Epilepsy for primary health care: a cost-effective Latin American E-learning initiative
Carregando...
Citações na Scopus
26
Tipo de produção
article
Data de publicação
2018
Título da Revista
ISSN da Revista
Título do Volume
Editora
JOHN LIBBEY EUROTEXT LTD
Autores
CARRIZOSA, Jaime
BRAGA, Patricia
ALBUQUERQUE, Marly
BOGACZ, Alicia
BURNEO, Jorge
COAN, Ana C.
CONTRERAS, Guilca
GUILHOTO, Laura
IZQUIERDO, Alvaro
LADINO, Lady
Citação
EPILEPTIC DISORDERS, v.20, n.5, p.386-395, 2018
Resumo
Aims. A lack of neurologists in Latin America forces primary health care providers to manage epilepsy. With the main goal of improving diagnostic and therapeutic management of patients with epilepsy through training of physicians in the primary health care level, the International League Against Epilepsy Education Commission (2013-2017) created a low-cost, regional, virtual course.Methods. The course, set-up in Moodle platform, was structured in eight modules, each lasting for a week. Teaching was based on written didactic material, videos, and interactive discussions, both in Spanish and Portuguese. Topics included epidemiology, diagnosis, classification, treatment, prognosis, social issues, and epilepsy policies. Each course was limited to 50 participants and priority was given to general practitioners. Certification was given to those approving the final examination.Results. Since 2015, five courses have been developed, involving 143 participants from 17 countries and 21 tutors. Of the participants, 61% worked in primary health care services. A total of 129 participants (90%) completed the course, and 110 submitted the final examination with an approval rate of 95%. From 85 participants completing the course evaluation, 98% would recommend the course to other colleagues, and 99% showed interest in taking other similar courses. High self-confidence for the management of patients with epilepsy increased from 21% at baseline to 73% after the course.Conclusions. The online course on epilepsy for primary care physicians in Latin America was shown to be a cost-effective course, with good retention and excellent approval rates. Our current challenges include periodic updating, complete self-sustainability, and exploring different strategies to reach our target audience more effectively.
Palavras-chave
epilepsy, Latin America, online course, primary care, training, e-learning
Referências
- Bawa P, 2016, SAGE OPEN, V6, DOI 10.1177/2158244015621777
- Braga P., 2013, REV CHIL EPILEPSIA, V13, P4
- Bye AME, 2009, J PAEDIATR CHILD H, V45, P727, DOI 10.1111/j.1440-1754.2009.01602.x
- Cotlear D, 2015, LANCET, V385, P1248, DOI 10.1016/S0140-6736(14)61647-0
- DEVINSKY O, 1993, EPILEPSIA, V34, P809, DOI 10.1111/j.1528-1157.1993.tb02094.x
- Ellaway RH, 2009, PRACTICAL GUIDE MED, P238
- Grant J, 2009, PRACTICAL GUIDE MED, P130
- Hezser-von Wehrs V, 2007, EPILEPSIA, V48, P872, DOI 10.1111/j.1528-1167.2007.01029.x
- Levav I, 1999, Rev Panam Salud Publica, V6, P342
- Marques J, 2013, WHAT IS MASSIVE OPEN
- Montenegro S, 2008, CAUSAS DESERCION CUR
- Morales L., 2016, REV CHIL EPILEPSIA, V16, P4
- Mustafa AG, 2013, SURG RADIOL ANAT, V35, P435, DOI 10.1007/s00276-012-1067-z
- Pan American Health Organization (PAHO), 2013, REP EP LAT AM CAR
- Parker A., 1999, INT J ED TECHNOLOGY, V1, P1
- Rocha-Pereira N, 2015, J ANTIMICROB CHEMOTH, V70, P3175, DOI 10.1093/jac/dkv336
- WHO, RES GLOB BURD EP