Video‐Based Training on Physicians' Proficiency in Invasive Fungal Disease: A Multicentre, Cluster Randomised Controlled Trial
Yijian Chen, Xiaojun Huang, Haibo Qiu, Linling Cheng, Yunsong Yu, Xiaochun Ma, Sizhou Feng, Qi Li, Depei Wu, Wenxiang Huang, Dechang Chen, Xiaoju Lv, Jianda Hu, Jingbo Wang, Jiabin Li, Wenjie Yang, Qingyuan Zhan, Bing Sun, Minggui WangABSTRACT
Background
Previous research indicated that physicians possess limited knowledge of the diagnosis and treatment of invasive fungal disease (IFD).
Objective
This study aimed to assess the efficacy of training via video or PDF formats in increasing physicians' knowledge of IFD.
Methods
This was a multicentre, cluster‐randomised controlled trial involving 18 tertiary hospitals in China. Physicians specialising in IFD clinical diagnosis and treatment from four departments were randomised 1:1 into a video training group or PDF training group, and questionnaires were completed before and after training. The primary outcome was the change in total questionnaire score before and after training.
Results
Of the 294 participants, 146 were assigned to the video group and 148 to the PDF group. Engagement with the training materials was observed among 127 participants from the video group and 135 from the PDF group. In the per‐protocol set (PPS), post‐training score improvements for total scores ( p = 0.008), invasive candidiasis scores ( p < 0.001), and invasive aspergillosis scores ( p = 0.044) in the video group were significantly greater than those in the PDF group. Overall, 161 (61.5%) physicians in the PPS exhibited enhanced total scores post‐training, with the video group outperforming the PDF group (70.9% vs. 52.6%, p = 0.002). The findings in the FAS were largely consistent with those observed in the PPS.
Conclusion
Both video and PDF training modules are appealing to physicians. Further, the video training module displayed superior efficacy in improving physicians' knowledge of IFD.