InsuOnline, a Serious Game to Teach Insulin Therapy to Primary Care Physicians: Design of the Game and a Randomized Controlled Trial for Educational Validation

Physicians´ lack of knowledge contributes to underuse of insulin and poor glycemic control in adults with diabetes mellitus (DM). Traditional continuing medical education have limited efficacy, and new approaches are required. We report the design of a trial to assess the educational efficacy of Ins...

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Bibliographic Details
Published in:	JMIR research protocols Vol. 2; no. 1; p. e5
Main Authors:	Diehl, Leandro Arthur, Souza, Rodrigo Martins, Alves, Juliano Barbosa, Gordan, Pedro Alejandro, Esteves, Roberto Zonato, Jorge, Maria Lúcia Silva Germano, Coelho, Izabel Cristina Meister
Format:	Journal Article
Language:	English
Published:	Canada JMIR Publications 01-01-2013 JMIR Publications Inc
Subjects:	Clinical trials Computer & video games Computer Software Curricula Design Diabetes Doctors Educational software Efficacy Endocrinology Feedback Games Insulin Intervention Knowledge Medical education Medical personnel Medical Research Medical Schools Medical students Medicine Patients Pedagogy Personal computers Physicians Primary care Proposal Randomized controlled trials Teaching Trends Trials Usability Brazil Continuing Medical Education Medical Education Diabetes Mellitus Insulin Educational Technology Video Games
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Summary:	Physicians´ lack of knowledge contributes to underuse of insulin and poor glycemic control in adults with diabetes mellitus (DM). Traditional continuing medical education have limited efficacy, and new approaches are required. We report the design of a trial to assess the educational efficacy of InsuOnline, a game for education of primary care physicians (PCPs). The goal of InsuOnline was to improve appropriate initiation and adjustment of insulin for the treatment of DM. InsuOnline was designed to be educationally adequate, self-motivating, and attractive. A multidisciplinary team of endocrinologists, experts in medical education, and programmers, was assembled for the design and development of InsuOnline. Currently, we are conducting usability and playability tests, with PCPs and medical students playing the game on a desktop computer. Adjustments will be made based on these results. An unblinded randomized controlled trial with PCPs who work in the city of Londrina, Brazil, will be conducted to assess the educational validity of InsuOnline on the Web. In this trial, 64 PCPs will play InsuOnline, and 64 PCPs will undergo traditional instructional activities (lecture and group discussion). Knowledge on how to initiate and adjust insulin will be assessed by a Web-based multiple choice questionnaire, and attitudes regarding diabetes/insulin will be assessed by Diabetes Attitude Scale 3 at 3 time points-before, immediately after, and 6 months after the intervention. Subjects´ general impressions on the interventions will be assessed by a questionnaire. Software logs will be reviewed. To our knowledge, this is the first research with the aim of assessing the educational efficacy of a computer game for teaching PCPs about insulin therapy in DM. We describe the development criteria used for creating InsuOnline. Evaluation of the game using a randomized controlled trial design will be done in future studies. We demonstrated that the design and development of a game for PCPs education on insulin is possible with a multidisciplinary team. InsuOnline can be an attractive option for large-scale continuous medical education to help improving PCPs´ knowledge on insulin therapy and potentially improving DM patients´ care. Clinicaltrials.gov: NCT01759953; http://clinicaltrials.gov/show/NCT01759953 (Archived by WebCite at http://www.webcitation.org/6Dq8Vc7a6).
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1929-0748 1438-8871 1929-0748
DOI:	10.2196/resprot.2431