Diminishing Effect Sizes with Repeated Exposure to Evidence-Based Practice Training in Entry-Level Health Professional Students: A Longitudinal Study

被引:10
作者
Lewis, Lucy K. [1 ,3 ]
Wong, Sze C. [1 ]
Wiles, Louise K. M. [1 ]
McEvoy, Maureen P. [1 ,2 ]
机构
[1] Univ S Australia, Alliance Res Exercise Nutr & Act, Sansom Inst Hlth Res, Sch Hlth Sci, Adelaide, SA 5001, Australia
[2] Univ S Australia, Int Ctr Allied Hlth Evidence, Sansom Inst Hlth Res, Sch Hlth Sci, Adelaide, SA 5001, Australia
[3] Flinders Univ S Australia, Discipline Physiotherapy, Sch Hlth Sci, Fac Med Nursing & Hlth Sci, Adelaide, SA 5001, Australia
关键词
education; evidence-based practice; students; EVIDENCE-BASED MEDICINE; INSTRUCTION; COMPETENCE; VALIDATION; SKILLS;
D O I
10.3138/ptc.2015-10E
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose: To investigate the magnitude of change in outcomes after repeated exposure to evidence-based practice (EBP) training in entry-level health professional students. Method: Using an observational cross-sectional analytic design, the study tracked 78 students in physiotherapy, podiatry, health science, medical radiations, and human movement before and after two sequential EBP courses. The first EBP course was aimed at developing foundational knowledge of and skills in the five steps of EBP; the second was designed to teach students to apply these steps. Two EBP instruments were used to collect objective (actual knowledge) and self-reported (terminology, confidence, practice, relevance, sympathy) data. Participants completed both instruments before and after each course. Results: Effect sizes were larger after the first course than after the second for relevance (0.72 and 0.26, respectively), practice (1.23 and 0.43), terminology (2.73 and 0.84), and actual knowledge (1.92 and 1.45); effect sizes were larger after the second course for sympathy (0.03 and 0.14) and confidence (0.81 and 1.12). Conclusions: Knowledge and relevance changed most meaningfully (i.e., showed the largest effect size) for participants with minimal prior exposure to training. Changes in participants' confidence and attitudes may require a longer time frame and repeated training exposure.
引用
收藏
页码:73 / 80
页数:8
相关论文
共 21 条
[1]   Integrating an evidence-based medicine rotation into an internal medicine residency program [J].
Akl, EA ;
Izuchukwu, IS ;
El-Dika, S ;
Fritsche, L ;
Kunz, R ;
Schünemann, HJ .
ACADEMIC MEDICINE, 2004, 79 (09) :897-904
[2]   Integrating Evidence Based Medicine Into Undergraduate Medical Education: Combining Online Instruction With Clinical Clerkships [J].
Aronoff, Stephen C. ;
Evans, Barry ;
Fleece, David ;
Lyons, Paul ;
Kaplan, Lawrence ;
Rojas, Roberto .
TEACHING AND LEARNING IN MEDICINE, 2010, 22 (03) :219-223
[3]   A multi-professional evidence-based practice course improved allied health students' confidence and knowledge [J].
Bennett, Sally ;
Hoffmann, Tammy ;
Arkins, Miranda .
JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2011, 17 (04) :635-639
[4]  
Coe R, ANN C BRIT ED RES AS
[5]  
Cooper H, 1996, REV EDUC RES, V66, P227, DOI 10.3102/00346543066003227
[6]  
Dawes Martin, 2005, BMC Med Educ, V5, P1
[7]   Evidence based medicine and the medical curriculum [J].
Glasziou, Paul ;
Burls, Amanda ;
Gilbert, Ruth .
BMJ-BRITISH MEDICAL JOURNAL, 2008, 337 (7672)
[8]   The development and validation of a knowledge, attitude and behaviour questionnaire to assess undergraduate evidence-based practice teaching and learning [J].
Johnston, JM ;
Leung, GM ;
Fielding, R ;
Tin, KYK ;
Ho, LM .
MEDICAL EDUCATION, 2003, 37 (11) :992-1000
[9]   Evidence-based practice-focused interactive teaching strategy: a controlled study [J].
Kim, Son C. ;
Brown, Caroline E. ;
Fields, Willa ;
Stichler, Jaynelle F. .
JOURNAL OF ADVANCED NURSING, 2009, 65 (06) :1218-1227
[10]  
Lai N. M., 2009, Hong Kong Medical Journal, V15, P332