutorial

Antonelli, M.

Astuto, M.

Bellini, V.

Biasucci, D. G.

Bignami, E.

Bove, T.

Bruni, A.

Cammarota, G.

Conti, G.

Corradi, F.

Cortegiani, A.

Forfori, F.

Garofalo, E.

Giarratano, A.

Landoni, G.

Longhini, F.

Mercurio, G.

Murabito, P.

Navalesi, P.

Pelaia, C.

Vaschetto, R.

Vetrugno, L.

Zambon, M.

Zangrillo, A.

English

Garofalo E.

Bruni A.

Pelaia C.

Landoni G.

Zangrillo A.

Antonelli M.

Conti G.

Biasucci D. G.

Mercurio G.

Cortegiani A.

Giarratano A.

Vetrugno L.

Bove T.

Forfori F.

Corradi F.

Vaschetto R.

Cammarota G.

Astuto M.

Murabito P.

Bellini V.

Zambon M.

Longhini F.

Navalesi P.

Bignami E.

Archivio della Ricerca - Università di Pisa

Comparisons of two diaphragm ultrasound-teaching programs: a multicenter randomized controlled educational study

Background: This study aims to ascertain whether (1) an educational program is sufficient to achieve adequate Diaphragm Ultrasound (DUS) assessments on healthy volunteers and (2) combining a video tutorial with a practical session is more effective in making learners capable to obtain accurate DUS measurements, as opposed to sole video tutorial. Results: We enrolledstep 1: 172 volunteers naïve to ultrasound. After watching a video tutorial, a questionnaire was administered and considered to be passed when at least 70% of the questions were correctly answered. Course participants who passed the theoretical test were randomized to either intervention or control group. Learners randomized to the interventional group underwent to a practical training, tutored by an expert, before accessing DUS examination. Participants randomized to the control group directly accessed DUS examination, without any practical training. DUS measurements by learners and tutors were recorded and checked for accuracy, according to predefined criteria. Detection of both acoustic windows and accurate DUS assessment was achieved by 83.7% learners of the intervention group while 3.5% only among controls (p < 0.0001). The subcostal view of the diaphragm was correctly identified by 92% and 65% learners in the intervention and control groups, respectively (p < 0.0001) while the apposition zone by 86% and 71% learners, respectively (p = 0.026). An accurate diaphragm displacement (DD) measurement was obtained by 91% and 45% learners in the intervention and control groups, respectively (p < 0.0001) while an accurate thickening fraction (TF) measurement by 99% and 21%, respectively (p < 0.0001). DD measurements by both groups of learners were significantly correlated with those assessed by expert tutors; however, a significant improvement of measurement accuracy was found in learners randomized to receive also the practical training, compared to controls. Conclusions: A combined approach consisting of a theoretical module followed by a practical training is more effective in managing acoustic windows and performing accurate measurements when compared to an exclusively theoretical course. Trial registration prospectively registered on clinicaltrials.gov (Identifier: NCT03704129; release date 17th October 2018)

Archivio istituzionale della ricerca - Università di Padova

Background: This study aims to ascertain whether (1) an educational program is sufficient to achieve adequate Diaphragm Ultrasound (DUS) assessments on healthy volunteers and (2) combining a video tutorial with a practical session is more effective in making learners capable to obtain accurate DUS measurements, as opposed to sole video tutorial. Results: We enrolledstep 1: 172 volunteers naïve to ultrasound. After watching a video tutorial, a questionnaire was administered and considered to be passed when at least 70% of the questions were correctly answered. Course participants who passed the theoretical test were randomized to either intervention or control group. Learners randomized to the interventional group underwent to a practical training, tutored by an expert, before accessing DUS examination. Participants randomized to the control group directly accessed DUS examination, without any practical training. DUS measurements by learners and tutors were recorded and checked for accuracy, according to predefined criteria. Detection of both acoustic windows and accurate DUS assessment was achieved by 83.7% learners of the intervention group while 3.5% only among controls (p &lt; 0.0001). The subcostal view of the diaphragm was correctly identified by 92% and 65% learners in the intervention and control groups, respectively (p &lt; 0.0001) while the apposition zone by 86% and 71% learners, respectively (p = 0.026). An accurate diaphragm displacement (DD) measurement was obtained by 91% and 45% learners in the intervention and control groups, respectively (p &lt; 0.0001) while an accurate thickening fraction (TF) measurement by 99% and 21%, respectively (p &lt; 0.0001). DD measurements by both groups of learners were significantly correlated with those assessed by expert tutors; however, a significant improvement of measurement accuracy was found in learners randomized to receive also the practical training, compared to controls. Conclusions: A combined approach consisting of a theoretical module followed by a practical training is more effective in managing acoustic windows and performing accurate measurements when compared to an exclusively theoretical course. Trial registration prospectively registered on clinicaltrials.gov (Identifier: NCT03704129; release date 17th October 2018)

Archivio istituzionale della Ricerca -  Università degli Studi di Parma

Institutional Research Information System

Eugenio Garofalo

Andrea Bruni

Corrado Pelaia

Giovanni Landoni

Alberto Zangrillo

Massimo Antonelli

Giorgio Conti

Daniele Guerino Biasucci

Giovanna Mercurio

Andrea Cortegiani

Antonino Giarratano

Luigi Vetrugno

Tiziana Bove

Francesco Forfori

Francesco Corradi

Rosanna Vaschetto

Gianmaria Cammarota

Marinella Astuto

Paolo Murabito

Valentina Bellini

Massimo Zambon

Federico Longhini

Paolo Navalesi

Elena Bignami

Archivio Istituzionale della Ricerca- Università del Piemonte Orientale

Garofalo E

Bruni A

Pelaia C

Landoni G

Zangrillo A

Antonelli M

Conti G

Biasucci DG

Mercurio G

Cortegiani A

Giarratano A

Vetrugno L

Bove T

Forfori F

Corradi F

Vaschetto R

Cammarota G

Astuto M

Murabito P

Bellini V

Zambon M

Longhini F

Navalesi P

Archivio istituzionale della ricerca - Università degli Studi di Udine

BACKGROUND:
This study aims to ascertain whether (1) an educational program is sufficient to achieve adequate Diaphragm Ultrasound (DUS) assessments on healthy volunteers and (2) combining a video tutorial with a practical session is more effective in making learners capable to obtain accurate DUS measurements, as opposed to sole video tutorial.

RESULTS:
We enrolledstep 1: 172 volunteers naïve to ultrasound. After watching a video tutorial, a questionnaire was administered and considered to be passed when at least 70% of the questions were correctly answered. Course participants who passed the theoretical test were randomized to either intervention or control group. Learners randomized to the interventional group underwent to a practical training, tutored by an expert, before accessing DUS examination. Participants randomized to the control group directly accessed DUS examination, without any practical training. DUS measurements by learners and tutors were recorded and checked for accuracy, according to predefined criteria. Detection of both acoustic windows and accurate DUS assessment was achieved by 83.7% learners of the intervention group while 3.5% only among controls (p &lt; 0.0001). The subcostal view of the diaphragm was correctly identified by 92% and 65% learners in the intervention and control groups, respectively (p &lt; 0.0001) while the apposition zone by 86% and 71% learners, respectively (p = 0.026). An accurate diaphragm displacement (DD) measurement was obtained by 91% and 45% learners in the intervention and control groups, respectively (p &lt; 0.0001) while an accurate thickening fraction (TF) measurement by 99% and 21%, respectively (p &lt; 0.0001). DD measurements by both groups of learners were significantly correlated with those assessed by expert tutors; however, a significant improvement of measurement accuracy was found in learners randomized to receive also the practical training, compared to controls.

CONCLUSIONS:
A combined approach consisting of a theoretical module followed by a practical training is more effective in managing acoustic windows and performing accurate measurements when compared to an exclusively theoretical course. Trial registration prospectively registered on clinicaltrials.gov (Identifier: NCT03704129; release date 17th October 2018)

Archivio istituzionale della ricerca - Università di Palermo

BACKGROUND:
This study aims to ascertain whether (1) an educational program is sufficient to achieve adequate Diaphragm Ultrasound (DUS) assessments on healthy volunteers and (2) combining a video tutorial with a practical session is more effective in making learners capable to obtain accurate DUS measurements, as opposed to sole video tutorial.

RESULTS:
We enrolledstep 1: 172 volunteers naïve to ultrasound. After watching a video tutorial, a questionnaire was administered and considered to be passed when at least 70% of the questions were correctly answered. Course participants who passed the theoretical test were randomized to either intervention or control group. Learners randomized to the interventional group underwent to a practical training, tutored by an expert, before accessing DUS examination. Participants randomized to the control group directly accessed DUS examination, without any practical training. DUS measurements by learners and tutors were recorded and checked for accuracy, according to predefined criteria. Detection of both acoustic windows and accurate DUS assessment was achieved by 83.7% learners of the intervention group while 3.5% only among controls (p &lt; 0.0001). The subcostal view of the diaphragm was correctly identified by 92% and 65% learners in the intervention and control groups, respectively (p &lt; 0.0001) while the apposition zone by 86% and 71% learners, respectively (p = 0.026). An accurate diaphragm displacement (DD) measurement was obtained by 91% and 45% learners in the intervention and control groups, respectively (p &lt; 0.0001) while an accurate thickening fraction (TF) measurement by 99% and 21%, respectively (p &lt; 0.0001). DD measurements by both groups of learners were significantly correlated with those assessed by expert tutors; however, a significant improvement of measurement accuracy was found in learners randomized to receive also the practical training, compared to controls.

CONCLUSIONS:
A combined approach consisting of a theoretical module followed by a practical training is more effective in managing acoustic windows and performing accurate measurements when compared to an exclusively theoretical course. Trial registration prospectively registered on clinicaltrials.gov (Identifier: NCT03704129; release date 17th October 2018

Antonelli M (ORCID:0000-0003-3007-1670)

Conti G (ORCID:0000-0002-8566-9365)

Cammarota G (ORCID:0000-0002-3626-6148)

PubliCatt

https://air.uniud.it/bitstream/11390/1168816/1/10.1186_s13089-019-0137-4.pdf

Comparisons of two diaphragm ultrasound-teaching programs: a multicenter randomized controlled educational study

Abstract

Similar works

Full text

Available Versions