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基于互联网的肿瘤医疗保健专业人员学习风格评估及网络学习材料优化:采用隐匿分配的对照试验

Internet-Based Assessment of Oncology Health Care Professional Learning Style and Optimization of Materials for Web-Based Learning: Controlled Trial With Concealed Allocation.

作者信息

Micheel Christine M, Anderson Ingrid A, Lee Patricia, Chen Sheau-Chiann, Justiss Katy, Giuse Nunzia B, Ye Fei, Kusnoor Sheila V, Levy Mia A

机构信息

Division of Hematology and Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.

Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN, United States.

出版信息

J Med Internet Res. 2017 Jul 25;19(7):e265. doi: 10.2196/jmir.7506.

Abstract

BACKGROUND

Precision medicine has resulted in increasing complexity in the treatment of cancer. Web-based educational materials can help address the needs of oncology health care professionals seeking to understand up-to-date treatment strategies.

OBJECTIVE

This study aimed to assess learning styles of oncology health care professionals and to determine whether learning style-tailored educational materials lead to enhanced learning.

METHODS

In all, 21,465 oncology health care professionals were invited by email to participate in the fully automated, parallel group study. Enrollment and follow-up occurred between July 13 and September 7, 2015. Self-enrolled participants took a learning style survey and were assigned to the intervention or control arm using concealed alternating allocation. Participants in the intervention group viewed educational materials consistent with their preferences for learning (reading, listening, and/or watching); participants in the control group viewed educational materials typical of the My Cancer Genome website. Educational materials covered the topic of treatment of metastatic estrogen receptor-positive (ER+) breast cancer using cyclin-dependent kinases 4/6 (CDK4/6) inhibitors. Participant knowledge was assessed immediately before (pretest), immediately after (posttest), and 2 weeks after (follow-up test) review of the educational materials. Study statisticians were blinded to group assignment.

RESULTS

A total of 751 participants enrolled in the study. Of these, 367 (48.9%) were allocated to the intervention arm and 384 (51.1%) were allocated to the control arm. Of those allocated to the intervention arm, 256 (69.8%) completed all assessments. Of those allocated to the control arm, 296 (77.1%) completed all assessments. An additional 12 participants were deemed ineligible and one withdrew. Of the 552 participants, 438 (79.3%) self-identified as multimodal learners. The intervention arm showed greater improvement in posttest score compared to the control group (0.4 points or 4.0% more improvement on average; P=.004) and a higher follow-up test score than the control group (0.3 points or 3.3% more improvement on average; P=.02).

CONCLUSIONS

Although the study demonstrated more learning with learning style-tailored educational materials, the magnitude of increased learning and the largely multimodal learning styles preferred by the study participants lead us to conclude that future content-creation efforts should focus on multimodal educational materials rather than learning style-tailored content.

摘要

背景

精准医疗使得癌症治疗的复杂性日益增加。基于网络的教育材料有助于满足肿瘤医疗保健专业人员了解最新治疗策略的需求。

目的

本研究旨在评估肿瘤医疗保健专业人员的学习风格,并确定根据学习风格定制的教育材料是否能提高学习效果。

方法

通过电子邮件邀请了总共21465名肿瘤医疗保健专业人员参与这项全自动平行组研究。招募和随访于2015年7月13日至9月7日进行。自行报名的参与者进行了学习风格调查,并使用隐蔽交替分配法被分配到干预组或对照组。干预组的参与者观看与其学习偏好(阅读、聆听和/或观看)相符的教育材料;对照组的参与者观看My Cancer Genome网站的典型教育材料。教育材料涵盖了使用细胞周期蛋白依赖性激酶4/6(CDK4/6)抑制剂治疗转移性雌激素受体阳性(ER+)乳腺癌的主题。在参与者复习教育材料之前(预测试)、之后立即(后测试)以及之后两周(随访测试)对其知识进行评估。研究统计人员对分组情况不知情。

结果

共有751名参与者登记参加了该研究。其中,367名(48.9%)被分配到干预组,384名(51.1%)被分配到对照组。在被分配到干预组的参与者中,256名(69.8%)完成了所有评估。在被分配到对照组的参与者中,296名(77.1%)完成了所有评估。另有12名参与者被判定不符合资格,1名退出。在这552名参与者中,438名(79.3%)自我认定为多模态学习者。与对照组相比,干预组在后测试分数上有更大的提高(平均提高0.4分或4.0%;P = 0.004),且随访测试分数高于对照组(平均提高0.3分或3.3%;P = 0.02)。

结论

尽管该研究表明根据学习风格定制的教育材料能带来更多学习,但学习提高的幅度以及研究参与者普遍偏好的多模态学习风格使我们得出结论,未来的内容创作应侧重于多模态教育材料,而非根据学习风格定制的内容。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3431/5548983/933217efb39a/jmir_v19i7e265_fig1.jpg

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