The Educational ARDS Diagnosis Study

Study Overview
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Brief Summary
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Without rigorous, high-quality training materials, the results of the LUNG-SAFE study examining the global incidence and outcomes of severe lung failure (acute respiratory distress syndrome [ARDS]) could be confused by either under-recognition of patients with, or misclassification of patients without, ARDS. This problem has been previously identified with the use of the prior ARDS definitions, particularly in patients with milder severity of illness. Importantly, the chest x-ray criteria in the ARDS definition has demonstrated only moderate reliability when applied by experts, although this can be improved through the use of training radiographs (as will be used in this educational module). The investigators hypothesize that the training from the educational module will allow more accurate diagnosis of ARDS by data collectors/study coordinators participating in the LUNG-SAFE study.

Detailed Description
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In this LUNG-SAFE sub-study, the investigators will evaluate the effect of a brief online educational module on correctly identifying patients (i.e., standardized cases) with ARDS according to the Berlin Definition. The investigators hypothesize that the training from the educational module will allow more accurate diagnosis of ARDS according to the Berlin Definition by participating data collectors/study coordinators. Data collectors and study coordinators from ICUs participating in LUNG-SAFE would be randomized (by simple random number generator) to one of the following online educational streams: Educational module completion followed by evaluation Evaluation followed by educational module completion Limited demographic data will be collected from the respondents, along with their responses to the 15 multiple choice test questions. Time spent viewing the educational module will also be collected.

Official Title
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Randomized Educational ARDS Diagnosis Study (READS)

Conditions
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ARDS

Intervention / Treatment
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* Other: Online Educational Module
* Other: Evaluation First (Placebo)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Study coordinators/data collectors for the LUNG-SAFE study Exclusion Criteria: No informed consent to participate
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Educational Module First<br>Respondents will complete the online educational module first, followed by the evaluation | Other: Online Educational Module<br>* A descriptive video detailing the diagnosis of ARDS according to the Berlin Definition, along with online educational materials available for review.<br>|
| Placebo Comparator: Evaluation First<br>Respondents will complete the the evaluation first, followed by the online educational module | Other: Evaluation First (Placebo)<br>* The respondents will view the descriptive video detailing the diagnosis of ARDS according to the Berlin Definition, along with online educational materials available for review only after they have completed the evaluation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ARDS Diagnosis | The number of correct responses to the evaluation component (15 multiple choice questions) of the educational module (in aggregate). | up to 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ARDS Diagnosis | Number of correct responses to the evaluation component of the educational modules, separated by question type (vignettes vs. chest x-rays) | up to 4 weeks | 
| Time | Amount of time spent completing the educational module | up to 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chest radiographs, Vignettes, Online educational video, ARDS