Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, MD 20892, USA.
Patient Educ Couns. 2009 Nov;77(2):224-30. doi: 10.1016/j.pec.2009.03.029. Epub 2009 May 5.
Applying genetic susceptibility information to improve health will likely require educating patients about abstract concepts, for which there is little existing research. This experimental study examined the effect of learning mode on comprehension of a genomic concept.
156 individuals aged 18-40 without specialized knowledge were randomly assigned to either a virtual reality active learning or didactic learning condition. The outcome was comprehension (recall, transfer, mental models).
Change in recall was greater for didactic learning than for active learning (p<0.001). Mean transfer and change in mental models were also higher for didactic learning (p<0.0001 and p<0.05, respectively). Believability was higher for didactic learning (p<0.05), while ratings for motivation (p<0.05), interest (p<0.0001), and enjoyment (p<0.0001) were higher for active learning, but these variables did not mediate the association between learning mode and comprehension.
These results show that learning mode affects comprehension, but additional research is needed regarding how and in what contexts different approaches are best for educating patients about abstract concepts.
Didactic, interpersonal health education approaches may be more effective than interactive games in educating patients about abstract, unfamiliar concepts. These findings indicate the importance of traditional health education approaches in emerging areas like genomics.
将遗传易感性信息应用于改善健康状况可能需要教育患者了解抽象概念,而针对这些概念的研究还很少。本实验研究了学习模式对理解基因组概念的影响。
156 名年龄在 18-40 岁之间、没有专业知识的个体被随机分配到虚拟现实主动学习或讲授式学习条件中。结果是理解程度(回忆、迁移、心理模型)。
讲授式学习的回忆变化大于主动学习(p<0.001)。讲授式学习的迁移和心理模型变化的平均值也更高(p<0.0001 和 p<0.05,分别)。讲授式学习的可信度更高(p<0.05),而主动学习的动机(p<0.05)、兴趣(p<0.0001)和享受(p<0.0001)评分更高,但这些变量并不能调解学习模式与理解之间的关系。
这些结果表明学习模式会影响理解,但关于不同方法在教育患者了解抽象概念方面的最佳方式和情境,还需要进一步研究。
讲授式、人际健康教育方法可能比互动游戏更有效地教育患者了解抽象、陌生的概念。这些发现表明,在基因组学等新兴领域,传统健康教育方法的重要性。