Blended Learning Course for Tuberculosis Case Managers: effectiveness and satisfaction

<bold>Introduction:</bold> Training for tuberculosis case managers (TCM) in Taiwan includes both initial training (IT) and refresher training (RT) for experienced nurses. IT focuses on foundational knowledge and theory, while RT emphasizes practical skills. Before 2020, IT utilized traditional in-person lectures, transitioning to online instruction after COVID-19 pandemic. In 2023, RT introduced face-to-face group discussions with each group led by an experienced TCM. We investigate the acceptance and effectiveness of this blended learning approach. <bold>Methods:</bold> A retrospective study analyzed participants in the Taiwan TCM training from 2020 to 2023. The study compared the differences in pre- and post-test scores (gain scores) for IT participants and RT satisfaction levels between the two years. <bold>Results:</bold> Compared to the 2020 in-person training (n=476), online IT in 2023 (n=560) demonstrated a significant increase in gain scores (11.4±15.8 vs 17.1±16.2, p<0.001) and IT pass rate (88.7% vs 95.2%, p<0.001). Additionally, the ratio of individuals who initially failed the IT pre-test but subsequently passed the IT post-test (n=149 in 2020; n=188 in 2023) increased (71.8% vs. 86.7%, respectively). The proportion of participants being very satisfied with RT increased in 2023 (86.2% vs 93.0%, p=0.037). Notably, a total 119 (69.2%) out of 172 RT participants provided written feedback, with 32 (18.6%) emphasizing the importance and benefits of face-to-face discussions. <bold>Conclusion:</bold> The blended learning approach proves effective for the training of TCM. While online videos offer advantages for grasping fundamental knowledge and theory, face-to-face discussions remain essential for refining practical skills in case management.