CBK-learning: new technologies for the health education of prospective and new parents.

Author(s) Christian Oberlé1, Stéphanie Blaise2,
Affiliation(s) 1Management Department, Clinique Bohler, Luxembourg, Luxembourg, 2Management Department, Clinique Bohler, Luxembourg, Luxembourg, 3
Country - ies of focus Belgium,Germany,Luxembourg,Mali
Relevant to the conference tracks Innovation and Technologies
Summary Health education and coaching represents 75% of the support given to birthing mothers during their hospital stays. The important need for information and support before and after the birth of their child convinced Clinique Bohler to invest in the development of an e-Learning platform, adapted to the lifestyles of young parents. Cbk-learning is an innovative concept in the field of women’s health education and prevention. Incorporating new multimedia technologies into health education can facilitate access to quality information tailored to the needs of the patients and help maintain remote contact with them. It is an educational tool that has a great resource sharing and co-development potential.
What challenges does your project address and why is it of importance? 1.Establish early contact with the patient base.
In Luxembourg, the future mother has the first contact with the staff of the Clinic around the 6th month of pregnancy when attending prenatal workshops. To better inform and support prospective parents throughout the pre natal period we need to make contact with them at an earlier stage.
2.Develop communication channels and innovative training
Patients are increasingly turning to the internet to find answers to their questions about health. It is important to be kept up with our patients’ lifestyles and listen to their evolving expectations.
3.Be accessible to current customers whatever their geographic distance to the Clinic
The distance between home/work and the maternity centre can be a significant barrier for the future mother in attending prenatal workshops.
4.Provide consistent information and quality education before, throughout and after the patient's hospital stay.
Health information found on the internet is not necessarily reliable. As a hospital we have the expertise to provide reliable information to future parents.
5.Anticipate patient questions, needs and concerns
The birth of a child is a major event: it requires special attention because prospective and new parents are particularly sensitive and they need responses and attention.
How have you addressed these challenges? Do you see a solution? Solutions according to challenges:1. Establish early contact with the patient base.
In the early stages of the pregnancy patients are invited by the medical secretaries to preregister for cbk-learning. It is a very simple process.2. Develop communication channels and innovative training.
The use of new multimedia technologies can enhance and facilitate access to quality information tailored to the specific needs of the patient base and help maintain remote contact with them.It is a new concept for educating and supporting pregnant women and facilitates access to information (remote exchanges).

The platform now embeds social media networks as well (interactive sessions accessible to facebook fans, possibility to share contents). It is very much in sync with the habits of younger generations who need to be connected to a community based on their particular situation or interests.

3. Be accessible to current customers whatever their geographic distance to the Clinic is.
E-learning is a solution to create the contact with these patients and offer them access to essential information and even remote access to prenatal workshops.

4. Provide consistent information and quality education before, throughout and after the patient's hospital stay.
The patients’ need for consistent and reliable information was the source of the creation of the e-learning website. The content of the platform is validated by a Committee composed of midwives, staff, management, social adviser, nurses, pediatrics, and gynaecologists.

5. Anticipate patients questions, needs and concerns.
The e-learning site is built around the main questions and concerns expressed by the parents.
We gathered an inventory of the most frequently asked questions in prenatal classes and consults, analysed them and relied on evidence-based nursing to build the contents of the e-learning website.

The e-Learning platform developed by Clinique Bohler is:

• A unique platform for preventive healthcare and health education of women and an effective support tool for future parents through new multimedia technologies.
• A library of learning tools (educational videos, quiz, animations) in gynaecology and obstetrics.
• An internet-based broadcasting tool of live interactive sessions given by the nursing staff which allows patients to actively participate in the classes from home or during their hospital stay.
• An innovative way to ensure ongoing consistent training for the nursing staff.

How do you know whether you have made a difference? The key figures for 2012, be it the number of visits, the average time spent on the site per visitor, or the geographical origin of the visits, illustrate the relevance of this e-learning initiative
• Nearly half of the patients who gave birth at the Clinic Bohler in 2012 (2680 births) were registered on the e-learning site. The number of registration increased in 2013
• The presence of patients online for the interactive classes is constantly increasing, as is the number of patients physically present in the rooms.
• A visitor remains on average about 7 minutes on the website, which is way above the average of traditional websites.
• Other key figures (2012): 7048 Views, 3483 Unique Visitors, 47721 Page viewsThe qualitative feedback we get from our patients and the more targeted questions they raise when they come to the Clinic for the birth of their child also go a long way to validate the benefits in the area of health education of this new approach we’ve developed with our e-learning solution.
Have you or the project mobilized others and if so, who, why and how? We have implemented a series of targeted partnerships to ensure the viability, the sustainability and the successful deployment of the platform.
• Educational partnership with a Nursing school
The Clinic has achieved a close partnership with Henallux(midwifery/nursing School) for the development of pedagogical tools.The school can use cbk-learning platform for its health education courses and in return, students and teachers from the school participate in the development of the cbk-learning contents.
• Partnerships with selected clinics/hospitals
The development of professional quality content for the website is consuming both financially and in terms of human resources for a single hospital. Sharing of complementary knowledge and resources with other clinics seemed the best way to ensure the future of the platform.The idea was also to choose partners who could help making the platform multilingual, and especially in the languages spoken in Luxembourg (German, Portuguese, English).
Current status of partnerships:
• Germany is already covered by a partnership with Frauenklinik Dr Geisenhofer (Munich).
• Portugal will soon be covered with a partnership with a University Hospital from Coimbra.
• Belgium is already covered with a partnership with Clinique Saint-Vincent.
• We hope to achieve a partnership that will cover the needs of English speaking patients.
Another objective in engaging in partnerships with other hospitals would be to open the opportunity for the platform to broaden its scope to areas other than obstetrics.
• Partnerships for Corporate Social Responsibility
CBK-learning is an educational tool that can potentially be deployed in areas of the world where prenatal care and women’s health education are major public health issues. The idea is to replicate a concept that was already successfully tested in Europe, while adapting it to local contexts, needs and means as an addition to local programs. This can be done with partners with a good local knowledge and a solid regional implementation. From that perspective, we entered in a joint-project in Mali with the Fondation Raoul Follereau. The objectives are to capitalize on the contents of the existing e-learning platform to create videos and technical recommendations on various formats that local healthcare professionals can use to reinforce the training of local health personnel in the fields of obstetrics and early childhood, and increase the number of pregnant women attending prenatal consults
When your donor funding runs out how will your idea continue to live? Our project will continue to live through:- Partnerships based on co-creating contents and resources and sharing the cost of maintaining and developing the platform
- Generating revenues by developing a client-base of hospitals and healthcare professionals who wish to give their patients access to the e-learning platform and will pay a registration fee to the platform, thus financing in part the development of the new contents and the operating costs.
- European or country specific subsidies are likely to be allowed to this initiative, as the platform contributes to public health objectives and promotes European collaboration in the health sector.

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