Horky Susan, Andreola Joseph, Black Erik, Lossius Michele
Department of Pediatrics, University of Florida College of Medicine, Gainesville, FL, 32610, USA.
Matern Child Health J. 2017 Jul;21(7):1537-1543. doi: 10.1007/s10995-017-2282-3.
Objectives The purpose of this study was to evaluate the effectiveness of six online modules, the Cross Cultural Case Stories, designed to teach healthcare professionals and trainees to provide culturally competent care to children with chronic respiratory conditions and their families. Modules increase provider awareness of the types of factors that may vary between cultures. This study assessed learner change in the three domains of knowledge, attitudes and self-reported skills. Improving on earlier studies, this evaluation included a control group for comparison. Methods Subjects comprised 66 first and second year pediatric residents at the University of Florida. Each module includes Objectives, Key Word definitions, Case Story, Lecture, Interactive Exercises and References. Intervention subjects completed an assessment tool before and after training. Control subjects completed the spaced assessments without completing the modules in-between. Results Within the intervention group there was a significant effect associated with the intervention. On average, participants within this group improved 1.67 points on the knowledge assessment (p < .01), 13.64 points on the attitudes self-assessment (p = .01) and 6.86 points on the skills assessment (p ≤ 0.01). When comparing between the intervention and control group significant differences were found in the post knowledge, post skills and post attitudes assessment, with the intervention group exceeding scores from the control group. Conclusions The Cross Cultural Cases provide an accessible, comprehensive and effective means for teaching healthcare and public health professionals and trainees. These cases can potentially provide training for students and practicing professionals from multiple medical and public health related disciplines.
目标 本研究的目的是评估六个在线模块——跨文化案例故事的有效性，这些模块旨在教导医疗保健专业人员和学员为患有慢性呼吸道疾病的儿童及其家庭提供具有文化胜任力的护理。这些模块提高了提供者对不同文化间可能存在差异的因素类型的认识。本研究评估了学习者在知识、态度和自我报告技能这三个领域的变化。与早期研究相比有所改进，本次评估纳入了一个对照组进行比较。方法 研究对象包括佛罗里达大学的66名一年级和二年级儿科住院医师。每个模块都包括目标、关键词定义、案例故事、讲座、互动练习和参考文献。干预组的受试者在训练前后完成了一项评估工具。对照组的受试者完成了间隔评估，但在两次评估之间没有完成模块学习。结果 在干预组中，干预产生了显著效果。平均而言，该组参与者在知识评估中提高了1.67分（p < 0.01），在态度自我评估中提高了13.64分（p = 0.01），在技能评估中提高了6.86分（p≤0.01）。在比较干预组和对照组时，在知识、技能和态度的后期评估中发现了显著差异，干预组的得分超过了对照组。结论 跨文化案例为教导医疗保健和公共卫生专业人员及学员提供了一种可获取、全面且有效的方法。这些案例有可能为来自多个医学和公共卫生相关学科的学生和在职专业人员提供培训。
