Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial
Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial
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DOI：
10.1016/j.pec.2016.10.024
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发表时间：
2017-04-01
影响因子：
3.5
通讯作者：
Becker, Daniel M.
中科院分区：
文献类型：
--
作者：
Kron, Frederick W.;Fetters, Michael D.;Becker, Daniel M.
目的：为了评估先进的沟通技巧，暴露在二年级的医学生要么计算机模拟（MPathic-VR）具有虚拟人，或多媒体基于计算机的学习模块，并了解每组的经验和学习preferences.Methods：单盲，混合方法，随机，多地点试验比较MPathic-VR（N = 210），以计算机为基础的学习（N = 211）。主要结局：在与MPathic-VR的跨文化和跨专业沟通场景重复互动期间的沟通分数以及随后的高级沟通技能客观结构化临床考试（OSCE）分数。多变量方差分析用于比较结果。次要结局：学生的态度调查和定性评估他们的经验与MPathic-VR或基于计算机的learning.Results：MPathic-VR培训的学生提高了他们的跨文化和跨专业的沟通表现之间的第一次和第二次互动与每个场景。他们还取得了显着更高的综合得分的欧安组织比基于计算机的学习培训的学生。在接受MPathic-VR培训的学生中，态度和经验更为积极，他们重视提供即时反馈，教授非语言沟通技巧，并为情绪激动的患者接触做好准备。结论：MPathic-VR在培训高级沟通技巧和使知识转移到更现实的临床情况中是有效的。MPathic-VR的虚拟人模拟为高级沟通培训提供了一种有效且引人入胜的手段。(C)2016爱思唯尔爱尔兰有限公司版权所有。
Objectives: To assess advanced communication skills among second-year medical students exposed either to a computer simulation (MPathic-VR) featuring virtual humans, or to a multimedia computerbased learning module, and to understand each group's experiences and learning preferences.Methods: A single-blinded, mixed methods, randomized, multisite trial compared MPathic-VR (N = 210) to computer-based learning (N = 211). Primary outcomes: communication scores during repeat interactions with MPathic-VR's intercultural and interprofessional communication scenarios and scores on a subsequent advanced communication skills objective structured clinical examination (OSCE). Multivariate analysis of variance was used to compare outcomes. Secondary outcomes: student attitude surveys and qualitative assessments of their experiences with MPathic-VR or computer-based learning.Results: MPathic-VR-trained students improved their intercultural and interprofessional communication performance between their first and second interactions with each scenario. They also achieved significantly higher composite scores on the OSCE than computer-based learning-trained students. Attitudes and experiences were more positive among students trained with MPathic-VR, who valued its providing immediate feedback, teaching nonverbal communication skills, and preparing them for emotion-charged patient encounters.Conclusions: MPathic-VR was effective in training advanced communication skills and in enabling knowledge transfer into a more realistic clinical situation.Practice implications: MPathic-VR's virtual human simulation offers an effective and engaging means of advanced communication training. (C) 2016 Elsevier Ireland Ltd. All rights reserved.