Comparison of directed and self-directed learning in evidence-based medicine: a randomised controlled trial.
Objectives To compare 2 educational pro- grammes for teaching evidence-based medicine (EBM). Design Prospective randomised controlled trial accompanied by a qualitative evaluation. Setting University of Oslo, Norway, 2002-03. Participants A total of 175 students entered the study. All tenth semester...
| Publicado en: | Medical Education Vol. 39; no. 10; pp. 1027 - 1036 |
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| Autores principales: | , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Oct2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106089519&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106089519 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Oct2005 vid: 39 iid: 10 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106089519 106089519 2009420540 10.1111/j.1365-2929.2005.02268.x NLM16178830 106089519 ppf: 1027 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Comparison of directed and self-directed learning in evidence-based medicine: a randomised controlled trial. aug: au: Bradley P Oterholt C Herrin J Nordheim L Bjørndal A sug: subj: Education, Medical Medical Practice, Evidence-Based Education Teaching Adult Aged Attitude of Health Personnel Attitude to Health Clinical Competence Standards Randomized Controlled Trials Female Male Middle Age Programmed Instruction Prospective Studies Questionnaires Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Objectives To compare 2 educational pro- grammes for teaching evidence-based medicine (EBM). Design Prospective randomised controlled trial accompanied by a qualitative evaluation. Setting University of Oslo, Norway, 2002-03. Participants A total of 175 students entered the study. All tenth semester medical students from 3 semesters were eligible for inclusion if they completed baseline assessment and consent forms and either attended teaching on the first day of the semester or gave reasons for their absence on the first day in advance. Interventions One intervention was based on computer-assisted, self-directed learning ( self-directed intervention), whilst the other was organised as workshops based on social learning theory ( directed intervention) . Both educational interventions consisted of 5 half-day sessions. Main outcome measures The primary outcomes were knowledge about EBM and skills in critical appraisal. A secondary outcome measured attitudes to EBM. Outcomes were compared on an intention-to-treat basis using a stratified Wilcoxon rank-sum test. Results There were no differences in outcomes for the 2 study groups in terms of EBM knowledge (mean deviation 0.0 [95% confidence interval - 1.0, 1.0], P = 0.8), critical appraisal skills (MD 0.1 [95% CI - 0.9, 1.1], P = 0.5), or attitudes to EBM (MD - 0.3 [95% CI - 1.4, 0.8], P = 0.5). Follow-up rates were 96%, 97% and 63%, respectively. Conclusions This trial and its accompanying qualitative evaluation suggest that self-directed, computer-assisted learning may be an alternative format for teaching EBM. However, further research is needed to confirm this and investigate alternative educational models. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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