Abstract 9117: Heart Failure E-learning Training for Low Income Countries is Effective and Feasible: A Pilot Study

Abstract

Introduction: Heart failure (HF) is a burden in low income countries (LICs). However, HF care is complex and skilled providers in LICs are limited. E-learning (EL) could offer access to specialized HF training, but little is known about its feasibility in rural LICs. We describe the design and pilot study of an EL HF module. Methods: An interdisciplinary team from Partners In Health adapted an existing classroom based HF curriculum for an online, self-guided, asynchronous EL format. We emphasized design features promoting user engagement (clinical cases, animations, interactions) and functionality (download for offline viewing). Due to paucity of EL data in LICs, an introduction to Heart Failure pilot module was used to evaluate implementation.In phase 1, we evaluated usability among 7 experienced HF providers in Rwanda, Malawi, and Liberia. In phase 2, we assessed the ability of 19 novice providers in Rwanda to learn concepts using EL ( Figure 1) . Pre and posttests, post-course surveys, and semi-structured group interviews were used for evaluation. Results from phase 1 informed changes piloted in phase 2. Results: Providers from both phases improved test scores with a significant change among novices ( Figure 1 ). Figure 2 summarizes key findings identified in surveys and focus group analyses. Discussion: An EL module teaching basic HF concepts is feasible and shows early signs of effectiveness in rural LICs. EL training modules may benefit from interactive content, reliable internet, and a simple interface. EL may facilitate HF training for both novice and experienced providers through decentralized programs like the Package of Essential Noncommunicable Disease Plus (PEN-Plus).