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BMC Medical Education Jul 2021Low back pain (LBP) is a condition with a high global prevalence, which is getting health professionals' attention, including physiotherapists as they must have the... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
Low back pain (LBP) is a condition with a high global prevalence, which is getting health professionals' attention, including physiotherapists as they must have the skills to provide treatment that increases the patient's quality of life. Clinical simulations could be a pedagogic strategy that facilitates adequate training for students to acquire skills to improve their professional reasoning in this clinical situation.
OBJECTIVE
This study sought to determine the effects of clinical simulations with simulated patients (SP) on the physiotherapy students' clinical decision-making within a role-playing (RP) scenario while caring of LBP patients.
METHODS
This experimental study included 42 participants from two Colombian universities, randomized into two groups (SP, n = 21; RP, n = 21). The clinical skill of performing the Objective Structured Clinical Examination (OSCE-LBP) was evaluated while students cared for patients with LBP; after that, a pedagogical method was conducted that included clinical simulation and, finally, the OSCE-LBP was applied again to compare both groups.
RESULTS
Changes occurred in the OSCE-LBP among both groups of students: the scores increased (0.66 and 0.59 in RP and SP, respectively), and neither of the two was superior (p value 0.01; 95%CI - 0.21 to 0.23).
CONCLUSION
Both types of simulation favor decision-making in professional reasoning in physiotherapy students during interactions with individuals with LBP. Trial registration https://clinicaltrials.gov/ct2/show/NCT04428892 Identifying number: NCT04428892. It was retrospectively registered.
Topics: Humans; Low Back Pain; Physical Therapy Modalities; Quality of Life; Role Playing; Students
PubMed: 34243767
DOI: 10.1186/s12909-021-02812-7 -
Journal of Behavior Therapy and... Mar 2021Negative beliefs about other's judgments play an important role in the development and maintenance of social anxiety disorder. The present experiment examined the... (Comparative Study)
Comparative Study Randomized Controlled Trial
BACKGROUND AND OBJECTIVES
Negative beliefs about other's judgments play an important role in the development and maintenance of social anxiety disorder. The present experiment examined the effects of role-playing followed by role reversal compared to role-playing twice on altering these negative cognitions.
METHODS
Thirty-six adult social anxiety patients were randomized into two conditions: a role-playing condition in which 18 participants role-played an anxiety-provoking social situation twice, or a role reversal condition in which 18 participants role-played an anxiety-provoking social situation followed by enacting the same situation using role reversal. Before the start of the experiment, patients were asked to report their negative cognitions about the other's judgments. Next, they were asked to rate the believability of these negative cognitions, as well as the probability and cost estimates of negative judgments by the other person, at three time-points: before the first block of role-playing, after the first block of role-playing, and after the second block of the experiment.
RESULTS
Results demonstrated that role-playing followed by role reversal had a stronger effect on the most negative cognitions than role-playing twice.
LIMITATIONS
The most important limitation of the present study is that there was no control group to assess the effects of role-playing alone. Moreover, the second block of the experiment was repetitive in role-playing, however, it was a new task in role reversal.
CONCLUSIONS
The results support the hypothesis that role reversal is an effective technique that can be used to correct negative cognitions about other's judgments in SAD.
Topics: Adult; Anxiety; Cognition; Female; Humans; Judgment; Male; Phobia, Social; Role Playing
PubMed: 32758672
DOI: 10.1016/j.jbtep.2020.101599 -
BMC Medical Education Apr 2024Although game-based applications have been used in disaster medicine education, no serious computer games have been designed specifically for training these nurses in an... (Comparative Study)
Comparative Study
BACKGROUND
Although game-based applications have been used in disaster medicine education, no serious computer games have been designed specifically for training these nurses in an IEMT setting. To address this need, we developed a serious computer game called the IEMTtraining game. In this game, players assume the roles of IEMT nurses, assess patient injuries in a virtual environment, and provide suitable treatment options.
METHODS
The design of this study is a retrospective comparative analysis. The research was conducted with 209 nurses in a hospital. The data collection process of this study was conducted at the 2019-2020 academic year. A retrospective comparative analysis was conducted on the pre-, post-, and final test scores of nurses in the IEMT. Additionally, a survey questionnaire was distributed to trainees to gather insights into teaching methods that were subsequently analyzed.
RESULTS
There was a significant difference in the overall test scores between the two groups, with the game group demonstrating superior performance compared to the control group (odds ratio = 1.363, p value = 0.010). The survey results indicated that the game group exhibited higher learning motivation scores and lower cognitive load compared with the lecture group.
CONCLUSIONS
The IEMT training game developed by the instructor team is a promising and effective method for training nurses in disaster rescue within IEMTs. The game equips the trainees with the necessary skills and knowledge to respond effectively to emergencies. It is easily comprehended, enhances knowledge retention and motivation to learn, and reduces cognitive load.
Topics: Humans; Retrospective Studies; Video Games; Female; Adult; Role Playing; Male; Surveys and Questionnaires
PubMed: 38649943
DOI: 10.1186/s12909-024-05442-x -
Canadian Family Physician Medecin de... Mar 2020
Topics: Attitude of Health Personnel; Canada; Disabled Persons; Education, Medical, Undergraduate; Humans; Role Playing; Social Perception; Students, Medical; Universities; Wheelchairs
PubMed: 32165461
DOI: No ID Found