Abstract：
Cytomegalovirus (CMV) is a preventable cause of neurodevelopmental disability. Australian guidelines recommend that pregnant women are informed about CMV to reduce their risk of infection; however, less than 10% of maternity health professionals routinely provide prevention advice. The aim was to develop and evaluate the effectiveness of an eLearning course for midwives to improve knowledge and confidence about CMV.
Participants undertaking the course between March and November 2020 were invited to complete an evaluation questionnaire: before the course (T1), immediately after (T2) and three months post completion (T3). A linear mixed model was used to evaluate change in participant scores; P < 0.05 was considered statistically significant.
Midwives (316/363, 87%), midwifery students (29/363, 8%) and nurses (18/363, 5%) participated. At T1 80% indicated they had not received education about CMV. Total adjusted mean scores for questionnaires completed between T1 (n = 363) and T2 (n = 238) increased significantly (from 17.2 to 22.8, P < 0.001). Limited available T3 scores (n = 27) (-1.7, P < 0.001), while lower than T2, remained higher than at T1 (+3.6, P < 0.001). Participants\' awareness of CMV information resources improved from 10 to 97% from T1 to T2. Confidence in providing CMV advice increased from 6 to 95% between T1 and T2 (P < 0.001) and was maintained at T3. Almost all (99%) participants indicated they would recommend the course to colleagues.
Participants who completed the eLearning course had significantly improved knowledge and confidence in providing advice about CMV. Programs targeting other maternity health professionals should be considered, to further support the implementation of the congenital CMV prevention guidelines.
Participants undertaking the course between March and November 2020 were invited to complete an evaluation questionnaire: before the course (T1), immediately after (T2) and three months post completion (T3). A linear mixed model was used to evaluate change in participant scores; P < 0.05 was considered statistically significant.
Midwives (316/363, 87%), midwifery students (29/363, 8%) and nurses (18/363, 5%) participated. At T1 80% indicated they had not received education about CMV. Total adjusted mean scores for questionnaires completed between T1 (n = 363) and T2 (n = 238) increased significantly (from 17.2 to 22.8, P < 0.001). Limited available T3 scores (n = 27) (-1.7, P < 0.001), while lower than T2, remained higher than at T1 (+3.6, P < 0.001). Participants\' awareness of CMV information resources improved from 10 to 97% from T1 to T2. Confidence in providing CMV advice increased from 6 to 95% between T1 and T2 (P < 0.001) and was maintained at T3. Almost all (99%) participants indicated they would recommend the course to colleagues.
Participants who completed the eLearning course had significantly improved knowledge and confidence in providing advice about CMV. Programs targeting other maternity health professionals should be considered, to further support the implementation of the congenital CMV prevention guidelines.
摘要：
巨细胞病毒（CMV）是神经发育障碍的可预防原因。澳大利亚指南建议孕妇了解CMV，以降低感染风险;然而，不到10%的产妇保健专业人员经常提供预防建议。目的是开发和评估助产士在线学习课程的有效性，以提高对CMV的知识和信心。
在2020年3月至11月期间参加该课程的参与者被邀请填写一份评估问卷：课程之前（T1），完成后（T2）和三个月后（T3）。使用线性混合模型来评估参与者得分的变化；P<0.05被认为具有统计学意义。
助产士（316/363，87%），助产学生（29/363，8％）和护士（18/363，5％）参加。在T1时，80％的人表示他们没有接受过CMV的教育。在T1（n=363）和T2（n=238）之间完成的问卷的总调整平均得分显着增加（从17.2增加到22.8，P<0.001）。T3评分有限（n=27）（-1.7，P<0.001），低于T2时，仍高于T1时（+3.6，P<0.001）。从T1到T2，参与者对CMV信息资源的认知度从10％提高到97％。在T1和T2之间，提供CMV建议的信心从6％增加到95％（P<0.001），并维持在T3。几乎所有（99％）的参与者都表示他们会向同事推荐该课程。
完成在线学习课程的参与者在提供CMV建议方面的知识和信心得到了显着提高。应考虑针对其他产妇保健专业人员的计划，进一步支持先天性CMV预防指南的实施。
在2020年3月至11月期间参加该课程的参与者被邀请填写一份评估问卷：课程之前（T1），完成后（T2）和三个月后（T3）。使用线性混合模型来评估参与者得分的变化；P<0.05被认为具有统计学意义。
助产士（316/363，87%），助产学生（29/363，8％）和护士（18/363，5％）参加。在T1时，80％的人表示他们没有接受过CMV的教育。在T1（n=363）和T2（n=238）之间完成的问卷的总调整平均得分显着增加（从17.2增加到22.8，P<0.001）。T3评分有限（n=27）（-1.7，P<0.001），低于T2时，仍高于T1时（+3.6，P<0.001）。从T1到T2，参与者对CMV信息资源的认知度从10％提高到97％。在T1和T2之间，提供CMV建议的信心从6％增加到95％（P<0.001），并维持在T3。几乎所有（99％）的参与者都表示他们会向同事推荐该课程。
完成在线学习课程的参与者在提供CMV建议方面的知识和信心得到了显着提高。应考虑针对其他产妇保健专业人员的计划，进一步支持先天性CMV预防指南的实施。
