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<Articles JournalTitle="Archives of Anesthesiology and Critical Care">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Archives of Anesthesiology and Critical Care</JournalTitle>
      <Issn>2423-5849</Issn>
      <Volume>0</Volume>
      <Issue>0</Issue>
      <PubDate PubStatus="epublish">
        <Year>2026</Year>
        <Month>01</Month>
        <Day>13</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Designing and Evaluating the Applicability of a Web-Based Training Program for Anesthesiology Staff and Students in Burn Patients</title>
    <FirstPage>1369</FirstPage>
    <LastPage>1369</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Parisa</FirstName>
        <LastName>Moradi Majd</LastName>
        <affiliation locale="en_US">Department of Anesthesia, Faculty of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mohammadreza</FirstName>
        <LastName>Mobayen</LastName>
        <affiliation locale="en_US">Burn and Regenerative Medicine Research Center, Department of General Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Siamak</FirstName>
        <LastName>Rimaz</LastName>
        <affiliation locale="en_US">Burn and Regenerative Medicine Research Center, Department of Anesthesiology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Jamileh</FirstName>
        <LastName>Abolghasemi</LastName>
        <affiliation locale="en_US">Department of Biostatistics, School of Health, Iran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Fatemeh</FirstName>
        <LastName>Mehdipour</LastName>
        <affiliation locale="en_US">Department of Anesthesia, Faculty of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2025</Year>
        <Month>08</Month>
        <Day>04</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2025</Year>
        <Month>08</Month>
        <Day>21</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Background: Burn patients present unique anesthetic challenges: massive fluid shifts, airway edema, and hypermetabolism that demand rapid, evidence-based management. Although web-based learning can deliver standardized, on-demand education, anesthesia technologists rarely have access to rigorously developed burn-specific resources. To design, implement, and evaluate the usability and short-term educational impact of a web-based burn-anesthesia program for practicing anesthesia technologists.
Methods: We conducted a four-phase mixed-methods study (September 2023 &#x2013; April 2025). Phase 1 mapped required content through a scoping review (2014&#x2013;2024) and a two-round Delphi survey of 15 experts. Phase 2 converted the validated content into a conceptual model and low-fidelity prototype, iteratively refined by two focus groups. Phase 3 produced the final application using a Python/Django back-end, a React front-end, and a PostgreSQL database. Phase 4 assessed real-world use over four weeks by 45 technologists at two Iranian teaching hospitals. Outcomes included the 27-item Questionnaire for User Interaction Satisfaction (QUIS; 0&#x2013;9) and 20-item pre/post knowledge tests, analyzed with paired t-tests (&#x3B1; = 0.05).
Results: Forty-eight learning objects spanning eight modules (airway, fluid therapy, analgesia, pharmacology, burn pathophysiology, monitoring, nutrition, and postoperative care) met Delphi validity thresholds. The mean overall QUIS was 7.12 &#xB1; 0.78 (&#x201C;good&#x201D;), with subdomain means of 7.25 (overall reaction), 7.09 (screen design), 7.07 (terminology), 7.18 (learnability), and 7.00 (system capabilities). Knowledge increased from 63.4 &#xB1; 9.2 to 83.1 &#xB1; 7.6 (&#x394; = 19.7 &#xB1; 8.5 points; t = 14.2; p &lt; 0.001; Cohen&#x2019;s d = 2.29). No serious technical issues arose; the median weekly log-ins per user was four.
Conclusion: A systematically developed, user-centered web curriculum produced high usability scores and substantial knowledge gains among anesthesia technologists. The model offers a scalable solution for closing critical educational gaps in burn anesthesia, particularly where formal training is limited. Future research should examine long-term retention, effects on clinical performance, and patient outcomes.</abstract>
    <web_url>https://aacc.tums.ac.ir/index.php/aacc/article/view/1369</web_url>
  </Article>
</Articles>
