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优化短期课堂过程评估:使用重复测量分析评估药学教育中教学干预措施的有效性

Optimizing short-term in-class process evaluation: analyzing the effectiveness of teaching interventions in pharmaceutical education using repeated measures analysis.

作者信息

Tsui Leo, Huang Yule, Lei Yihan, Wang Jin

机构信息

School of Pharmacy, Shanghai University of Medicine and Health Sciences, Shanghai, 201318, China.

出版信息

BMC Med Educ. 2024 Jul 16;24(1):765. doi: 10.1186/s12909-024-05754-y.

Abstract

BACKGROUND

The assessment of the effectiveness of teaching interventions in enhancing students' understanding of the Pharmaceutical Care Network Europe (PCNE) Classification System is crucial in pharmaceutical education. This is especially true in regions like China, where the integration of the PCNE system into undergraduate teaching is limited, despite its recognized benefits in addressing drug-related problems in clinical pharmacy practice. Therefore, this study aimed to evaluate the effectiveness of teaching interventions in improving students' understanding of the PCNE Classification System in pharmaceutical education.

METHODS

Undergraduate pharmacy students participated in a series of sessions focused on the PCNE system, including lectures (t), case analyses (t), and practical implementation (t). The levels of understanding were evaluated using time-course questionnaires. Initially, paired samples t-Tests were used to compare understanding levels between different time points. Subsequently, Repeated Measures Analysis (RMA) was employed. Pearson correlation analysis was conducted to examine the relationship between understanding levels and the usability and likelihood of using the PCNE system, as reported in the questionnaires.

RESULTS

The paired samples t-Tests indicated insignificant differences between t2 and t3, suggesting limited improvement following the practical implementation of the PCNE system. However, RMA revealed significant time effects on understanding levels in effective respondents and the focused subgroup without prior experience (random intercept models: all p < 0.001; random slope models: all p < 0.001). These results confirmed the effectiveness of all three teaching interventions. Pearson correlation analysis demonstrated significant positive correlations between understanding levels and the usability and likelihood of using the PCNE system at all examined time points. This finding highlighted the reliability of the understanding levels reported in the questionnaires. The homework scores were used as external calibration standards, providing robust external validation of the questionnaire's validity.

CONCLUSION

The implementation of RMA provided robust evidence of the positive impact of time on understanding levels. This affirmed the effectiveness of all teaching interventions in enhancing students' comprehension of the PCNE Classification System. By utilizing RMA, potential errors inherent in common statistical methods, such as t-Tests, were mitigated. This ensured a more comprehensive and accurate assessment of the effectiveness of the teaching interventions.

摘要

背景

评估教学干预措施在增强学生对欧洲药学服务网络(PCNE)分类系统理解方面的有效性,在药学教育中至关重要。在中国等地区尤其如此,尽管PCNE系统在解决临床药学实践中的药物相关问题方面具有公认的益处,但将其纳入本科教学的情况有限。因此,本研究旨在评估教学干预措施在药学教育中提高学生对PCNE分类系统理解的有效性。

方法

本科药学专业学生参加了一系列围绕PCNE系统的课程,包括讲座(t)、案例分析(t)和实际应用(t)。使用随时间变化的问卷评估理解水平。最初,采用配对样本t检验比较不同时间点的理解水平。随后,采用重复测量分析(RMA)。如问卷中所报告,进行Pearson相关分析以检验理解水平与PCNE系统的可用性和使用可能性之间的关系。

结果

配对样本t检验表明t2和t3之间差异不显著,这表明PCNE系统实际应用后改善有限。然而,RMA显示有效受访者和无先前经验的重点亚组在理解水平上存在显著的时间效应(随机截距模型:所有p < 0.001;随机斜率模型:所有p < 0.001)。这些结果证实了所有三种教学干预措施的有效性。Pearson相关分析表明,在所有检查的时间点,理解水平与PCNE系统的可用性和使用可能性之间存在显著正相关。这一发现突出了问卷中报告的理解水平的可靠性。作业成绩用作外部校准标准,为问卷的有效性提供了有力的外部验证。

结论

RMA的实施提供了有力证据,证明时间对理解水平有积极影响。这肯定了所有教学干预措施在增强学生对PCNE分类系统理解方面的有效性。通过使用RMA,减轻了常用统计方法(如t检验)中固有的潜在误差。这确保了对教学干预措施有效性进行更全面、准确的评估。

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