Department of Plastic Surgery, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Laryngoscope. 2024 Jul;134(7):3105-3111. doi: 10.1002/lary.31269. Epub 2024 Jan 13.
OBJECTIVE(S): To explore learning effects when applying the clinician-graded electronic facial function scale (eFACE) and the Sunnybrook Facial Grading System (Sunnybrook).
Surgeons, facial rehabilitation therapists, and medical students were randomly allocated to the eFACE (n = 7) or Sunnybrook (n = 6) and graded 60 videos (Massachusetts Eye and Ear Infirmary open-source standard set); 10 persons with normal facial function and 50 patients with a wide variation of facial palsy severity. Participants received an introduction and individual feedback after each set of 10 videos. Scores were compared to the reference score provided with the set. Multilevel analysis was performed to analyze learning effect.
A learning effect was only found for the eFACE, with significant difference scores in set 1 and 2 compared to set 6, and no significant difference scores in the following sets. The difference score was associated with the reference score (severity of facial palsy) for eFACE (β = -0.19; SE = 0.04; p < 0.001) and Sunnybrook (β = -0.15; SE = 0.04; p < 0.001). Age of participants was also associated with the difference score in the eFACE group (β = 0.18; SE = 0.03; p < 0.001). No differences in scores were found between groups of participants.
The eFACE showed a learning effect of feedback while the Sunnybrook did not.
NA Laryngoscope, 134:3105-3111, 2024.
探讨应用临床医生分级电子面部功能量表（eFACE）和 Sunnybrook 面部分级系统（Sunnybrook）的学习效果。
外科医生、面部康复治疗师和医学生被随机分配到 eFACE（n=7）或 Sunnybrook（n=6）组，并对 60 个视频（马萨诸塞州眼耳医院开源标准集）进行分级；其中 10 名面部功能正常的人和 50 名面部瘫痪严重程度差异较大的患者。参与者在每 10 个视频组后接受介绍和个人反馈。将评分与设置中提供的参考评分进行比较。采用多水平分析来分析学习效果。
仅在 eFACE 中发现学习效果，与第 1 组和第 2 组相比，第 6 组的差异评分显著，而后续组的差异评分则不显著。差异评分与 eFACE（β=-0.19；SE=0.04；p<0.001）和 Sunnybrook（β=-0.15；SE=0.04；p<0.001）的参考评分（面瘫严重程度）相关。参与者的年龄也与 eFACE 组的差异评分相关（β=0.18；SE=0.03；p<0.001）。在参与者的不同组别之间，评分无差异。
eFACE 在反馈时表现出学习效果，而 Sunnybrook 则没有。
无。喉镜，134：3105-3111，2024。
