The influence of a learning object with virtual simulation for dentistry: A randomized controlled trial

BACKGROUND Providing the birthing woman with freedom of position has very significant advantages over traditional supine posture. Unfortunately, the rate of free position is not satisfactory worldwide. In China, as the main provider, the lack of ability of midwives greatly restricts the use of position. While the mechanism of action of position is abstract and complex, virtual simulation technology may make it easier for midwives to master. OBJECTIVE This study aimed to explore the application effects of the blended teaching method in midwives continuing education by combining online learning with conventional lecturing. METHODS A parallel randomized controlled trial was conducted. A total of 41 midwives from a childbirth room were enrolled and randomly assigned to two groups. The midwives in the experimental group (n=21) received a training program using the blended learning method, and the midwives in the control group (n=20) received a traditional teaching method. Using the Kirkpatrick Model to evaluate the training effects from four levels (Reaction, Learning, Behavior, Results). RESULTS The satisfaction of the experimental group on teaching aids, learning atmosphere, and overall satisfaction was higher than that of the control group (P＜0.05). The knowledge scores of both groups were significantly improved (P＜0.001), and the experimental group’s knowledge and skill scores were higher than the control group (P＜0.05). The scores of clarifying maternal position needs and guiding family members to cooperate with the mother significantly improved in the experimental group, which were higher than those in the control group. The rate of non-supine childbirth in the experimental group increased significantly (P=0.030). The rate of perineal incision in primiparas was lower than that in the control group (P=0.040), and it was lower than before training (P=0.035). CONCLUSIONS The blended learning can increase midwives' satisfaction with training conditions and training effects, better improve knowledge and skills, accelerate the positive change of attitude towards in free position, increase the rate of childbirth in non-supine position，and reduce the rate of perineal incision in primiparas.

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Corrigendum: Clinical Virtual Simulation in Nursing Education: Randomized Controlled Trial (Preprint)

10.2196/preprints.14155 ◽

2019 ◽

Author(s):

José Miguel Padilha ◽

Paulo Puga Machado ◽

Ana Ribeiro ◽

José Ramos ◽

Patrício Costa

Keyword(s):

Randomized Controlled Trial ◽

Nursing Education ◽

Controlled Trial ◽

Virtual Simulation ◽

Randomized Controlled

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Treatment Fidelity Procedures for an Aphasia Intervention Within a Randomized Controlled Trial: Design, Feasibility, and Results

American Journal of Speech-Language Pathology ◽

10.1044/2019_ajslp-cac48-18-0227 ◽

2020 ◽

Vol 29 (1S) ◽

pp. 412-424

Author(s):

Elissa L. Conlon ◽

Emily J. Braun ◽

Edna M. Babbitt ◽

Leora R. Cherney

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Treatment Protocol ◽

Treatment Fidelity ◽

Protocol Adherence ◽

Study Condition ◽

Randomized Controlled ◽

Aphasia Therapy ◽

Percent Accuracy ◽

Over Time

Purpose This study reports on the treatment fidelity procedures implemented during a 5-year randomized controlled trial comparing intensive and distributed comprehensive aphasia therapy. Specifically, the results of 1 treatment, verb network strengthening treatment (VNeST), are examined. Method Eight participants were recruited for each of 7 consecutive cohorts for a total of 56 participants. Participants completed 60 hr of aphasia therapy, including 15 hr of VNeST. Two experienced speech-language pathologists delivered the treatment. To promote treatment fidelity, the study team developed a detailed manual of procedures and fidelity checklists, completed role plays to standardize treatment administration, and video-recorded all treatment sessions for review. To assess protocol adherence during treatment delivery, trained research assistants not involved in the treatment reviewed video recordings of a subset of randomly selected VNeST treatment sessions and completed the fidelity checklists. This process was completed for 32 participants representing 2 early cohorts and 2 later cohorts, which allowed for measurement of protocol adherence over time. Percent accuracy of protocol adherence was calculated across clinicians, cohorts, and study condition (intensive vs. distributed therapy). Results The fidelity procedures were sufficient to promote and verify a high level of adherence to the treatment protocol across clinicians, cohorts, and study condition. Conclusion Treatment fidelity strategies and monitoring are feasible when incorporated into the study design. Treatment fidelity monitoring should be completed at regular intervals during the course of a study to ensure that high levels of protocol adherence are maintained over time and across conditions.

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Phonomotor Versus Semantic Feature Analysis Treatment for Anomia in 58 Persons With Aphasia: A Randomized Controlled Trial

Journal of Speech Language and Hearing Research ◽

10.1044/2019_jslhr-l-18-0257 ◽

2019 ◽

Vol 62 (12) ◽

pp. 4464-4482 ◽

Cited By ~ 9

Author(s):

Diane L. Kendall ◽

Megan Oelke Moldestad ◽

Wesley Allen ◽

Janaki Torrence ◽

Stephen E. Nadeau

Keyword(s):

Randomized Controlled Trial ◽

Response Latency ◽

Controlled Trial ◽

Semantic Knowledge ◽

Semantic Feature ◽

Feature Analysis ◽

Group Differences ◽

Randomized Controlled ◽

Confrontation Naming ◽

Semantic Feature Analysis

Purpose The ultimate goal of anomia treatment should be to achieve gains in exemplars trained in the therapy session, as well as generalization to untrained exemplars and contexts. The purpose of this study was to test the efficacy of phonomotor treatment, a treatment focusing on enhancement of phonological sequence knowledge, against semantic feature analysis (SFA), a lexical-semantic therapy that focuses on enhancement of semantic knowledge and is well known and commonly used to treat anomia in aphasia. Method In a between-groups randomized controlled trial, 58 persons with aphasia characterized by anomia and phonological dysfunction were randomized to receive 56–60 hr of intensively delivered treatment over 6 weeks with testing pretreatment, posttreatment, and 3 months posttreatment termination. Results There was no significant between-groups difference on the primary outcome measure (untrained nouns phonologically and semantically unrelated to each treatment) at 3 months posttreatment. Significant within-group immediately posttreatment acquisition effects for confrontation naming and response latency were observed for both groups. Treatment-specific generalization effects for confrontation naming were observed for both groups immediately and 3 months posttreatment; a significant decrease in response latency was observed at both time points for the SFA group only. Finally, significant within-group differences on the Comprehensive Aphasia Test–Disability Questionnaire ( Swinburn, Porter, & Howard, 2004 ) were observed both immediately and 3 months posttreatment for the SFA group, and significant within-group differences on the Functional Outcome Questionnaire ( Glueckauf et al., 2003 ) were found for both treatment groups 3 months posttreatment. Discussion Our results are consistent with those of prior studies that have shown that SFA treatment and phonomotor treatment generalize to untrained words that share features (semantic or phonological sequence, respectively) with the training set. However, they show that there is no significant generalization to untrained words that do not share semantic features or phonological sequence features.

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