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医学生轮椅工作坊提高知识和技能:一项随机对照试验。

A wheelchair workshop for medical students improves knowledge and skills: a randomized controlled trial.

机构信息

Division of Physical Medicine and Rehabilitation, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

出版信息

Am J Phys Med Rehabil. 2011 Mar;90(3):197-206. doi: 10.1097/PHM.0b013e318206398a.

Abstract

OBJECTIVE

To test the hypothesis that a multicomponent workshop about wheelchairs, tailored for undergraduate medical students, is effective in improving medical students' wheelchair-related knowledge, skills, and attitudes.

DESIGN

A randomized controlled trial of 24 first- and second-year medical students randomly allocated into intervention and control groups was undertaken. The intervention group received a 4-hr workshop that included didactic, practical, community, and reflective elements. The educational objectives were validated by a focus group. The main outcome measures were a written knowledge test, a practical examination, the Scale of Attitudes Toward Disabled Persons, and students' perceptions.

RESULTS

The baseline characteristics of the groups were comparable. After the workshop, the mean scores on the written knowledge test and practical examination for the intervention group were higher than for the control group by 23.9% (95% confidence interval, 17.6%-30.3%; P < 0.0001) and 34.4% (95% confidence interval, 26.3%-42.5%; P < 0.0001), respectively. The difference (-1.6%) for the Scale of Attitudes Toward Disabled Persons scores was not significant (P = 0.93), but there may have been a ceiling effect (both groups' mean scores were >87%). The perceptions of the students who took the workshop were highly positive.

CONCLUSIONS

A wheelchair workshop designed for medical students was practical, well received by students, and effective at improving students' knowledge and skills. Although students' attitudes were not measurably affected by the intervention, there was qualitative evidence of a positive effect.

摘要

目的

检验以下假设,即针对本科医学生的轮椅多方面知识培训课程能有效提高医学生的轮椅相关知识、技能和态度。

设计

对 24 名一、二年级医学生进行了一项随机对照试验,将他们随机分为干预组和对照组。干预组接受了 4 小时的课程,包括理论、实践、社区和反思环节。教育目标通过焦点小组得到验证。主要结果衡量指标为书面知识测试、实践考试、残疾人态度量表以及学生的认知。

结果

两组的基线特征相当。在课程之后,干预组的书面知识测试和实践考试的平均分数分别比对照组高 23.9%(95%置信区间,17.6%-30.3%;P<0.0001)和 34.4%(95%置信区间,26.3%-42.5%;P<0.0001)。残疾人态度量表分数的差异(-1.6%)不显著(P=0.93),但可能存在上限效应(两组的平均分数均>87%)。参加课程的学生对课程的认知评价非常高。

结论

为医学生设计的轮椅课程是实用的,受到学生的欢迎,并且有效提高了学生的知识和技能。虽然干预对学生的态度没有明显影响,但有定性证据表明存在积极影响。

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