Cognitive Style and Mobile E-Learning in Emergent Otorhinolaryngology-Head and Neck Surgery Disorders for Millennial Undergraduate Medical Students: Randomized Controlled Trial.

Background: Electronic learning (e-learning) through mobile technology represents a novel way to teach emergent otorhinolaryngology-head and neck surgery (ORL-HNS) disorders to undergraduate medical students. Whether a cognitive style of education combined with learning modules can impact learning o...

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Publicado en:Journal of Medical Internet Research Vol. 20; no. 2; pp. 6 - 7
Autores principales: Cheng-Keng Chuang, Li-Ang Lee, Ji-Tseng Fang, Chung-Jan Kang, Li-Jen Hsin, Wan-Ni Lin, Tuan-Jen Fang, Hsueh-Yu Li, Shu-Ling Wang, Yi-Ping Chao, Chung-Guei Huang, Lee, Li-Ang, Chao, Yi-Ping, Huang, Chung-Guei, Fang, Ji-Tseng, Wang, Shu-Ling, Chuang, Cheng-Keng, Kang, Chung-Jan, Hsin, Li-Jen, Lin, Wan-Ni
Formato: research randomized controlled trial Journal Article
Publicado: JMIR Publications Inc. Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2018
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      pub: JMIR Publications Inc.
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        10.2196/jmir.8987
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        atl: Cognitive Style and Mobile E-Learning in Emergent Otorhinolaryngology-Head and Neck Surgery Disorders for Millennial Undergraduate Medical Students: Randomized Controlled Trial.
      aug:
        au:
          Cheng-Keng Chuang
          Li-Ang Lee
          Ji-Tseng Fang
          Chung-Jan Kang
          Li-Jen Hsin
          Wan-Ni Lin
          Tuan-Jen Fang
          Hsueh-Yu Li
          Shu-Ling Wang
          Yi-Ping Chao
          Chung-Guei Huang
          Lee, Li-Ang
          Chao, Yi-Ping
          Huang, Chung-Guei
          Fang, Ji-Tseng
          Wang, Shu-Ling
          Chuang, Cheng-Keng
          Kang, Chung-Jan
          Hsin, Li-Jen
          Lin, Wan-Ni
        affil: Faculty of Medicine, Chang Gung University, Taoyuan, Taiwan
      sug:
        subj:
          Specialties, Medical Methods
          Telemedicine Methods
          Students, Medical Statistics and Numerical Data
          Computer-Assisted Instruction
          Head and Neck Neoplasms Surgery
          Education, Medical
          Cognition
          Learning
          Adult
          Young Adult
          Female
          Head and Neck Neoplasms Pathology
          Male
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Randomized Controlled Trials
          Adult: 19-44 years
          Female
          Male
      ab: Background: Electronic learning (e-learning) through mobile technology represents a novel way to teach emergent otorhinolaryngology-head and neck surgery (ORL-HNS) disorders to undergraduate medical students. Whether a cognitive style of education combined with learning modules can impact learning outcomes and satisfaction in millennial medical students is unknown.Objective: The aim of this study was to assess the impact of cognitive styles and learning modules using mobile e-learning on knowledge gain, competence gain, and satisfaction for emergent ORL-HNS disorders.Methods: This randomized controlled trial included 60 undergraduate medical students who were novices in ORL-HNS at an academic teaching hospital. The cognitive style of the participants was assessed using the group embedded figures test. The students were randomly assigned (1:1) to a novel interactive multimedia (IM) group and conventional Microsoft PowerPoint show (PPS) group matched by age, sex, and cognitive style. The content for the gamified IM module was derived from and corresponded to the textbook-based learning material of the PPS module (video lectures). The participants were unblinded and used fully automated courseware containing the IM or PPS module on a 7-inch tablet for 100 min. Knowledge and competence were assessed using multiple-choice questions and multimedia situation tests, respectively. Each participant also rated their global satisfaction.Results: All of the participants (median age 23 years, range 22-26 years; 36 males and 24 females) received the intended intervention after randomization. Overall, the participants had significant gains in knowledge (median 50%, interquartile range [IQR]=17%-80%, P<.001) and competence (median 13%, IQR=0%-33%, P=.006). There were no significant differences in knowledge gain (40%, IQR=13%-76% vs 60%, IQR=20%-100%, P=.42) and competence gain (0%, IQR= -21% to 38% vs 25%, IQR=0%-33%, P=.16) between the IM and PPS groups. However, the IM group had a higher satisfaction score (8, IQR=6-9 vs 6, IQR=4-7, P=.01) compared with the PPS group. Using Friedman's two-way nonparametric analysis of variance, cognitive styles (field-independent, field-intermediate, or field-dependent classification) and learning modules (IM or PPS) had significant effects on both knowledge gain (both adjusted P<.001) and satisfaction (both adjusted P<.001).Conclusions: Mobile e-learning is an effective modality to improve knowledge of emergent ORL-HNS in millennial undergraduate medical students. Our findings suggest the necessity of developing various modules for undergraduate medical students with different cognitive styles.Trial Registration: Clinicaltrials.gov NCT02971735; https://clinicaltrials.gov/ct2/show/NCT02971735 (Archived by WebCite at http://www.webcitation.org/6waoOpCEV).
      pubtype: Academic Journal
      doctype:
        research
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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