The goal of this web-based randomized clinical trial is to evaluate whether an e-learning training program improves the accuracy of National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) assessments among practicing paramedics in French-speaking Switzerland who have not previously received formal training in these scales. The main questions it aims to answer are: * Does e-learning training improve performance on a standardized NIHSS assessment quiz compared with no prior training? * Does e-learning training improve the accuracy of mRS assessment using case-based clinical vignettes compared with no prior training? Researchers will compare paramedics who complete the NIHSS and mRS e-learning modules before assessment (intervention group) with paramedics who complete the assessments without prior training (control group) to determine whether e-learning training leads to higher assessment performance scores. Participants will: * Provide electronic informed consent via a secure web-based platform * Be randomly assigned to either the intervention group or the control group * Complete either the e-learning modules before assessment or the assessments before training, depending on group allocation * Complete an online NIHSS quiz and mRS case-based vignettes * Receive access to the NIHSS and mRS e-learning modules by the end of the study
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
120
Educational intervention by the mean of an e-learning modules (NIHSS and mRS).
Genève TEAM Ambulances
Geneva, Canton of Geneva, Switzerland
Performance on a NIHSS 50-item quiz
The primary outcome will be the performance on a NIHSS 50-item quiz consisting in 3 full assessments of a patient (3x15 items) plus 5 general questions (each question scores 1 point if correct, maximum total of 50 points).
Time frame: From enrollment to the end of the study path in a timeframe of maximum 4 weeks.
Performance of mRS assessment
The secondary outcome will be the performance of mRS assessment of about 10 newly developed case-based vignettes (each question scores 1 point if correct, maximum total of 10 points).
Time frame: From enrollment to the end of the study path in a timeframe of maximum 4 weeks.
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