Pilot testing distance-based training products among Central American FETP trainees

The Centers for Disease Control and Prevention (CDC) Central American Field Epidemiology Training Program (CA-FETP) is an established, classroom-based active learning curriculum for national public health officials culminating in the award of a master's degree. Trainees travel from their home countries to Guatemala City 6 times during the 2-year program for 1-3 week classes. Time off from regular duties, travel costs, and public health emergencies can make attendance a hardship. Distance-based learning is a strategy for overcoming these barriers. The North Carolina Center for Public Health Preparedness in the NC Institute for Public Health at the UNC Gillings School of Global Public Health collaborated with the CA-FETP to pilot e-learning among current trainees to assess acceptability and perceived usefulness of this delivery method. We conducted a baseline assessment of access to computers and the Internet and then developed 3 tutorial-style trainings using a suite of rapid e-learning development tools. Training features included interactive, clickable content; quizzes and assessments with feedback tailored to individuals' responses; and downloadable reference guides. Eighteen trainees from 5 Central American countries individually completed pilot trainings in the classroom setting. The pilot was evaluated through observation and participant questionnaires. The 3 tutorials received overall average ratings for usefulness, ease of use, and content-related criteria of 3.63, 3.72, and 3.76 out of 5. Trainees enjoyed the trainings but requested specific improvements in navigation. While we found it useful for delivering instruction, the aspect that the trainees appreciated most was the ability to practice using epidemiologic and statistical tools.