Diehl Leandro A, Gordan Pedro A, Esteves Roberto Z, Coelho Izabel C M M
Departamento de Clínica Médica, Universidade Estadual de Londrina, Londrina, PR, Brasil.
Centro de Educação e Pesquisa, Hospital do Coração, Londrina, PR, Brasil.
Arch Endocrinol Metab. 2015 Oct;59(5):470-3. doi: 10.1590/2359-3997000000118.
We report the preliminary assessment of InsuOnline©, a serious game designed for medical education on insulin therapy.
We conducted a pilot study with 41 undergraduate medical students and Internal Medicine residents to assess the educational effectiveness of InsuOnline©, as compared to a traditional educational activity (lecture, cases discussion). Knowledge, skills and beliefs on insulin therapy were evaluated by a questionnaire applied before, immediately after, and 3 months after both interventions.
Mean knowledge/skills score was improved from 68% to 89% in traditional education group (n = 23; p < 0.001), and from 61% to 90% in game group (n = 18; p < 0.001). After 3 months, mean score decreased (to 80% in traditional education group, and to 78% in game group; p < 0.001 for both) but remained significantly higher than at baseline in both groups (p < 0.001 for both). Although mean score was lower in game group than in traditional education group at baseline (p = 0.04), no difference remained between groups either immediately or 3 months post-intervention. Score increment was better with the game (29%) than with traditional education (21%; p = 0.04). Beliefs improved in the game group only.
InsuOnline© is at least as effective as a traditional educational activity for medical education on insulin therapy, and it can a good option for large-scale continuing medical education on diabetes.
我们报告了InsuOnline©的初步评估,这是一款为胰岛素治疗医学教育设计的严肃游戏。
我们对41名本科医学生和内科住院医师进行了一项试点研究,以评估InsuOnline©的教育效果,并与传统教育活动(讲座、病例讨论)进行比较。通过在两种干预措施之前、之后立即以及3个月后应用的问卷,对胰岛素治疗的知识、技能和信念进行评估。
传统教育组(n = 23;p < 0.001)的平均知识/技能得分从68%提高到89%,游戏组(n = 18;p < 0.001)从61%提高到90%。3个月后,平均得分下降(传统教育组降至80%,游戏组降至78%;两组均p < 0.001),但仍显著高于两组的基线水平(两组均p < 0.001)。虽然游戏组的平均得分在基线时低于传统教育组(p = 0.04),但在干预后立即或3个月时两组之间均无差异。游戏组的得分增量(29%)优于传统教育组(21%;p = 0.04)。信念仅在游戏组中得到改善。
InsuOnline©在胰岛素治疗医学教育方面至少与传统教育活动一样有效,并且它可以成为糖尿病大规模继续医学教育的一个良好选择。