Armson Anthony J, Meyer Amanda J, Losco Barrett E, Ardakani Emad M, Walker Bruce F
J Chiropr Educ. 2016 Oct;30(2):108-113. doi: 10.7899/JCE-15-12. Epub 2016 Mar 21.
The aim of this study was to (1) generate a valid questionnaire to determine immunology knowledge, (2) compare immunology knowledge across 3 different cohorts of chiropractic students that had already studied immunology, (3) examine the attitudes of chiropractic students to the study of immunology, and (4) examine whether students' attitudes affected their knowledge levels.
Factor analysis was used to refine an immunology knowledge and perceptions questionnaire that was generated by a group of experts that was then completed by 90 students. Immunology knowledge level of each of the cohorts was compared using a 1-way analysis of variance. Kappa statistics were used to measure agreement between 2 statements, and logistic regression was used to determine whether students' attitudes were associated with their knowledge levels.
There was a significant difference in the immunology knowledge levels across the 3 year groups (F[2, 87] = 4.78, p = .011). Fifth-year students (n = 26) demonstrated 25% less immunology knowledge than third-year students (n = 35; p = .005). Of 90 students, 64 agreed that immunology knowledge was important to chiropractors, and 53 agreed that immunology knowledge was important for the average person. No relationship existed between their value of immunology knowledge and their score on the multiple-choice questions.
Third-year students' immunology knowledge was significantly higher than that of the fifth-year students. Students value immunology knowledge, but this does not translate to retention of this knowledge. The validated questionnaire is a useful tool for assessing immunology knowledge retention for undergraduate students.
本研究的目的是（1）编制一份有效的问卷以确定免疫学知识，（2）比较已经学习过免疫学的3个不同队列的整脊学生的免疫学知识，（3）研究整脊学生对免疫学学习的态度，以及（4）研究学生的态度是否影响他们的知识水平。
使用因子分析来完善一份由一组专家编制的免疫学知识和认知问卷，然后90名学生完成该问卷。使用单向方差分析比较每个队列的免疫学知识水平。kappa统计量用于测量两个陈述之间的一致性，逻辑回归用于确定学生的态度是否与其知识水平相关。
3个年级组的免疫学知识水平存在显著差异（F[2, 87] = 4.78，p = .011）。五年级学生（n = 26）的免疫学知识比三年级学生（n = 35）少25%（p = .005）。在90名学生中，64人认为免疫学知识对整脊师很重要，53人认为免疫学知识对普通人很重要。他们对免疫学知识的重视程度与他们在多项选择题上的得分之间没有关系。
三年级学生的免疫学知识显著高于五年级学生。学生重视免疫学知识，但这并没有转化为对该知识的掌握情况。经过验证的问卷是评估本科生免疫学知识掌握情况的有用工具。
