The Effectiveness of Using Empathy Courses to Guide OT Students in Case-base Clinical Reasoning

NCT ID: NCT05479110

Last Updated: 2022-07-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-01

Study Completion Date

2023-11-30

Brief Summary

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Clinical reasoning is an important cognitive process in medical decision making. In recent years, medical education advocates holistic medicine, but systematic learning is rare in school education.Therefore, this study used an empathy experience course to conduct a case-oriented clinical reasoning training course to improve the empathy and clinical reasoning skills of pre-clinical students in occupational therapy through four sessions.

Detailed Description

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Objective: To investigate effectiveness of using empathy experience courses to guide the students who prior to occupational therapy(OT) practice in case-base clinical reasoning.

Materials and Methods: 30 students were recruited from 8 universities in Taiwan and randomly divided into an experimental group and a control group. The experimental group was given four 3-hour training sessions over 2 weeks, which included group instruction on empathy experience, clinical reasoning, and functional therapy case-oriented learning, while the control group was given case studies. Tests were administered before and after the series of sessions, including case report writing, C-JES-HPS, SACRR, and a follow-up visit at the end of the first phase of clinical practice using the C-JES-HPS and SACRR; course satisfaction surveys were completed after each session and at the follow-up visit to observe course satisfaction, usefulness, and recommendations. Data were analyzed using SPSS (version 20.0) with a significance level of 0.05. Univariate analyses with repeated measures 2-way analysis of variance were used to compare changes in empathy and clinical reasoning ability between the two groups of subjects and course satisfaction was presented as descriptive statistics. It was hypothesized that a case-oriented clinical reasoning training program using an empathy experience program would improve empathy and clinical reasoning skills in pre-practicum students in occupational therapy.

Conditions

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Students

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental group

The experimental group was given four 3-hour training sessions over 2 weeks, which included group instruction on empathy experience, clinical reasoning, and functional therapy case-oriented learning.

Group Type EXPERIMENTAL

Empathy experience courses and case-base clinical reasoning

Intervention Type BEHAVIORAL

Four 3-hour training sessions over 2 weeks, which included group instruction on empathy experience, clinical reasoning, and functional therapy case-oriented learning.

Control group

The control group was given case studies(text).

Group Type ACTIVE_COMPARATOR

case studies

Intervention Type OTHER

active control: case studies(text)

Interventions

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Empathy experience courses and case-base clinical reasoning

Four 3-hour training sessions over 2 weeks, which included group instruction on empathy experience, clinical reasoning, and functional therapy case-oriented learning.

Intervention Type BEHAVIORAL

case studies

active control: case studies(text)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Occupational therapy students from National Taiwan University, Kaohsiung Medical University, Sun Yat-sen Medical University, National Cheng Kung University, Chang Gung University, IShou University, Fu Jen Catholic University, and Asia University who have completed their major credits and will be interning in a clinical hospital.
* Must be at least 20 years old and under 65 years old.

Exclusion Criteria

* Those who are unable to attend the whole course.
* Those who have not completed their school credits and are unable to go to the clinical hospital for internship.
* Those who do not speak Chinese or English as their native language.
Minimum Eligible Age

20 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Taipei Medical University Shuang Ho Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hanyun Hsiao

Role: PRINCIPAL_INVESTIGATOR

Taipei Medical University, Taiwan, R.O.C.

Locations

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Taipei Medical University Shuang Ho Hospital

New Taipei City, , Taiwan

Site Status

Countries

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Taiwan

Central Contacts

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Hanyun Hsiao, master

Role: CONTACT

+88622490088 ext. 1624

References

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Addy TM, Hafler J, Galerneau F. Faculty Development for Fostering Clinical Reasoning Skills in Early Medical Students Using a Modified Bayesian Approach. Teach Learn Med. 2016 Oct-Dec;28(4):415-423. doi: 10.1080/10401334.2016.1186551. Epub 2016 Jun 9.

Reference Type BACKGROUND
PMID: 27283028 (View on PubMed)

Cooper N, Bartlett M, Gay S, Hammond A, Lillicrap M, Matthan J, Singh M; UK Clinical Reasoning in Medical Education (CReME) consensus statement group. Consensus statement on the content of clinical reasoning curricula in undergraduate medical education. Med Teach. 2021 Feb;43(2):152-159. doi: 10.1080/0142159X.2020.1842343. Epub 2020 Nov 18.

Reference Type BACKGROUND
PMID: 33205693 (View on PubMed)

Daniel M, Rencic J, Durning SJ, Holmboe E, Santen SA, Lang V, Ratcliffe T, Gordon D, Heist B, Lubarsky S, Estrada CA, Ballard T, Artino AR Jr, Sergio Da Silva A, Cleary T, Stojan J, Gruppen LD. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019 Jun;94(6):902-912. doi: 10.1097/ACM.0000000000002618.

Reference Type BACKGROUND
PMID: 30720527 (View on PubMed)

Duca NS, Glod S. Bridging the Gap Between the Classroom and the Clerkship: A Clinical Reasoning Curriculum for Third-Year Medical Students. MedEdPORTAL. 2019 Jan 25;15:10800. doi: 10.15766/mep_2374-8265.10800.

Reference Type BACKGROUND
PMID: 31139730 (View on PubMed)

Huhn K, Gilliland SJ, Black LL, Wainwright SF, Christensen N. Clinical Reasoning in Physical Therapy: A Concept Analysis. Phys Ther. 2019 Apr 1;99(4):440-456. doi: 10.1093/ptj/pzy148.

Reference Type BACKGROUND
PMID: 30496522 (View on PubMed)

Jamieson M, Krupa T, O'Riordan A, O'Connor D, Paterson M, Ball C, Wilcox S. Developing empathy as a foundation of client-centred practice: evaluation of a university curriculum initiative. Can J Occup Ther. 2006 Apr;73(2):76-85. doi: 10.2182/cjot.05.0008.

Reference Type BACKGROUND
PMID: 16680911 (View on PubMed)

Min Simpkins AA, Koch B, Spear-Ellinwood K, St John P. A developmental assessment of clinical reasoning in preclinical medical education. Med Educ Online. 2019 Dec;24(1):1591257. doi: 10.1080/10872981.2019.1591257.

Reference Type BACKGROUND
PMID: 30935299 (View on PubMed)

Posel N, Mcgee JB, Fleiszer DM. Twelve tips to support the development of clinical reasoning skills using virtual patient cases. Med Teach. 2015;37(9):813-8. doi: 10.3109/0142159X.2014.993951. Epub 2014 Dec 19.

Reference Type BACKGROUND
PMID: 25523009 (View on PubMed)

Svalastog AL, Donev D, Jahren Kristoffersen N, Gajovic S. Concepts and definitions of health and health-related values in the knowledge landscapes of the digital society. Croat Med J. 2017 Dec 31;58(6):431-435. doi: 10.3325/cmj.2017.58.431. No abstract available.

Reference Type BACKGROUND
PMID: 29308835 (View on PubMed)

Ten Cate O. Competency-Based Postgraduate Medical Education: Past, Present and Future. GMS J Med Educ. 2017 Nov 15;34(5):Doc69. doi: 10.3205/zma001146. eCollection 2017.

Reference Type BACKGROUND
PMID: 29226237 (View on PubMed)

Wenham J, Best M, Kissane DW. Systematic review of medical education on spirituality. Intern Med J. 2021 Nov;51(11):1781-1790. doi: 10.1111/imj.15421.

Reference Type BACKGROUND
PMID: 34142417 (View on PubMed)

Other Identifiers

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TMU-JIRB N202112011

Identifier Type: -

Identifier Source: org_study_id

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