Background

Pretravel consultation involves a face-to-face visit with a Travel Medicine expert and includes time consuming educating/counseling. Efficacy of electronic consultations for pretravel is unknown. We compared pretravel education via face-to-face consult to an electronic consultations combined with education via Video Supported PowerPoint for select travelers.

Methods

We conducted a prospective trial comparing pre-travel education via electronic consultations versus face-to-face consult. Study was conducted from May 2014 through May 2015.

Results

Pretravel surveys were completed by 100 in electronic consult arm and 94 in face-to-face consult arm; 67/100 (67%) in the electronic consult and 51/94 (54.2%) in the face-to-face group completed post-travel surveys. Both groups had similar baseline demographics. 36.2% of the face-to-face group felt the trip preparation could have effectively been accomplished through electronic consult, while 33% felt that a face-to-face consult was needed; in contrast, a majority (63.3%) of electronic consult group preferred the electronic consult. Pre-travel education effectiveness was similar in both groups. No statistically significant differences in responses were noted in both groups to 5 of the 6 knowledge assessment questions. A higher proportion (76/100; 76%) in the electronic consult group compared to 55.4% (51/94) (p = 0.0018) in face-to-face group chose the correct response regarding management of febrile bloody diarrhea. 53% reported behavior change to prevent travel related illnesses, with no statistically significant differences between the groups.

Conclusions

electronic consultation with Video Supported PowerPoint pre-travel education is as effective as education via face-to-face consultations and provides a viable alternative to face-to-face consultations in select travelers.

中文翻译：

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使用视频支持的PowerPoint进行电子咨询与诊所面对面的旅行前咨询：单中心比较分析

背景

旅行前咨询包括与旅行医学专家面对面访问，其中包括耗时的教育/咨询。电子咨询对旅行前的功效尚不清楚。我们将通过面对面咨询与电子咨询相结合的旅行前教育与通过视频支持PowerPoint进行的针对特定旅行者的教育进行了比较。

方法

我们进行了一项前瞻性试验，比较了通过电子咨询与面对面咨询进行的旅行前教育。研究于2014年5月至2015年5月进行。

结果

旅行前调查由100个电子咨询部门和94个面对面咨询部门完成；电子咨询中的67/100（67％）和面对面组中的51/94（54.2％）完成了旅行后调查。两组的基本人口统计数据相似。36.2％的面对面小组认为可以通过电子咨询有效地完成旅行准备，而33％的人认为需要面对面咨询；相比之下，大多数（63.3％）的电子咨询小组更喜欢电子咨询。两组的旅行前教育效果相似。两组中对6个知识评估问题中的5个问题的回答都没有统计学上的显着差异。电子咨询小组中的比例（76/100; 76％）高于55.4％（51/94）（p = 0。0018）在面对面的小组中选择了有关处理高热性血性腹泻的正确方法。53％的人报告说行为改变是为了预防与旅行有关的疾病，两组之间在统计学上没有显着差异。

结论

具有视频支持的PowerPoint旅行前教育的电子咨询与通过面对面咨询的教育一样有效，并且为某些旅行者提供了面对面咨询的可行替代方案。