Doherty-Restrepo Jennifer L, Harrelson K Erin, Swinnie Tazjanne, Montalvo Alicia M
Athletic Training Program, Florida International University, 11200 SW 8th St. AHC3-336, Miami, FL 33199, USA. Tel 305-348-3398, fax 305-348- 2125.
J Allied Health. 2017 Fall;46(3):171-177.
The incidence of sudden cardiac death (SCD) in athletes is higher than previously estimated. The need for increased screening to detect cardiac diseases in preparticipation physical examinations (PPE) has become a focus in athletic training. The use of simulation-based training in healthcare professionals' education has increased clinical confidence and competence, but research is limited.
To examine if a simulation-based educational intervention can increase athletic training students' self-reported confidence and clinical competence in conducting a cardiovascular screening.
Pretest-posttest design.
25 first-year athletic training students in a professional master's program participated. The intervention consisted of a standardized cardiovascular curriculum consisting of a 45-minute, interactive instructor-led session and a 45-minute audio session which included repetitions of heart murmurs. Learner self-reported confidence scale, multiple-choice knowledge exam, and objective structured clinical examination (OSCE) of cardiovascular assessment skills and auditory recognition of heart murmurs were recorded.
Self-reported confidence increased significantly from 4.4±2.1 to 9.2±3.0 post-intervention (F=78.7, p<0.001) with a moderately high effect size (n2=0.789). Knowledge exam scores increased significantly from 11.0±2.5 to 13.6±4.0 post-intervention (F=5.3, p=0.031) with a low effect size (n2=0.191). The history-taking assessment of the OSCE increased significantly from 2.6±1.6 to 5.7±1.7 post-intervention (F=70.1, p<0.001) with a moderately high effect size (n2=0.751). The clinical skills assessment of the OSCE increased significantly from 4.1±2.8 to 15.6±1.6 post-intervention (F=415.4, p<0.001) with a high effect size (n2=0.952).
Simulation-based training is an effective tool for increasing athletic training students' self-reported confidence and competence in conducting a cardiovascular screening.
运动员心源性猝死（SCD）的发生率高于先前估计。在参与运动前体格检查（PPE）时增加筛查以检测心脏疾病的需求已成为运动训练的一个重点。在医疗保健专业人员教育中使用基于模拟的培训提高了临床信心和能力，但相关研究有限。
探讨基于模拟的教育干预是否能提高运动训练专业学生在进行心血管筛查时自我报告的信心和临床能力。
前测-后测设计。
25名专业硕士项目的一年级运动训练专业学生参与。干预包括一个标准化的心血管课程，由一个45分钟的、由教师主导的互动课程和一个45分钟的音频课程组成，音频课程包括心脏杂音的重复播放。记录学习者自我报告的信心量表、多项选择题知识考试，以及心血管评估技能和心脏杂音听觉识别的客观结构化临床考试（OSCE）。
干预后自我报告的信心显著提高，从4.4±2.1提高到9.2±3.0（F = 78.7，p < 0.001），效应量中等偏高（η² = 0.789）。知识考试成绩干预后从11.0±2.5显著提高到13.6±4.0（F = 5.3，p = 0.031），效应量较低（η² = 0.191）。OSCE的病史采集评估干预后从2.6±1.6显著提高到5.7±1.7（F = 70.1，p < 0.001），效应量中等偏高（η² = 0.751）。OSCE的临床技能评估干预后从4.1±2.8显著提高到15.6±1.6（F = 415.4，p < 0.001），效应量较高（η² = 0.952）。
基于模拟的培训是提高运动训练专业学生在进行心血管筛查时自我报告的信心和能力的有效工具。
