The Use of eLearning to Enhance Access to Preventative - PowerPoint PPT Presentation

The Use of eLearning to Enhance Access to Preventative Musculoskeletal Health Education for Individuals Involved in Agricultural Work Emily Bogen, SPT, ATC, Jackson Faught, SPT, Santiago Patiño, SPT, Grace Pulsifer, SPT, and Maggie Stewart, SPT Faculty Advisor: John Carzoli, PT, DPT, OCS

Project Funding Funding for much of this project was provided by a grant made possible by: Southeast Center for Agricultural ● Health and Injury Prevention (SCAHIP) at University of Kentucky National Institute for Occupational ● Safety and Health (NIOSH) Centers for Disease Control and ● Prevention (CDC) https://www.cdc.gov/niosh/enews/enewsv16n http://nasdonline.org/6862/o000129/southeast-center-for http://nasdonline.org/browse/437/southeast-center-for- https://www.cdc.gov/niosh/enews/enewsv16n8.html 8.html -agricultural-health-and-injury-prevention-scahip.html agricultural-health-and-injury-prevention-scahip.html

Background Migrant and seasonal agricultural workers (MSAW) are ● individuals who either move from place to place to work as seasons change or temporarily work during a specific season but have a permanent residence MSAW ofuen leave their families behind or travel with their ○ families from site to site for work and financial opportunities Farm work is consistently ranked among the most dangerous ● occupations in the United States 1 They are at increased risk for developing musculoskeletal (MSK) ○ symptoms and injuries due to repetitive, physically demanding tasks 2-4

MSAW Demographics 5 Barriers to Access 6 More than 3 million live in the U.S. ● Limited financial resources ● 72% of all farm workers are foreign ● and health insurance born Limited English language ● 70% cannot speak English well ● proficiency Average level of completed ● Low general literacy and ● education is 8th grade health literacy levels 23% have total family incomes ● Limited transportation ● below the U.S. poverty level Extensive work hours ● (family of 4 - $24,600) 5-8% covered by ● employer-provided health insurance

Levels of Agricultural Healthcare and Health Education MCN NCFHP Migrant Clinicians Network North Carolina Vecinos Farmworker CHW Health Program Community Only 29% of MSAW in western Health MSAW NC receive occupational Workers training for MSK injury risk reduction! 7

Identification of Face-to-Face (FtF) Efficacy of FtF MSAW MSK education for CHWs on education among conditions; incidence MSK conditions and MSAW regarding and prevalence based prevention in agriculture MSK conditions on MSK survey and screen 2012- 2015 2016 2014 2017 2018 2019 Reassessment of Evidence-based Hybrid learning of dissemination video series video-based strategies to developed for CHWs education for increase access to delivered by NCFHP MSAW FtF educational website materials

Educational Materials English video for CHW: 2016-2017 8 ● Piloted evidence-based video series with 30 participants ○ Results: positive knowledge retention and perceptions of learning ○ with video-based format Spanish video for MSAW: 2017-2018 9 ● Development of evidence-based video (per NCFHP request) using ○ hybrid delivery method among 28 participants Results: positive knowledge retention and perceptions of learning ○ and mode of delivery

Community-engaged Research question: assessment with Literature review on Can eLearning be multiple stakeholders eLearning in various used to effectively involved in MSAW populations disseminate health health education resources? 2018- 2019 Grant application Dissemination of LMS research → resulted in funding materials via Moodle; website & for use of Learning various local, state, course instructional Management and national design development Systems (LMS) partnerships

Aims of Current Project 1. To improve access to educational materials related to MSK injury risk reduction associated with agricultural work via electronic learning (eLearning) series 2. Assess the eLearning series on the following factors: Learning outcomes ○ Perceptions of content and delivery ○ mode

eLearning eLearning is the integration of electronic technology, including media ● and devices, in the delivery of education 10 May include both synchronous (FtF or remote) and asynchronous ○ strategies May be an effective method for wide dissemination of education to ● individuals involved in agricultural work 10-12 Easily accessible ○ High value (outcomes/cost of delivery) 10 ○

Literature Review Majority of research on eLearning has been conducted in higher ● education settings Evidence of eLearning being at least as effective as ○ traditional FtF education 10-12 May be a convenient and cost-effective strategy for ○ delivering health education 11

Literature Review Limited research available regarding efficacy of health ● education via eLearning in lay populations Video-based vs pamphlet-based delivery resulted in: 13 ○ Higher improvements in knowledge retention ■ Greater adherence to positive health habits ■ eLearning used with in both average and lower literacy ○ populations resulted in positive perceptions of learning and mode of delivery 13,14

Targeted Populations

English Series Topics 1. Introduction to Musculoskeletal Health in Agricultural Workers 2. Physical Risk Factors in Agricultural Work 3. Protective Factors: Strategies to Reduce Risk 4. Screening and Basic First Aid 5. Review

Spanish Series Topics Topics ● Physical risk factors for musculoskeletal conditions ○ Optimal movement and work task performance ○ Personal preventative measures and self-care ○ Culturally and linguistically appropriate and relevant ● Narrated by native Spanish speaker ○ Emphasis on importance of peer-to-peer learning ○ Addition of humor to enhance learner engagement ○

Learning Management System (LMS) Medium for delivering our resources while simultaneously tracking ● access, usage, and other learning analytics Extensive process for choosing an LMS for dissemination and ● sustainability Receival of grant → Moodle (an open-source LMS) ● Contracted eLearning Experts (Moodle partner) to assist with ● webpage and courses design in LMS Videos hosted in Panopto to track participant usage data ●

https://farmworker.expertlearning.net/

Plan for Dissemination Compilation of local, state, and national partners ● Networking for assistance with distribution of materials ● Migrant Clinicians Network (national), North Carolina ○ Farmworker Health Program, NC Agromedicine Institute, Vecinos Participant recruitment via above networking, email list, marketing ● Partnership with WCU Marketing team ○ Facebook targeting ■ Email with attached flyer ■

Data Collection Plans Primary analyses: ● Learning Outcomes ○ Knowledge retention ■ Changes in confidence & self-efficacy ■ Access ○ # of course participants ■ Completion rate ■ Participant Perceptions ○ Course content ■ Mode of delivery ■

Future Research Optimal combinations of ● synchronous and asynchronous delivery for learning and participation outcomes Iterations afuer improvements to ● content/delivery based on outcome data & stakeholder feedback https://i.pinimg.com/originals/92/9b/27/929b27200bc926a0e6c7728a865f855a.jpg

Acknowledgments Previous WCU DPT Classes and The Migrant Clinicians Network Project Advisors North Carolina Farmworker Vecinos Health Program HHS IT Services North Carolina Agromedicine Institute WCU Marketing & Creative Writing Department Dr. John Carzoli, PT, DPT, OCS