Codd Anthony, Burford Bryan, Petruso Gabriella, Davidson Neil, Vance Gillian
a School of Medical Education, The Medical School , Newcastle University , Newcastle Upon Tyne , UK.
Educ Prim Care. 2018 Jul;29(4):232-236. doi: 10.1080/14739879.2018.1470906. Epub 2018 May 28.
Digital storytelling ('digistories') offers a way of sharing the personal impact of a condition, if students have limited direct contact. Autistic spectrum disorder (ASD) exemplifies a common condition, where there is need to improve practise in primary care. Hence, we chose this condition to develop and evaluate a digistory. We considered stigmatising attitudes to ASD and wider educational effects.
In the digistory, a mother of a boy with severe ASD describes her autobiographical experiences, illustrated by customised cartoons. Participants completed, pre-post, a validated attitude questionnaire and word association exercise. Views on educational value were gathered through free text and focus group.
Questionnaire scores indicated positive attitudes, with no significant change. In contrast, content analysis of word association responses showed prevalent negative associations. Thematic analysis identified increased empathy of students with the family, enabled by the resource design. The digistory helped students challenge stereotypes associated with the condition and encouraged greater confidence to engage in future clinical encounters.
The digistory is an accessible and authentic patient analogue that gives additional insight into living with autistic spectrum disorder, with potential benefits for patient-centred learning.
如果学生缺乏直接接触，数字故事讲述（“数字故事”）提供了一种分享某种疾病个人影响的方式。自闭症谱系障碍（ASD）是一种常见疾病，在初级保健中需要改进实践。因此，我们选择这种疾病来开发和评估一个数字故事。我们考虑了对ASD的污名化态度以及更广泛的教育效果。
在数字故事中，一名患有严重ASD男孩的母亲描述了她的自传经历，并配有定制的卡通插图。参与者在前后分别完成了一份经过验证的态度问卷和词语联想练习。通过自由文本和焦点小组收集了对教育价值的看法。
问卷得分表明态度积极，且无显著变化。相比之下，对词语联想反应的内容分析显示普遍存在负面联想。主题分析确定，资源设计使学生对该家庭的同理心增强。数字故事帮助学生挑战与该疾病相关的刻板印象，并鼓励他们在未来的临床接触中更有信心。
数字故事是一种易于获取且真实的患者模拟形式，能让人们对自闭症谱系障碍患者的生活有更多了解，对以患者为中心的学习有潜在益处。
