Health Informatics EducationHI-EDUNCT07690241
Health Informatics Education Effectiveness in Nepal
A study testing Health Informatics-471 Blended Course in people with Health Informatics Education, run by Axon Infotech Research Academy Pvt. Ltd. at 1 site in Nepal.
Trial summary
This study evaluates the effectiveness of a blended Health Informatics (HI) course (HI471) on knowledge retention and technology awareness among health science students in Nepal. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Health Informatics Education
- What is being tested?
- Health Informatics-471 Blended Course
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 34 participants
- Where
- 1 siteNepal
- Study dates
- 15 Apr 2026to 30 Jun 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Active enrollment in the 7th semester of the Bachelor of Public Health (BPH) program (intervention group) or the Bachelor of Pharmacy (B.Pharm) program (control group) at Madan Bhandari Academy of Health Sciences (MBAHS).
- Voluntary written informed consent obtained prior to any study procedure.
- Completion of both T1 (Week 1, baseline) and T2 (Week 15, post-intervention) assessments.
Who cannot join
- Withdrawal from the study before completion of all study procedures.
- Incomplete paired data (missing T1 or T2 assessment).
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Assessing the Comparative Effectiveness of Health Informatics Education: Knowledge Retention and Technological Awareness in Health Science Students
This study evaluates the effectiveness of a blended Health Informatics (HI) course (HI471) on knowledge retention and technology awareness among health science students in Nepal. Bachelor of Public Health (BPH) students (intervention group, n=17) received a 14-week HI471 course combining online, virtual, and in-person practical sessions. A control group of Bachelor of Pharmacy (B.Pharm) students (n=17) continued their standard curriculum without dedicated HI instruction. Both groups completed a validated 44-item knowledge assessment and an 11-item technology awareness survey at baseline (Week 1) and post-intervention (Week 15). The primary outcome was the between-group difference in knowledge gain scores. Results showed that BPH students significantly improved their total knowledge scores (median +31.5 points, r=0.879), while the B.Pharm control group showed no significant change. BPH students achieved 100% awareness of 9 out of 11 digital health tools at post-test. This study provides strong evidence that the HI471 blended course is highly effective in building informatics competencies in a low- and middle-income country (LMIC) academic setting. The study was retrospectively registered.
Read the detailed description
This controlled pre-test/post-test quasi-experimental study with a non-equivalent control group evaluated the effectiveness of the Health Informatics-471 (HI471) blended course at Madan Bhandari Academy of Health Sciences (MBAHS) in Nepal. The intervention group (G1) consisted of all 17 Bachelor of Public Health (BPH) students enrolled in the 7th semester, who received the HI471 course. The control group (G2) consisted of 17 Bachelor of Pharmacy (B.Pharm) 7th-semester students, randomly sampled from 29 eligible students, who received no dedicated HI instruction. The HI471 course integrated three blended modalities over 14 weeks: (i) online asynchronous LMS instruction (pre-recorded lectures, readings, quizzes), (ii) live synchronous Google Meet sessions, and (iii) in-person practical laboratory sessions covering EHR platforms, DHIS2, SPSS/R, and telemedicine interfaces. A validated 44-item Health Informatics Knowledge Assessment Tool (with weighted partial-credit scoring, maximum 100 points) and an 11-item binary technology awareness instrument were administered at T1 (Week 1, baseline) and T2 (Week 15, post-intervention). The primary outcome was the between-group difference in total knowledge gain scores (Δ = T2 - T1), analyzed using non-parametric statistics (Mann-Whitney U, Wilcoxon signed-rank, Friedman, McNemar) with bootstrap effect sizes. The study demonstrated large, significant knowledge gains in the intervention group (median +31.5 points, r=0.824, p<0.001) compared to the control group, with robust findings across three pre-specified sensitivity analyses. The intervention group achieved near-complete technology awareness (100% on 9 out of 11 tools). This research addresses the evidence gap for controlled educational evaluations in low- and middle-income country (LMIC) academic settings. The study protocol was approved by the MBAHS Institutional Review Committee (IRC-134-082-083), and all participants provided written informed consent. The study was conducted in compliance with the Declaration of Helsinki (revised 2013). The study was registered retrospectively.
- Conditions
- Health Informatics Education
- Being tested
- Health Informatics-471 Blended Course
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Health Informatics-471 Blended CourseOther
A 14-week blended educational course combining: (i) online asynchronous LMS instruction (pre-recorded lectures, readings, quizzes); (ii) live synchronous Google Meet sessions (2 hours, 3 days per week); and (iii) in-person practical laboratory sessions (4 hours per week) covering Electronic Health Records (EHR), DHIS2, SPSS/R, and telemedicine interfaces. No drug, device, biological product, or surgical procedure was involved. This is a purely educational/behavioral intervention delivered in an academic setting.
| Study group | Role | What they receive |
|---|---|---|
| BPH Intervention Group | Experimental | Bachelor of Public Health (BPH) 7th-semester students (n=17) who received the 14-week Health Informatics-471 (HI471) blended course, consisting of online asynchronous LMS instruction, live synchronous Google Meet sessions, and in-person practical laboratory work covering seven HI content domains. Receives: Other: Health Informatics-471 Blended Course |
| B.Pharm Control Group | No intervention | Bachelor of Pharmacy (B.Pharm) 7th-semester students (n=17) who continued their standard curriculum without any dedicated Health Informatics instruction. This group served as the non-equivalent control group. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Total Health Informatics Knowledge Score
Measured using the Health Informatics Knowledge Assessment Tool (HIKAT) - a validated 44-item multiple-select instrument with weighted partial-credit scoring. Scores range from 0 to 100 points, where higher scores indicate better health informatics knowledge. Administered to both groups at T1 (Week 1, pre-test) and T2 (Week 15, post-test). The primary causal contrast is the between-group difference in gain scores (Δ = T2 - T1), analyzed using Mann-Whitney U test with bootstrapped effect sizes.
Measured: Baseline (Week 1) to post-intervention (Week 15)
Secondary outcomes (1)
Domain-Specific Knowledge Gains Across Six HI Content Areas
Change in knowledge scores across six domain areas assessed using the Health Informatics Knowledge Assessment Tool (HIKAT): D1 General HI/Introduction to IT, D2 Operating Systems \& Software, D3 Public Health \& IT, D4 Database Management, D5+6 Data Analysis \& Coding, and D7 Telemedicine. Each domain score is expressed as a percentage of the domain maximum (minimum: 0%, maximum: 100%), where higher scores indicate greater domain-specific health informatics knowledge. Domain gains are analyzed using Friedman test with Kendall W and Holm-corrected post-hoc Wilcoxon signed-rank tests within the intervention group.
Measured: Baseline (Week 1) to post-intervention (Week 15)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jul 2026
- Study start15 Apr 2026
- Primary completion20 Jun 2026
- Study completion30 Jun 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Health Informatics EducationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- Two parallel groups: BPH intervention group and B.Pharm control group, assessed at baseline and post-intervention (15 weeks).
- Masking
- None (open label)
- Enrolment
- 34 participants (actual)
Sponsor and investigators
- Lead sponsor
- Axon Infotech Research Academy Pvt. Ltd.
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dip Bahadur Singh, Axon Infotech Research Academy Pvt. Ltd.
- Investigators
- Dip Bahadur Singh, Principal investigator, Axon Infotech Research Academy
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07690241
- Sponsor's protocol ID
- HI471-MBAHS-2026
- Other IDs
- IRC-134-082-083
- Acronym
- HI-EDU
- Status last verified
- Jul 2026
- First submitted
- 2 Jul 2026
- Last updated
- 8 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data (IPD) will not be shared because participants did not provide consent for their individual-level data to be shared with external researchers. Additionally, the small sample size (n=34) increases the risk of participant re-identification, even with de-identification. All aggregated, anonymized summary data are presented in the published manuscript and supplementary materials
Study at a glance
From the registry record, last updated by the sponsor on 8 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Assessing the Comparative Effectiveness of Health Informatics Education: Knowledge Retention and Technological Awareness in Health Science Students
- ClinicalTrials.gov ID
- NCT07690241
- Acronym / sponsor ID
- HI-EDU / HI471-MBAHS-2026
- Conditions
- Health Informatics Education
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 34 participants (actual)
- Lead sponsor
- Axon Infotech Research Academy Pvt. Ltd.University, hospital or other
- Study start
- 15 Apr 2026 (actual)
- Primary completion
- 20 Jun 2026 (actual)
- Study completion
- 30 Jun 2026 (actual)
- First posted
- 8 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study evaluates the effectiveness of a blended Health Informatics (HI) course (HI471) on knowledge retention and technology awareness among health science students in Nepal. Bachelor of Public Health (BPH) students (intervention group, n=17) received a 14-week HI471 course combining online, virtual, and in-person practical sessions. A control group of Bachelor of Pharmacy (B.Pharm) students (n=17) continued their standard curriculum without dedicated HI instruction. Both groups completed a validated 44-item knowledge assessment and an 11-item technology awareness survey at baseline (Week 1) and post-intervention (Week 15). The primary outcome was the between-group difference in knowledge gain scores. Results showed that BPH students significantly improved their total knowledge scores (median +31.5 points, r=0.879), while the B.Pharm control group showed no significant change. BPH students achieved 100% awareness of 9 out of 11 digital health tools at post-test. This study provides strong evidence that the HI471 blended course is highly effective in building informatics competencies in a low- and middle-income country (LMIC) academic setting. The study was retrospectively registered.
Detailed description
This controlled pre-test/post-test quasi-experimental study with a non-equivalent control group evaluated the effectiveness of the Health Informatics-471 (HI471) blended course at Madan Bhandari Academy of Health Sciences (MBAHS) in Nepal. The intervention group (G1) consisted of all 17 Bachelor of Public Health (BPH) students enrolled in the 7th semester, who received the HI471 course. The control group (G2) consisted of 17 Bachelor of Pharmacy (B.Pharm) 7th-semester students, randomly sampled from 29 eligible students, who received no dedicated HI instruction. The HI471 course integrated three blended modalities over 14 weeks: (i) online asynchronous LMS instruction (pre-recorded lectures, readings, quizzes), (ii) live synchronous Google Meet sessions, and (iii) in-person practical laboratory sessions covering EHR platforms, DHIS2, SPSS/R, and telemedicine interfaces. A validated 44-item Health Informatics Knowledge Assessment Tool (with weighted partial-credit scoring, maximum 100 points) and an 11-item binary technology awareness instrument were administered at T1 (Week 1, baseline) and T2 (Week 15, post-intervention). The primary outcome was the between-group difference in total knowledge gain scores (Δ = T2 - T1), analyzed using non-parametric statistics (Mann-Whitney U, Wilcoxon signed-rank, Friedman, McNemar) with bootstrap effect sizes. The study demonstrated large, significant knowledge gains in the intervention group (median +31.5 points, r=0.824, p<0.001) compared to the control group, with robust findings across three pre-specified sensitivity analyses. The intervention group achieved near-complete technology awareness (100% on 9 out of 11 tools). This research addresses the evidence gap for controlled educational evaluations in low- and middle-income country (LMIC) academic settings. The study protocol was approved by the MBAHS Institutional Review Committee (IRC-134-082-083), and all participants provided written informed consent. The study was conducted in compliance with the Declaration of Helsinki (revised 2013). The study was registered retrospectively.
Study design
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Two parallel groups: BPH intervention group and B.Pharm control group, assessed at baseline and post-intervention (15 weeks).
| Arm | Type | Receives |
|---|---|---|
| BPH Intervention Group | Experimental | Other: Health Informatics-471 Blended CourseBachelor of Public Health (BPH) 7th-semester students (n=17) who received the 14-week Health Informatics-471 (HI471) blended course, consisting of online asynchronous LMS instruction, live synchronous Google Meet sessions, and in-person practical laboratory work covering seven HI content domains. |
| B.Pharm Control Group | No intervention | –Bachelor of Pharmacy (B.Pharm) 7th-semester students (n=17) who continued their standard curriculum without any dedicated Health Informatics instruction. This group served as the non-equivalent control group. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Active enrollment in the 7th semester of the Bachelor of Public Health (BPH) program (intervention group) or the Bachelor of Pharmacy (B.Pharm) program (control group) at Madan Bhandari Academy of Health Sciences (MBAHS).
- Voluntary written informed consent obtained prior to any study procedure.
- Completion of both T1 (Week 1, baseline) and T2 (Week 15, post-intervention) assessments.
Key exclusion criteria (2 listed)
- Withdrawal from the study before completion of all study procedures.
- Incomplete paired data (missing T1 or T2 assessment).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Health Informatics-471 Blended CourseA 14-week blended educational course combining: (i) online asynchronous LMS instruction (pre-recorded lectures, readings, quizzes); (ii) live synchronous Google Meet sessions (2 hours, 3 days per week); and (iii) in-person practical laboratory sessions (4 hours per week) covering Electronic Health Records (EHR), DHIS2, SPSS/R, and telemedicine interfaces. No drug, device, biological product, or surgical procedure was involved. This is a purely educational/behavioral intervention delivered in an academic setting. | Other | BPH Intervention Group |
Primary outcome
Change in Total Health Informatics Knowledge Score
Time frame: Baseline (Week 1) to post-intervention (Week 15)
Measured using the Health Informatics Knowledge Assessment Tool (HIKAT) - a validated 44-item multiple-select instrument with weighted partial-credit scoring. Scores range from 0 to 100 points, where higher scores indicate better health informatics knowledge. Administered to both groups at T1 (Week 1, pre-test) and T2 (Week 15, post-test). The primary causal contrast is the between-group difference in gain scores (Δ = T2 - T1), analyzed using Mann-Whitney U test with bootstrapped effect sizes.
1 secondary outcome
Domain-Specific Knowledge Gains Across Six HI Content Areas
Time frame: Baseline (Week 1) to post-intervention (Week 15)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jul 2026.
- Individual participant dataSharing planned: No. Individual participant data (IPD) will not be shared because participants did not provide consent for their individual-level data to be shared with external researchers. Additionally, the small sample size (n=34) increases the risk of participant re-identification, even with de-identification. All aggregated, anonymized summary data are presented in the published manuscript and supplementary materials
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Dip Bahadur Singh principal investigator
Axon Infotech Research Academy
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Health Informatics-471 Blended Course in people with Health Informatics Education, run by Axon Infotech Research Academy Pvt. Ltd. at 1 site in Nepal.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 8 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Nepal. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Total Health Informatics Knowledge Score (time frame: Baseline (Week 1) to post-intervention (Week 15)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Jul 2026.