Personal protective equipment doffing is a complex procedure that needs to be adequately performed to prevent health care worker contamination. During the COVID-19 pandemic, junior health care workers and students of different health care professions who had not been trained to carry out such procedures were often called upon to take care of infected patients. To limit direct contact, distance teaching interventions were used, but different trials found that their impact was rather limited. We therefore designed and carried out a randomized controlled trial assessing the impact of adding a face-to-face intervention using Peyton’s four-step approach to a gamified e-learning module. Sixty-five student paramedics participated in this study. The proportion of doffing sequences correctly performed was higher in the blended learning group (33.3% (95%CI 18.0 to 51.8) versus 9.7% (95%CI 2.0 to 25.8), p = 0.03). Moreover, knowledge and skill retention four to eight weeks after the teaching intervention were also higher in this group. Even though this study supports the use of a blended learning approach to teach doffing sequences, the low number of student paramedics able to adequately perform this procedure supports the need for iterative training sessions. Further studies should determine how often such sessions should be carried out.
【저자키워드】 Randomized controlled trial, Personal protective equipment, Student paramedics, electronic learning, prehospital, Infection prevention, blended learning, face-to-face learning, Peyton’s approach, 【초록키워드】 Trial, knowledge, equipment, COVID-19 pandemic, Intervention, Contamination, Health, Health care worker, Care, Protective, Contact, Support, 95%CI, infected patients, gamified e-learning module, complex, approach, Prevent, limit, performed, carried, proportion, eight, were used, determine, iterative, doffing, doffing sequence, face-to-face intervention, participated, 【제목키워드】 learning, Impact, Teaching, student, Controlled,