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Evaluation of the Training in Early Detection for Early Intervention (TEDEI) e-learning course using Kirkpatrick's method

Lookup NU author(s): Dr Jessica Blickwedel, Ashley Reynolds, Rachel Pearse, Janice Pearse, Dr Anna BasuORCiD



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


© 2023. The Author(s). BACKGROUND: Early intervention in cerebral palsy could improve motor outcome but is only possible following early identification of those affected. There is a need for training of healthcare professionals (HCPs) in early detection of atypical motor development. We developed a video-based e-learning course - Training in Early Detection for Early Intervention (TEDEI) - to address this need. We evaluated whether participation in the course improved knowledge and changed behaviour of HCPs. METHODS: Participants were 332 HCPs (38% physiotherapists, 35.8% occupational therapists), predominantly UK-based (83.7%). Analysis of training effects used mixed methods and followed Kirkpatrick's model, first assessing "Reaction" through a feedback questionnaire involving Likert scale and free text responses (n = 141). "Learning" was assessed through multiple choice questions (MCQs): all 332 HCPs completed a pre-course quiz of 6 MCQs followed by the course, then a 16 item post-course quiz including the 6 pre-course questions. "Behaviour" was assessed through in-depth qualitative interviewing of 23 participants. RESULTS: "Reaction": TEDEI was found to be effective, engaging and well structured. "Learning": Scores improved significantly between the pre-course and post-course quiz, median improvement 1/6 (z = 5.30, p < 0.001). HCPs also reported a perceived improvement in their knowledge, confidence and ability. "Behaviour": HCPs could see how TEDEI would improve their clinical practice through having an assessment framework, ways of working better with parents, and developing observational skills useful for tele-health assessments. CONCLUSION: Our brief e-learning course on early detection for early intervention was viewed positively, improved knowledge and showed potential for positive changes in practice. Kirkpatrick's model provided a useful framework for undertaking this evaluation.

Publication metadata

Author(s): Officer E, Johnson M, Blickwedel J, Reynolds A, Pearse R, Pearse J, Basu AP

Publication type: Article

Publication status: Published

Journal: BMC Medical Education

Year: 2023

Volume: 23

Issue: 1

Online publication date: 27/02/2023

Acceptance date: 17/02/2023

Date deposited: 13/03/2023

ISSN (electronic): 1472-6920

Publisher: BioMed Central Ltd


DOI: 10.1186/s12909-023-04113-7

PubMed id: 36842995


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Funder referenceFunder name
Great North Children’s Hospital (GNCH) Foundation
Ipsen fund
Tiny Lives Trust