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一种基于游戏的跨专业健康社会决定因素教学方法:一项随机对照试验研究

: a game-based, interprofessional approach to teaching social determinants of health: a randomized controlled pilot study.

作者信息

Feldhacker Diana R, Wesner Chelsea, Yockey Jean, Larson June, Norris Deb

机构信息

Department of Occupational Therapy, School of Pharmacy and Health Professions, Creighton University, Omaha, NE, USA.

Department of Public Health, School of Health Sciences, University of South Dakota, Vermillion, SD, USA.

出版信息

J Interprof Care. 2025 Jan-Feb;39(1):75-83. doi: 10.1080/13561820.2020.1850660. Epub 2021 Mar 2.

Abstract

Knowledge of social determinants of health (SDH) can help students reduce health disparities and advance health equity and quality of life. This pilot study aimed to assess the effectiveness of , an interprofessional game, in improving student knowledge regarding SDH as well as attitudes toward interprofessional collaboration when compared to or combined with didactic coursework. A mixed methods approach was utilized. Participants (N = 42) were divided into one of four groups: Control (A), gameplay (B), didactic module (C), and a combined didactic module followed by gameplay (D). Data was collected using a knowledge base test of SDH, the Interprofessional Attitudes Scale (IPAS), and qualitative feedback during gameplay and debriefing. SDH results indicated no significant differences within groups, but a combined pre-post indicated a significant improvement among Group D ( = .04). IPAS results indicated a statistically significant improvement in interprofessional attitudes of teamwork, roles, and responsibilities among Groups B and D. A combination of didactic learning and gameplay was the most effective approach to improving and maintaining SDH knowledge and attitudes toward IPE over time. These findings inform the need for interprofessional curricula that aim to improve health outcomes and advance health equity.

摘要

了解健康的社会决定因素(SDH)有助于学生减少健康差距,促进健康公平和提高生活质量。这项试点研究旨在评估一种跨专业游戏与传统教学课程相比,或与之结合时,在提高学生对SDH的了解以及对跨专业合作的态度方面的有效性。采用了混合方法。参与者(N = 42)被分为四组之一:对照组(A)、游戏组(B)、教学模块组(C)以及先进行教学模块然后进行游戏的组合组(D)。通过使用SDH知识库测试、跨专业态度量表(IPAS)以及游戏过程中和汇报时的定性反馈来收集数据。SDH结果表明组内无显著差异,但前后综合比较表明D组有显著改善(P = 0.04)。IPAS结果表明B组和D组在团队合作、角色和责任的跨专业态度方面有统计学上的显著改善。随着时间的推移,教学学习和游戏相结合是提高和维持SDH知识以及对跨专业教育(IPE)态度的最有效方法。这些发现表明需要有旨在改善健康结果和促进健康公平的跨专业课程。

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