Table 1 Main topics in the blended learning module
Topic | Intervention element | Educational component | Educational level |
|---|---|---|---|
Otoscopy, including abnormal tympanic membrane appearances (AOM, OME) | Online training module (both intervention and control) | Case-based learning Self-assessment with immediate feedback (MC) | Knowledge Skills |
Prevalence and natural course of earache due to AOM | Online training module | Case-based learning Self-assessment with immediate feedback (MC) | Knowledge |
(Limited) effect of antibiotics on AOM symptoms, including earache | Online training module | Case-based learning Self-assessment with immediate feedback (MC) | Knowledge |
Safety and adverse effects of paracetamol and ibuprofen | Online training module | Case-based learning Self-assessment with immediate feedback (MC) | Knowledge |
Parents’ beliefs, concerns, and expectations relating to (earache due to) AOM and analgesics use | Online training module Face-to-face training | Case-based learning Open questions | Knowledge |
GP barriers to prescribe paracetamol and/or ibuprofen | Online training module Face-to-face training | Open questions | Knowledge Attitude |
Dosing and timing of analgesics according to the 2007 “Pain Relief” guideline [24] (and subsequent 2014 “AOM in children” guideline [1]) | Online training module Face-to-face training Information leaflet | Case-based learning Self-assessment with immediate feedback (MC) | Knowledge Skills |
How to use effective communication skills to address pain management in a consultation | Online training module | Video demonstration | Skills |
Use the three communication elements of an effective consultation [13, 21]: • explore beliefs, concerns and expectations of parents regarding the use of analgesia • stress the importance of analgesic treatment during the consultations and agree with the parents on pain management • check parents’ understanding | Online training module | Video demonstration | Behaviour Attitude |
Use a parent information leaflet during the consultation | Face-to-face training Information leaflet | Lecture/presentation | Behaviour Attitude |
Prescribe paracetamol and ibuprofen | Face-to-face training Information leaflet | Lecture/presentation | Behaviour Attitude |