Comparison of simulation and video-based training for acute asthma
Abstract Background Emergency medicine is particularly well suited to simulation training. However, evidence for the efficacy of simulation-based medical training remains limited especially to manage high-risk cases such as acute asthma. Objective The objective of our study was to compare the perfor...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-023-04836-7 |
| _version_ | 1827710381373521920 |
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| author | Mohamed Habib Grissa Randa Dhaoui Khaoula Bel Haj Ali Adel Sekma Maroua Toumia Sarra Sassi Abdel Karim Sakly Asma Zorgati Hajer Bouraoui Houda Ben Soltane Zied Mezgar Riadh Boukef Hamdi Boubaker Wahid Bouida Kaouthar Beltaief Semir Nouira |
| author_facet | Mohamed Habib Grissa Randa Dhaoui Khaoula Bel Haj Ali Adel Sekma Maroua Toumia Sarra Sassi Abdel Karim Sakly Asma Zorgati Hajer Bouraoui Houda Ben Soltane Zied Mezgar Riadh Boukef Hamdi Boubaker Wahid Bouida Kaouthar Beltaief Semir Nouira |
| author_sort | Mohamed Habib Grissa |
| collection | DOAJ |
| description | Abstract Background Emergency medicine is particularly well suited to simulation training. However, evidence for the efficacy of simulation-based medical training remains limited especially to manage high-risk cases such as acute asthma. Objective The objective of our study was to compare the performance of high-fidelity simulation (HFS) and interactive video-case challenge-based training (IVC) for final-year medical students in the management of acute asthma. Methods This was a prospective randomized controlled study conducted at the emergency department (ED) of Monastir University hospital ( Tunisia). 69 final-year medical students were randomized to HFS (n = 34) and IVC (n = 35) training on acute asthma topic. The study was conducted over a 1-week period. Efficacy of each teaching method was compared through the use of multiple-choice questionnaires (MCQ) before (pre-test), after (post-test) training and a simulation scenario test conducted 1 week later. The scenario was based on acute asthma management graded on predefined critical actions using two scores: the checklist clinical score (range 0 to 30), and the team skills score (range 0 to 16). Student satisfaction was also evaluated with the Likert 5 points scale. Two years after the post-test, both groups underwent a third MCQ testing to assess sustainability of knowledge. Results There were no differences in age between groups. There was no statistically significant difference between the HFS and IVC groups pre-test scores (p = 0.07). Both groups demonstrated improvement in MCQ post-test from baseline after training session; the HFS MCQ post-test score increased significantly more than the IVC score (p < 0.001). The HFS group performed better than the IVC group on the acute asthma simulation scenario (p < 0.001). Mean checklist clinical score and mean team skills score were significantly higher in HFS group compared to IVC group (respectively 22.9 ± 4.8 and 11.5 ± 2.5 in HFS group vs 19.1 ± 3 and 8.4 ± 3.1 in IVC group) (p < 0.001). After 2 years, MCQ post-test scores decreased in both groups but the decrease was lower in HFS group compared to the IVC group. Conclusion High-fidelity simulation-based training was superior to interactive video-case challenge for teaching final year medical students,and led to more long-term knowledge retention in the management of simulated acute asthma patients. Trial registration The study was registered at www.clinicaltrials.gov NCT02776358 on 18/05/2016. |
| first_indexed | 2024-03-10T17:37:10Z |
| format | Article |
| id | doaj.art-1767bbbebc1a4b5da162c3b0b8da4a22 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-10T17:37:10Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-1767bbbebc1a4b5da162c3b0b8da4a222023-11-20T09:47:57ZengBMCBMC Medical Education1472-69202023-11-012311810.1186/s12909-023-04836-7Comparison of simulation and video-based training for acute asthmaMohamed Habib Grissa0Randa Dhaoui1Khaoula Bel Haj Ali2Adel Sekma3Maroua Toumia4Sarra Sassi5Abdel Karim Sakly6Asma Zorgati7Hajer Bouraoui8Houda Ben Soltane9Zied Mezgar10Riadh Boukef11Hamdi Boubaker12Wahid Bouida13Kaouthar Beltaief14Semir Nouira15Emergency Department, Fattouma Bourguiba University HospitalEmergency Department, Fattouma Bourguiba University HospitalEmergency Department, Fattouma Bourguiba University HospitalEmergency Department, Fattouma Bourguiba University HospitalEmergency Department, Haj Ali Soua Regional Hospital of Ksar HellalEmergency Department, Fattouma Bourguiba University HospitalOrthopedic Department, Fattouma Bourguiba University HospitalEmergency Department, Sahloul University HospitalPharmacology Department Faculty of Medicine, University of MonastirEmergency Department, Farhat Hached University HospitalEmergency Department, Farhat Hached University HospitalResearch Laboratory LR12SP18, University of MonastirEmergency Department, Fattouma Bourguiba University HospitalEmergency Department, Fattouma Bourguiba University HospitalEmergency Department, Fattouma Bourguiba University HospitalEmergency Department, Fattouma Bourguiba University HospitalAbstract Background Emergency medicine is particularly well suited to simulation training. However, evidence for the efficacy of simulation-based medical training remains limited especially to manage high-risk cases such as acute asthma. Objective The objective of our study was to compare the performance of high-fidelity simulation (HFS) and interactive video-case challenge-based training (IVC) for final-year medical students in the management of acute asthma. Methods This was a prospective randomized controlled study conducted at the emergency department (ED) of Monastir University hospital ( Tunisia). 69 final-year medical students were randomized to HFS (n = 34) and IVC (n = 35) training on acute asthma topic. The study was conducted over a 1-week period. Efficacy of each teaching method was compared through the use of multiple-choice questionnaires (MCQ) before (pre-test), after (post-test) training and a simulation scenario test conducted 1 week later. The scenario was based on acute asthma management graded on predefined critical actions using two scores: the checklist clinical score (range 0 to 30), and the team skills score (range 0 to 16). Student satisfaction was also evaluated with the Likert 5 points scale. Two years after the post-test, both groups underwent a third MCQ testing to assess sustainability of knowledge. Results There were no differences in age between groups. There was no statistically significant difference between the HFS and IVC groups pre-test scores (p = 0.07). Both groups demonstrated improvement in MCQ post-test from baseline after training session; the HFS MCQ post-test score increased significantly more than the IVC score (p < 0.001). The HFS group performed better than the IVC group on the acute asthma simulation scenario (p < 0.001). Mean checklist clinical score and mean team skills score were significantly higher in HFS group compared to IVC group (respectively 22.9 ± 4.8 and 11.5 ± 2.5 in HFS group vs 19.1 ± 3 and 8.4 ± 3.1 in IVC group) (p < 0.001). After 2 years, MCQ post-test scores decreased in both groups but the decrease was lower in HFS group compared to the IVC group. Conclusion High-fidelity simulation-based training was superior to interactive video-case challenge for teaching final year medical students,and led to more long-term knowledge retention in the management of simulated acute asthma patients. Trial registration The study was registered at www.clinicaltrials.gov NCT02776358 on 18/05/2016.https://doi.org/10.1186/s12909-023-04836-7Acute asthmaHigh-fidelity simulationInteractive video-case education |
| spellingShingle | Mohamed Habib Grissa Randa Dhaoui Khaoula Bel Haj Ali Adel Sekma Maroua Toumia Sarra Sassi Abdel Karim Sakly Asma Zorgati Hajer Bouraoui Houda Ben Soltane Zied Mezgar Riadh Boukef Hamdi Boubaker Wahid Bouida Kaouthar Beltaief Semir Nouira Comparison of simulation and video-based training for acute asthma BMC Medical Education Acute asthma High-fidelity simulation Interactive video-case education |
| title | Comparison of simulation and video-based training for acute asthma |
| title_full | Comparison of simulation and video-based training for acute asthma |
| title_fullStr | Comparison of simulation and video-based training for acute asthma |
| title_full_unstemmed | Comparison of simulation and video-based training for acute asthma |
| title_short | Comparison of simulation and video-based training for acute asthma |
| title_sort | comparison of simulation and video based training for acute asthma |
| topic | Acute asthma High-fidelity simulation Interactive video-case education |
| url | https://doi.org/10.1186/s12909-023-04836-7 |
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