Applying Videos Feedback Learning to Improve Skills Performance of Physiotherapy Interns

NCT ID: NCT06449560

Last Updated: 2024-06-10

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-01

Study Completion Date

2026-05-31

Brief Summary

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This project uses self-practicing videos feedback to learn to improve the skill performance of physiotherapy interns. For traditional physiotherapy intern courses, teachers will conduct core courses and demonstrate teaching, but students are less familiar with the application of skills, even if adding practice course. The learning outcomes of the course are still not good in skill performance. By recording the self-practicing videos, the teacher uses observation and feedback to let the physiotherapy interns know whether the posture of the individual case, the fixed position of the limbs are appropriate, the resistance given and whether the verbal instruction is correct, and based on the evaluation outcomes to observe the students' learning status and clinical thinking ability can improve the skill performance and learning satisfaction.

Detailed Description

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Methods:

A parallel-group design. Ninety physiotherapy interns from a medical institution were enrolled as participants, with practice and videos feedback groups each comprising 45 participants. Two groups received traditional core course. The practice group received an additional 20 minutes of practice course. However, the videos feedback group received an additional 20 minutes of recording the self-practicing videos, the teacher uses observation and feedback learning of evaluation skills to improve the performance of physical therapy interns.The Direct Observation of Procedural Skills, Mini-Clinical Evaluation Exercise, Objective structured clinical examination, and satisfaction questionnaire were used in a pretest, posttest and the follow-up test.The inclusion criteria was being older than 20 years.Students were excluded if they could not complete the questionnaire.

Conditions

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Feedback

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, single-blinded, two parallel-groups trial
Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Practice Group

Participants in this group engage in the traditional core course, followed by a 20-minute practical session where they pair up for mutual hands-on practice. The assessment of upper limb soft tissue operations takes approximately 4 minutes per session, allowing for approximately 5 practice sessions.

Group Type ACTIVE_COMPARATOR

Practice Group

Intervention Type OTHER

Participants in this group engage in the traditional core course (1-hour lecture on upper limb soft tissue differential diagnosis and assessment techniques. They have the opportunity to observe teacher demonstrations, and the course content and instructional demonstrations are consistent and delivered by the same therapist), followed by a 20-minute practical session where they pair up for mutual hands-on practice. The assessment of upper limb soft tissue operations takes approximately 4 minutes per session, allowing for approximately 5 practice sessions.

Video Feedback Group

Participants receive the traditional core course along with a 20-minute video feedback session. Initially, a therapist records students' assessment techniques in action, capturing the dynamic process on video. The recorded video is then played on a screen for both the course teacher and students to watch together. Participants can annotate specific actions during the viewing, and the course teacher facilitates a reflective discussion where participants observe and identify any issues or correct actions as expected. The teacher provides feedback on areas of improvement in the action process for further practice. The self-viewing of the recorded video serves as a valuable tool for enhancing the skill performance of physical therapy interns.

Group Type EXPERIMENTAL

Practice Group

Intervention Type OTHER

Participants in this group engage in the traditional core course (1-hour lecture on upper limb soft tissue differential diagnosis and assessment techniques. They have the opportunity to observe teacher demonstrations, and the course content and instructional demonstrations are consistent and delivered by the same therapist), followed by a 20-minute practical session where they pair up for mutual hands-on practice. The assessment of upper limb soft tissue operations takes approximately 4 minutes per session, allowing for approximately 5 practice sessions.

Video Feedback Group

Intervention Type OTHER

Participants receive the traditional core course (as the same in the practice group) along with a 20-minute video feedback session. Initially, a therapist records students' assessment techniques in action, capturing the dynamic process on video. The recorded video is then played on a screen for both the course teacher and students to watch together. Participants can annotate specific actions during the viewing, and the course teacher facilitates a reflective discussion where participants observe and identify any issues or correct actions as expected. The teacher provides feedback on areas of improvement in the action process for further practice. The self-viewing of the recorded video serves as a valuable tool for enhancing the skill performance of physical therapy interns.

Interventions

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Practice Group

Participants in this group engage in the traditional core course (1-hour lecture on upper limb soft tissue differential diagnosis and assessment techniques. They have the opportunity to observe teacher demonstrations, and the course content and instructional demonstrations are consistent and delivered by the same therapist), followed by a 20-minute practical session where they pair up for mutual hands-on practice. The assessment of upper limb soft tissue operations takes approximately 4 minutes per session, allowing for approximately 5 practice sessions.

Intervention Type OTHER

Video Feedback Group

Participants receive the traditional core course (as the same in the practice group) along with a 20-minute video feedback session. Initially, a therapist records students' assessment techniques in action, capturing the dynamic process on video. The recorded video is then played on a screen for both the course teacher and students to watch together. Participants can annotate specific actions during the viewing, and the course teacher facilitates a reflective discussion where participants observe and identify any issues or correct actions as expected. The teacher provides feedback on areas of improvement in the action process for further practice. The self-viewing of the recorded video serves as a valuable tool for enhancing the skill performance of physical therapy interns.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* physical therapy interns require individuals to be over 20 years old.

Exclusion Criteria

* Individuals unwilling to participate in the study.
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 WanFang Hospital

OTHER

Sponsor Role lead

Responsible Party

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I Hsien Lin

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hsien I Lin, MS

Role: PRINCIPAL_INVESTIGATOR

Wan Fang Hospital, Taipei Medical University

Central Contacts

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Hsien I Lin, MS

Role: CONTACT

+886-2-29307930 ext. 1600

Yung C Wang, MS

Role: CONTACT

+886-2-29307930 ext. 1600

References

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Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990 Sep;65(9 Suppl):S63-7. doi: 10.1097/00001888-199009000-00045. No abstract available.

Reference Type BACKGROUND
PMID: 2400509 (View on PubMed)

Mori B, Carnahan H, Herold J. Use of Simulation Learning Experiences in Physical Therapy Entry-to-Practice Curricula: A Systematic Review. Physiother Can. 2015 Spring;67(2):194-202. doi: 10.3138/ptc.2014-40E.

Reference Type BACKGROUND
PMID: 25931672 (View on PubMed)

Blackstock FC, Watson KM, Morris NR, Jones A, Wright A, McMeeken JM, Rivett DA, O'Connor V, Peterson RF, Haines TP, Watson G, Jull GA. Simulation can contribute a part of cardiorespiratory physiotherapy clinical education: two randomized trials. Simul Healthc. 2013 Feb;8(1):32-42. doi: 10.1097/SIH.0b013e318273101a.

Reference Type BACKGROUND
PMID: 23250189 (View on PubMed)

Watson K, Wright A, Morris N, McMeeken J, Rivett D, Blackstock F, Jones A, Haines T, O'Connor V, Watson G, Peterson R, Jull G. Can simulation replace part of clinical time? Two parallel randomised controlled trials. Med Educ. 2012 Jul;46(7):657-67. doi: 10.1111/j.1365-2923.2012.04295.x. Epub 2012 May 30.

Reference Type BACKGROUND
PMID: 22646319 (View on PubMed)

Sanders BR, Ruvolo JF. Mock clinic. An approach to clinical education. Phys Ther. 1981 Aug;61(8):1163-7. doi: 10.1093/ptj/61.8.1163.

Reference Type BACKGROUND
PMID: 7267707 (View on PubMed)

Guadagnoli MA, Lee TD. Challenge point: a framework for conceptualizing the effects of various practice conditions in motor learning. J Mot Behav. 2004 Jun;36(2):212-24. doi: 10.3200/JMBR.36.2.212-224.

Reference Type BACKGROUND
PMID: 15130871 (View on PubMed)

Emmen HH, Wesseling LG, Bootsma RJ, Whiting HT, Van Wieringen PC. The effect of video-modelling and video-feedback on the learning of the tennis service by novices. J Sports Sci. 1985 Summer;3(2):127-38. doi: 10.1080/02640418508729742.

Reference Type BACKGROUND
PMID: 4094023 (View on PubMed)

Wulf G, Shea C, Lewthwaite R. Motor skill learning and performance: a review of influential factors. Med Educ. 2010 Jan;44(1):75-84. doi: 10.1111/j.1365-2923.2009.03421.x.

Reference Type BACKGROUND
PMID: 20078758 (View on PubMed)

Duffy A. A concept analysis of reflective practice: determining its value to nurses. Br J Nurs. 2007 Dec 13-2008 Jan 9;16(22):1400-7. doi: 10.12968/bjon.2007.16.22.27771.

Reference Type BACKGROUND
PMID: 18361389 (View on PubMed)

Rotthoff T, Ostapczuk MS, Kroncke KD, Zimmerhofer A, Decking U, Schneider M, Ritz-Timme S. Criterion validity of a competency-based assessment center in medical education--a 4-year follow-up study. Med Educ Online. 2014 Sep 12;19:25254. doi: 10.3402/meo.v19.25254. eCollection 2014.

Reference Type BACKGROUND
PMID: 25219931 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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N202211059

Identifier Type: -

Identifier Source: org_study_id

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