Just enough, but not too much interactivity leads to better clinical skills performance after a computer assisted learning module.

Background: Well-designed computer-assisted instruction (CAI) can potentially transform medical education. Yet little is known about whether specific design features such as direct manipulation of the content yield meaningful gains in clinical learning. We designed three versions of a multimedia mod...

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Publicado en:Medical Teacher Vol. 34; no. 10; pp. 833 - 840
Autores principales: Kalet, Al., Song, H.S., Sarpel, U., Schwartz, R., Brenner, J., Ark, T.K., Plass, J.
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2012
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      pub: Taylor & Francis Ltd
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        10.3109/0142159X.2012.706727
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        atl: Just enough, but not too much interactivity leads to better clinical skills performance after a computer assisted learning module.
      aug:
        au:
          Kalet, Al.
          Song, H.S.
          Sarpel, U.
          Schwartz, R.
          Brenner, J.
          Ark, T.K.
          Plass, J.
        affil: New York University School of Medicine, USA
      sug:
        subj:
          Education, Medical
          Learning Methods
          Computer-Assisted Instruction
          Student Performance Appraisal
          Human
          Pretest-Posttest Design
          Student Knowledge
          Outcomes of Education
          Coefficient alpha
          Summated Rating Scaling
          Questionnaires
          User-Computer Interface
          Data Analysis Software
          Analysis of Covariance
          One-Way Analysis of Variance
          Post Hoc Analysis
          Confidence Intervals
          Odds Ratio
          Descriptive Statistics
          Funding Source
      ab: Background: Well-designed computer-assisted instruction (CAI) can potentially transform medical education. Yet little is known about whether specific design features such as direct manipulation of the content yield meaningful gains in clinical learning. We designed three versions of a multimedia module on the abdominal exam incorporating different types of interactivity. Methods: As part of their physical diagnosis course, 162 second-year medical students were randomly assigned (1:1:1) to Watch, Click or Drag versions of the abdominal exam module. First, students' prior knowledge, spatial ability, and prior experience with abdominal exams were assessed. After using the module, students took a posttest; demonstrated the abdominal exam on a standardized patient; and wrote structured notes of their findings. Results: Data from143 students were analyzed. Baseline measures showed no differences among groups regarding prior knowledge, experience, or spatial ability. Overall there was no difference in knowledge across groups. However, physical exam scores were significantly higher for students in the Click group. Conclusions: A mid-range level of behavioral interactivity was associated with small to moderate improvements in performance of clinical skills. These improvements were likely mediated by enhanced engagement with the material, within the bounds of learners' cognitive capacity. These findings have implications for the design of CAI materials to teach procedural skills.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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