Shaping Medical Students' Attitudes Toward Ethically Important Aspects of Clinical Research: Results of a Randomized, Controlled Educational Intervention

ObjectiveTo determine if an educational intervention focused on the role of spirituality in healthcare positively affects medical students' attitudes and perceptions relating to this topic.DesignA pre-post cohort study.SettingAn undergraduate medical institution affiliated with an academic medical center in the USA.ParticipantsA total of 110 medical students currently on their clinical rotations received the educational intervention, of whom 71 (65%) completed both the presurvey and postsurvey. Demographic variables did not significantly differ from the national average of medical students, or from a comparison group. All students who attended the intervention were given the opportunity to participate in the survey.InterventionsThe educational intervention consisted of a 60-minute lecture focusing on religion/spirituality (R/S) in healthcare, followed by a 90-minute case discussion in a small group setting.Primary and secondary outcome measuresAssessment consisted of 18-item preintervention and postintervention survey quantifying student’s attitudes towards, comfort with, and perceptions of R/S in healthcare.ResultsAttitudes towards, comfort with, and perceptions of R/S in healthcare were generally positive preintervention. Following the intervention, students expressed an increased willingness to include R/S competency in their future practice (p=0.001), were more comfortable sharing their own R/S beliefs with a patient when appropriate (p=0.02), and were more willing to approach a patient with R/S concern (p=0.04). The other surveyed attitudes demonstrated positive, but non-significant improvement.ConclusionAn educational intervention focusing on approaching patients with R/S concerns has the ability to improve the attitudes and comfort of medical students. By incorporating a total of 150 minutes of education about R/S, medical schools can help develop this particular area of cultural competence, preparing a generation of physicians to professionally approach R/S concerns of patients. Future research should move beyond quantifying attitudes and strive to understand changes in knowledge and student behaviour.

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A Web-Based Serious Game on Delirium as an Educational Intervention for Medical Students: Randomized Controlled Trial

JMIR Serious Games ◽

10.2196/games.9886 ◽

2018 ◽

Vol 6 (4) ◽

pp. e17 ◽

Cited By ~ 6

Author(s):

Kiki R Buijs-Spanjers ◽

Harianne HM Hegge ◽

Carolien J Jansen ◽

Evert Hoogendoorn ◽

Sophia E de Rooij

Keyword(s):

Randomized Controlled Trial ◽

Medical Students ◽

Educational Intervention ◽

Controlled Trial ◽

Serious Game ◽

Web Based ◽

Randomized Controlled

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A Web-Based Serious Game on Delirium as an Educational Intervention for Medical Students: Randomized Controlled Trial (Preprint)

10.2196/preprints.9886 ◽

2018 ◽

Author(s):

Kiki R Buijs-Spanjers ◽

Harianne HM Hegge ◽

Carolien J Jansen ◽

Evert Hoogendoorn ◽

Sophia E de Rooij

Keyword(s):

Randomized Controlled Trial ◽

Medical Students ◽

Educational Intervention ◽

Rating Scale ◽

Controlled Trial ◽

Serious Game ◽

Learning Motivation ◽

Added Value ◽

Randomized Controlled ◽

Motivation And Engagement

BACKGROUND Adequate delirium recognition and management are important to reduce the incidence and severity of delirium. To improve delirium recognition and management, training of medical staff and students is needed. OBJECTIVE In this study, we aimed to gain insight into whether the serious game, Delirium Experience, is suited as an educational intervention. METHODS We conducted a three-arm randomized controlled trial. We enrolled 156 students in the third year of their Bachelor of Medical Sciences degree at the University Medical Centre Groningen. The Game group of this study played Delirium Experience. The Control D group watched a video with explanations on delirium and a patient’s experience of delirious episodes. The Control A group watched a video on healthy aging. To investigate students’ skills, we used a video of a delirious patient for which students had to give care recommendations and complete the Delirium Observations Screening Scale and Delirium Rating Scale R-98. Furthermore, students completed the Delirium Attitude Scale, the Learning Motivation and Engagement Questionnaire, and self-reported knowledge on delirium. RESULTS In total, 156 students participated in this study (Game group, n=51; Control D group, n=51; Control A group, n=55). The Game group scored higher with a median (interquartile range) of 6 (4-8) for given recommendations and learning motivation and engagement compared with the Control D (1, 1-4) and A (0, 0-3) groups (P<.001). Furthermore, the Game group scored higher (7, 6-8) on self-reported knowledge compared with the Control A group (6, 5-6; P<.001). We did not find differences between the groups regarding delirium screening (P=.07) and rating (P=.45) skills or attitude toward delirious patients (P=.55). CONCLUSIONS The serious game, Delirium Experience, is suitable as an educational intervention to teach delirium care to medical students and has added value in addition to a lecture.

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Impact of video-led educational intervention on the uptake of influenza vaccine among adults aged 60 years and above in China: a study protocol for a randomized controlled trial

BMC Public Health ◽

10.1186/s12889-021-10220-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Pengchao Li ◽

Khezar Hayat ◽

Minghuan Jiang ◽

Zhaojing Pu ◽

Xuelin Yao ◽

...

Keyword(s):

Older Adults ◽

Randomized Controlled Trial ◽

Medical Students ◽

Influenza Vaccine ◽

Influenza Vaccination ◽

Educational Intervention ◽

Vaccination Coverage ◽

Controlled Trial ◽

Chinese Older Adults ◽

Randomized Controlled

Abstract Background Influenza is a global health threat to older adults, and the influenza vaccine is the most effective approach to prevent influenza infection. However, influenza vaccination coverage among Chinese older adults is far less than in developed countries such as the United States (4.0% vs. 64.9%). This study aims to increase influenza vaccination coverage in Chinese adults ≥60 years using a video-led educational intervention conducted by medical students. Methods A cluster randomized controlled trial will be conducted in 4 districts of Xi’an city, Shaanxi Province, China, using a stratified sampling approach. Adults aged ≥60 years will be recruited from 8 community hospitals. A self-administered questionnaire of knowledge, attitudes, and practices (KAP) will be employed to record the KAP score. During the 6-month interventional period, participants in the intervention group will receive educational videos focused on influenza and influenza vaccination, coupled with a group discussion conducted by the medical students. For those in the control group, no intervention will be provided. The outcomes measured in both groups will be the influenza vaccination coverage and the KAP scores of all participants. Discussion Medical students are more likely to educate older adults about scientific knowledge of influenza and its vaccine compared to clinical practitioners, who, most of the time, remain over-occupied due to the extensive workload. Video-led counseling and education could be a useful option to optimize older adults’ understanding of influenza and influenza vaccination. This eventually could improve the uptake of influenza vaccine among Chinese older adults. Trial registration Chinese Clinical Trial Registry; ChiCTR2000034330; Registered 3rd July 2019.

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Senior Medical Students’ Attitudes toward Choosing Residency Programs in Primary Care

American Journal of Preventive Medicine ◽

10.1016/s0749-3797(18)31398-9 ◽

1985 ◽

Vol 1 (4) ◽

pp. 38-43 ◽

Cited By ~ 1

Author(s):

Robert R. Franklin ◽

Pamela A. Samaha ◽

Janet C. Rice ◽

Susan M. Igras

Keyword(s):

Primary Care ◽

Medical Students ◽

Residency Programs ◽

Students Attitudes

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Barriers toward clinical research perceived by medical students: a descriptive study from Saudi Arabia

International Journal of Medicine in Developing Countries ◽

10.24911/ijmdc.51-1599398960 ◽

2020 ◽

pp. 1777-1781

Author(s):

Ali Al-saeed ◽

Nasir Aldandan ◽

Ahmed Qassimi ◽

Muhammed Al-Alwan ◽

Adeeb Buhlaigah ◽

...

Keyword(s):

Saudi Arabia ◽

Medical Students ◽

Clinical Research ◽

Descriptive Study

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The impact of patient narratives on medical students’ perceptions of shared decision making: A randomized controlled trial

10.31234/osf.io/f84cq ◽

2020 ◽

Author(s):

Martina Bientzle ◽

Marie Eggeling ◽

Simone Korger ◽

Joachim Kimmerle

Keyword(s):

Decision Making ◽

Medical Students ◽

Shared Decision Making ◽

Medical Training ◽

Controlled Trial ◽

Future Research ◽

Shared Decision ◽

Randomized Controlled ◽

Information Text ◽

The Impact

BACKGROUND: Successful shared decision making (SDM) in clinical practice requires that future clinicians learn to appreciate the value of patient participation as early as in their medical training. Narratives, such as patient testimonials, have been successfully used to support patients’ decision-making process. Previous research suggests that narratives may also be used for increasing clinicians’ empathy and responsiveness in medical consultations. However, so far, no studies have investigated the benefits of narratives for conveying the relevance of SDM to medical students.METHODS: In this randomized controlled experiment, N = 167 medical students were put into a scenario where they prepared for medical consultation with a patient having Parkinson disease. After receiving general information, participants read either a narrative patient testimonial or a fact-based information text. We measured their perceptions of SDM, their control preferences (i.e., their priorities as to who should make the decision), and the time they intended to spend for the consultation.RESULTS: Participants in the narrative patient testimonial condition referred more strongly to the patient as the one who should make decisions than participants who read the information text. Participants who read the patient narrative also considered SDM in situations with more than one treatment option to be more important than participants in the information text condition. There were no group differences regarding their control preferences. Participants who read the patient testimonial indicated that they would schedule more time for the consultation.CONCLUSIONS: These findings show that narratives can potentially be useful for imparting the relevance of SDM and patient-centered values to medical students. We discuss possible causes of this effect and implications for training and future research.

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