Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial

PATIENT EDUCATION AND COUNSELING

卷:100

Article

Kron, Frederick W.¹  Fetters, Michael D.¹  Scerbo, Mark W.²  White, Casey B.³  Lypson, Monica L.⁴  Padilla, Miguel A.²  Gliva-McConvey, Gayle A.⁵  Belfore, Lee A., II⁶  West, Temple⁵  Wallace, Amelia M.⁵  Guetterman, Timothy C.¹  Schleicher, Lauren S.¹  Kennedy, Rebecca A.²  Mangrulkar, Rajesh S.⁴  Cleary, James F.⁷  Marsella, Stacy C.⁸  Becker, Daniel M.⁹ 

[1] Univ Michigan, Dept Family Med, Ann Arbor, MI 48104 USA

[2] Old Dominion Univ, Dept Psychol, Norfolk, VA 23529 USA

[3] Univ Virginia, Sch Med, Dept Med Educ, Charlottesville, VA 22908 USA

[4] Univ Michigan, Sch Med, Dept Learning Hlth Sci, Dept Internal Med, Ann Arbor, MI 48104 USA

[5] Eastern Virginia Med Sch, Sentara Ctr Simulat & Immers Learning, Norfolk, VA 23501 USA

[6] Old Dominion Univ, Dept Elect & Comp Engn, Norfolk, VA 23529 USA

[7] Univ Wisconsin, Sch Med & Publ Hlth, Dept Med, Madison, WI 53706 USA

[8] Northeastern Univ, Dept Psychol, Dept Comp Sci, Boston, MA 02115 USA

[9] Univ Virginia Hlth Syst, Dept Med, Charlottesville, VA 22908 USA

关键词: Simulation;    Computer simulation;    Computer-based conversational agent;    Healthcare communication;    Doctor-patient relationship;    Communication training;    Intelligent tutoring systems;    Knowledge transfer;    Training transfer;    Nonverbal communication;    Inter-professional communication;    Intercultural communication;    Cultural competence;    Human-computer interaction;    Breaking bad news;    Virtual Human;    Reflection on action;    Reflection in action;    Mindful practice;    Mixed methods research;   

DOI  :  10.1016/j.pec.2016.10.024

来源: Elsevier

【 摘 要 】

Objectives: To assess advanced communication skills among second-year medical students exposed either to a computer simulation (MPathic-VR) featuring virtual humans, or to a multimedia computerbased learning module, and to understand each group's experiences and learning preferences. Methods: A single-blinded, mixed methods, randomized, multisite trial compared MPathic-VR (N = 210) to computer-based learning (N = 211). Primary outcomes: communication scores during repeat interactions with MPathic-VR's intercultural and interprofessional communication scenarios and scores on a subsequent advanced communication skills objective structured clinical examination (OSCE). Multivariate analysis of variance was used to compare outcomes. Secondary outcomes: student attitude surveys and qualitative assessments of their experiences with MPathic-VR or computer-based learning. Results: MPathic-VR-trained students improved their intercultural and interprofessional communication performance between their first and second interactions with each scenario. They also achieved significantly higher composite scores on the OSCE than computer-based learning-trained students. Attitudes and experiences were more positive among students trained with MPathic-VR, who valued its providing immediate feedback, teaching nonverbal communication skills, and preparing them for emotion-charged patient encounters. Conclusions: MPathic-VR was effective in training advanced communication skills and in enabling knowledge transfer into a more realistic clinical situation. Practice implications: MPathic-VR's virtual human simulation offers an effective and engaging means of advanced communication training. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free