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Precision patient education using a “flipped classroom” approach

OBJECTIVES: To improve patient education delivered over telemedicine by using a “flipped classroom”‐inspired approach. METHODS: A “flipped classroom” is an education strategy used to engage active learning by sending students home with lecture material and reserving classroom time for collaborative...

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Autores principales: Schuller, Bradley W, Burch, Christina, Casterton, Theresa, Crowther, Catie, Fowler, Jordan, Stenmark, Matthew H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121034/
https://www.ncbi.nlm.nih.gov/pubmed/35482549
http://dx.doi.org/10.1002/acm2.13601
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author Schuller, Bradley W
Burch, Christina
Casterton, Theresa
Crowther, Catie
Fowler, Jordan
Stenmark, Matthew H
author_facet Schuller, Bradley W
Burch, Christina
Casterton, Theresa
Crowther, Catie
Fowler, Jordan
Stenmark, Matthew H
author_sort Schuller, Bradley W
collection PubMed
description OBJECTIVES: To improve patient education delivered over telemedicine by using a “flipped classroom”‐inspired approach. METHODS: A “flipped classroom” is an education strategy used to engage active learning by sending students home with lecture material and reserving classroom time for collaborative learning. To adapt this approach for use in radiation oncology patient education, three pieces of written education material were created: introduction to radiation oncology, treatment planning scan, and treatment delivery. An automated system was created to deliver precisely timed emails at three time points ahead of appointments. Appointment time was then used for collaborative learning with our staff. As a primary endpoint, email engagement metrics were tracked via the automated system. Secondarily, enrolled patients were surveyed to assess level of understanding (before vs. after intervention), anxiety (before vs. after intervention), and satisfaction. Additionally, email delivery timing, clarity, relevance, and patient support were evaluated. Data analyses test the impact of active learning against our existing education approaches. RESULTS: Overall, 77.1% of the emails were opened, and of those, patients accessed 72.2% of the education material. Patients re‐read the education material 4.6 times on average. Active learning increased patient understanding regarding the purpose of the treatment planning scan (p = 0.031) and increased patient understanding of what to expect during daily radiation treatments (p = 0.0078). Patients reported reduced anxiety (p = 0.031) and high scores for satisfaction, timing, clarity, relevance, and overall support. CONCLUSIONS: Patient engagement with the education material was high, and they continued to access it many times. Active learning enhances patient comprehension of complex treatment information leading to decreased anxiety. Furthermore, this technique can be incorporated into existing telemedicine with basic technology.
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spelling pubmed-91210342022-05-21 Precision patient education using a “flipped classroom” approach Schuller, Bradley W Burch, Christina Casterton, Theresa Crowther, Catie Fowler, Jordan Stenmark, Matthew H J Appl Clin Med Phys Technical Notes OBJECTIVES: To improve patient education delivered over telemedicine by using a “flipped classroom”‐inspired approach. METHODS: A “flipped classroom” is an education strategy used to engage active learning by sending students home with lecture material and reserving classroom time for collaborative learning. To adapt this approach for use in radiation oncology patient education, three pieces of written education material were created: introduction to radiation oncology, treatment planning scan, and treatment delivery. An automated system was created to deliver precisely timed emails at three time points ahead of appointments. Appointment time was then used for collaborative learning with our staff. As a primary endpoint, email engagement metrics were tracked via the automated system. Secondarily, enrolled patients were surveyed to assess level of understanding (before vs. after intervention), anxiety (before vs. after intervention), and satisfaction. Additionally, email delivery timing, clarity, relevance, and patient support were evaluated. Data analyses test the impact of active learning against our existing education approaches. RESULTS: Overall, 77.1% of the emails were opened, and of those, patients accessed 72.2% of the education material. Patients re‐read the education material 4.6 times on average. Active learning increased patient understanding regarding the purpose of the treatment planning scan (p = 0.031) and increased patient understanding of what to expect during daily radiation treatments (p = 0.0078). Patients reported reduced anxiety (p = 0.031) and high scores for satisfaction, timing, clarity, relevance, and overall support. CONCLUSIONS: Patient engagement with the education material was high, and they continued to access it many times. Active learning enhances patient comprehension of complex treatment information leading to decreased anxiety. Furthermore, this technique can be incorporated into existing telemedicine with basic technology. John Wiley and Sons Inc. 2022-04-28 /pmc/articles/PMC9121034/ /pubmed/35482549 http://dx.doi.org/10.1002/acm2.13601 Text en © 2022 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, LLC on behalf of The American Association of Physicists in Medicine. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Technical Notes
Schuller, Bradley W
Burch, Christina
Casterton, Theresa
Crowther, Catie
Fowler, Jordan
Stenmark, Matthew H
Precision patient education using a “flipped classroom” approach
title Precision patient education using a “flipped classroom” approach
title_full Precision patient education using a “flipped classroom” approach
title_fullStr Precision patient education using a “flipped classroom” approach
title_full_unstemmed Precision patient education using a “flipped classroom” approach
title_short Precision patient education using a “flipped classroom” approach
title_sort precision patient education using a “flipped classroom” approach
topic Technical Notes
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121034/
https://www.ncbi.nlm.nih.gov/pubmed/35482549
http://dx.doi.org/10.1002/acm2.13601
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