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The development of a training course for clubfoot treatment in Africa: learning points for course development

BACKGROUND: Clubfoot is a common congenital musculoskeletal disorder that causes mobility impairment. There is a lack of trained mid-level personnel to provide clubfoot treatment in Africa and there is no standard training course. This prospective study describes the collaborative and participatory...

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Autores principales: Smythe, Tracey, Le, Grace, Owen, Rosalind, Ayana, Birhanu, Hansen, Linda, Lavy, Christopher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044045/
https://www.ncbi.nlm.nih.gov/pubmed/30005662
http://dx.doi.org/10.1186/s12909-018-1269-0
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author Smythe, Tracey
Le, Grace
Owen, Rosalind
Ayana, Birhanu
Hansen, Linda
Lavy, Christopher
author_facet Smythe, Tracey
Le, Grace
Owen, Rosalind
Ayana, Birhanu
Hansen, Linda
Lavy, Christopher
author_sort Smythe, Tracey
collection PubMed
description BACKGROUND: Clubfoot is a common congenital musculoskeletal disorder that causes mobility impairment. There is a lack of trained mid-level personnel to provide clubfoot treatment in Africa and there is no standard training course. This prospective study describes the collaborative and participatory approach to the development of a training course for the treatment of clubfoot in children in resource constrained settings. METHODS: We used a systems approach to evaluate the development of the training course. Inputs: The research strategy included a review of context and available training materials, and the collection of data on current training practices. Semi-structured interviews were conducted with seven expert clubfoot trainers. A survey of 32 international and regional trainers was undertaken to inform practical issues. The data were used to develop a framework for training with advice from two technical groups, consisting of regional and international stakeholders and experts. Process: A consensus approach was undertaken during workshops, meetings and the sharing of documents. The design process for the training materials took twenty-four months and was iterative. The training materials were piloted nine times between September 2015 and February 2017. Processes and materials were reviewed and adapted according to feedback after each pilot. RESULTS: Fifty-one regional trainers from Africa (18 countries), 21 international experts (11 countries), 113 local providers of clubfoot treatment (Ethiopia, Rwanda and Kenya) and local organising teams were involved in developing the curriculum and pilot testing. The diversity of the two technical advisory groups allowed a wide range of contributions to the collaboration. Output: The resulting curriculum and content comprised a two day basic training and a two day advanced course. The basic course utilised adult learning techniques for training novice providers in the treatment of idiopathic clubfoot in children under two years old. The advanced course builds on these principles. CONCLUSION: Formative research that included mixed methods (both qualitative and quantitative) was important in the development of an appropriate training course. The process documentation from this study provides useful information to assist planning of medical training programmes and may serve as a model for the development of other courses. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12909-018-1269-0) contains supplementary material, which is available to authorized users.
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spelling pubmed-60440452018-07-13 The development of a training course for clubfoot treatment in Africa: learning points for course development Smythe, Tracey Le, Grace Owen, Rosalind Ayana, Birhanu Hansen, Linda Lavy, Christopher BMC Med Educ Research Article BACKGROUND: Clubfoot is a common congenital musculoskeletal disorder that causes mobility impairment. There is a lack of trained mid-level personnel to provide clubfoot treatment in Africa and there is no standard training course. This prospective study describes the collaborative and participatory approach to the development of a training course for the treatment of clubfoot in children in resource constrained settings. METHODS: We used a systems approach to evaluate the development of the training course. Inputs: The research strategy included a review of context and available training materials, and the collection of data on current training practices. Semi-structured interviews were conducted with seven expert clubfoot trainers. A survey of 32 international and regional trainers was undertaken to inform practical issues. The data were used to develop a framework for training with advice from two technical groups, consisting of regional and international stakeholders and experts. Process: A consensus approach was undertaken during workshops, meetings and the sharing of documents. The design process for the training materials took twenty-four months and was iterative. The training materials were piloted nine times between September 2015 and February 2017. Processes and materials were reviewed and adapted according to feedback after each pilot. RESULTS: Fifty-one regional trainers from Africa (18 countries), 21 international experts (11 countries), 113 local providers of clubfoot treatment (Ethiopia, Rwanda and Kenya) and local organising teams were involved in developing the curriculum and pilot testing. The diversity of the two technical advisory groups allowed a wide range of contributions to the collaboration. Output: The resulting curriculum and content comprised a two day basic training and a two day advanced course. The basic course utilised adult learning techniques for training novice providers in the treatment of idiopathic clubfoot in children under two years old. The advanced course builds on these principles. CONCLUSION: Formative research that included mixed methods (both qualitative and quantitative) was important in the development of an appropriate training course. The process documentation from this study provides useful information to assist planning of medical training programmes and may serve as a model for the development of other courses. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12909-018-1269-0) contains supplementary material, which is available to authorized users. BioMed Central 2018-07-13 /pmc/articles/PMC6044045/ /pubmed/30005662 http://dx.doi.org/10.1186/s12909-018-1269-0 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Smythe, Tracey
Le, Grace
Owen, Rosalind
Ayana, Birhanu
Hansen, Linda
Lavy, Christopher
The development of a training course for clubfoot treatment in Africa: learning points for course development
title The development of a training course for clubfoot treatment in Africa: learning points for course development
title_full The development of a training course for clubfoot treatment in Africa: learning points for course development
title_fullStr The development of a training course for clubfoot treatment in Africa: learning points for course development
title_full_unstemmed The development of a training course for clubfoot treatment in Africa: learning points for course development
title_short The development of a training course for clubfoot treatment in Africa: learning points for course development
title_sort development of a training course for clubfoot treatment in africa: learning points for course development
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044045/
https://www.ncbi.nlm.nih.gov/pubmed/30005662
http://dx.doi.org/10.1186/s12909-018-1269-0
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