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Increasingly, computer-assisted learning is becoming an educational method of choice. This study compared the effectiveness of in-class versus Internet-based training in achieving reliability when administering a developmental screening test, the Alberta Infant Motor Scale. Forty-eight early childhood professionals, including physical therapists, occupational therapists, nurses, and infant development consultants, took part in the study. Participants in this convenience sample were each assigned to one of the two learning groups. We assessed interrater reliability and participants' satisfaction with training method. Disciplines were equally distributed within the two groups, but geographical locations differed significantly. There was no difference in intraclass correlation coefficients for interrater reliability between the two groups. Although there was no difference in overall satisfaction with the quality of the courses, significant differences were found in the trainees' satisfaction with certain aspects of the courses. Although several study limitations existed, Internet-based training provides a feasible option for training practitioners to reliably use developmental screening tests such as the Alberta Infant Motor Scale. J Allied Health 2009; 38:100-105.
MANY METHODS exist for training health care professionals to reliably administer developmental tests, with computer-assisted instruction becoming more prevalent. Benefits of this training mode include increased flexibility, self-paced learning, one-on-one instruction, decreased teaching time, and enhanced accessibility.1'3 In a geographically large country such as Canada, in which pediatrie practitioners may live far from major training sites, accessibility to training is key. Early childhood professionals in rural areas often have difficulty accessing such opportunities due to travel costs to major centers where courses are held, as well as a lack of colleagues to cover their services during these absences. Busy lifestyles may also deter access to special training opportunities, even when locally available.
One method of computer-assisted training involves an Internet-based platform using written text, photographs, video clips, and graphics to enable interactive engagement with conceptual material and skill development. Advantages of computer-assisted courses include accessing the course from any geographical location and self-paced learning. Disadvantages include the need for and cost of technology and Internet access, lack of in-class peer interactions, and delayed response to learner questions.1 Advantages of an Internet-based course (as used in this study) over other non-Internet computerized methods (such as a CD-ROM course) include access to an expert "moderator" through e-mail, access to external...