Assessing the equivalency of face-to-face and online simulated patient interviews in an educational intervention

Abstract Background In adapting to COVID-19, many health professional training programs moved abruptly from in-person to online simulated patient interviews for teaching and evaluation without the benefit of evidence regarding the efficacy of this mode of delivery. This paper reports on a multi-meth...

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Main Authors: Cheryl Regehr, Arija Birze
Format: Article
Language:English
Published: BMC 2024-04-01
Series:Advances in Simulation
Subjects:
Online Access:https://doi.org/10.1186/s41077-024-00286-3
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author Cheryl Regehr
Arija Birze
author_facet Cheryl Regehr
Arija Birze
author_sort Cheryl Regehr
collection DOAJ
description Abstract Background In adapting to COVID-19, many health professional training programs moved abruptly from in-person to online simulated patient interviews for teaching and evaluation without the benefit of evidence regarding the efficacy of this mode of delivery. This paper reports on a multi-methods research project comparing in-person and online simulated patient interviews conducted by allied health professionals as part of an educational intervention offered at a large university teaching hospital. Methods Twenty-three participants conducted two 15-min interviews with simulated patients using previously validated scenarios of patients presenting with suicide risk. In order to assess the equivalency of the two modalities, physiological and psychological stress were measured using heart rate variability parameters and the State-Trait Anxiety Inventory respectively, and then were compared across cohorts using t-tests. Reflective interviews elicited qualitative impressions of the simulations that were subject to thematic qualitative analysis. Results There were no statistical differences in measures of psychological stress or physiological arousal of participant health care professionals who engaged with in-person versus online simulated interviews, suggesting they were equally effective in eliciting reactions commonly found in challenging clinical situations. In reflective interviews, participants commented on the realism of both modalities of simulated patient encounters and that simulated interviews provoked emotional and physiological responses consistent with actual patient encounters. Conclusions These findings provide developing evidence that carefully designed online clinical simulations can be a useful tool for the education and assessment of healthcare professionals.
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spelling doaj.art-213366d613944fea8e30e616bd4713212024-04-07T11:12:15ZengBMCAdvances in Simulation2059-06282024-04-019111010.1186/s41077-024-00286-3Assessing the equivalency of face-to-face and online simulated patient interviews in an educational interventionCheryl Regehr0Arija Birze1Factor-Inwentash Faculty of Social Work, University of TorontoInstitute for Better Health, Trillium Health PartnersAbstract Background In adapting to COVID-19, many health professional training programs moved abruptly from in-person to online simulated patient interviews for teaching and evaluation without the benefit of evidence regarding the efficacy of this mode of delivery. This paper reports on a multi-methods research project comparing in-person and online simulated patient interviews conducted by allied health professionals as part of an educational intervention offered at a large university teaching hospital. Methods Twenty-three participants conducted two 15-min interviews with simulated patients using previously validated scenarios of patients presenting with suicide risk. In order to assess the equivalency of the two modalities, physiological and psychological stress were measured using heart rate variability parameters and the State-Trait Anxiety Inventory respectively, and then were compared across cohorts using t-tests. Reflective interviews elicited qualitative impressions of the simulations that were subject to thematic qualitative analysis. Results There were no statistical differences in measures of psychological stress or physiological arousal of participant health care professionals who engaged with in-person versus online simulated interviews, suggesting they were equally effective in eliciting reactions commonly found in challenging clinical situations. In reflective interviews, participants commented on the realism of both modalities of simulated patient encounters and that simulated interviews provoked emotional and physiological responses consistent with actual patient encounters. Conclusions These findings provide developing evidence that carefully designed online clinical simulations can be a useful tool for the education and assessment of healthcare professionals.https://doi.org/10.1186/s41077-024-00286-3SimulationOSCEHealth professional studentsOnline
spellingShingle Cheryl Regehr
Arija Birze
Assessing the equivalency of face-to-face and online simulated patient interviews in an educational intervention
Advances in Simulation
Simulation
OSCE
Health professional students
Online
title Assessing the equivalency of face-to-face and online simulated patient interviews in an educational intervention
title_full Assessing the equivalency of face-to-face and online simulated patient interviews in an educational intervention
title_fullStr Assessing the equivalency of face-to-face and online simulated patient interviews in an educational intervention
title_full_unstemmed Assessing the equivalency of face-to-face and online simulated patient interviews in an educational intervention
title_short Assessing the equivalency of face-to-face and online simulated patient interviews in an educational intervention
title_sort assessing the equivalency of face to face and online simulated patient interviews in an educational intervention
topic Simulation
OSCE
Health professional students
Online
url https://doi.org/10.1186/s41077-024-00286-3
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AT arijabirze assessingtheequivalencyoffacetofaceandonlinesimulatedpatientinterviewsinaneducationalintervention