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Self-instruction, individual differences, and mental retardation.

A general theoretical framework to guide research on self-instructional training was presented. The theory emphasizes that in evaluating self-instructional programs, more attention must be given to the developmental characteristics of the persons to be trained and suggests that self-instruction will be particularly useful to young nonretarded children, mentally retarded persons, and, more generally, individuals who have limited linguistic skills and a limited knowledge base. Further, retarded children taught to self-instruct will show better attention, memory, and motivation and manifest less impulsive behavior, maladaptive perseveration, and field dependency when taught through a self-instructional in contrast to an external instructional format. Empirical support for this theory was examined and recommendations for future research made.

Behavior Therapy↗

Increasing staff knowledge of and improving attitudes toward patients with borderline personality disorder.

This study examined the effect of a self-instructional program on nurses' knowledge of and attitudes and behavioral intentions toward patients with borderline personality disorder. The sample consisted of registered nurses working on inpatient psychiatric units of general hospitals: 19 in the experimental group and 13 in the control group. The Questionnaire on Borderline Personality Disorder was administered before and after nurses completed the program. Significant postintervention differences in knowledge of and attitudes toward patients with the disorder were found between the experimental group and the control group. Self-instruction may improve nurses' care of patients with borderline personality disorder.

Adult↗

Effective patient education. A quasi-experiment comparing an individualized strategy with a routinized strategy.

A quasi-experiment was conducted on 127 hospitalized rheumatoid arthritis patients to determine the relative success of 3 patient teaching strategies--an individualized program, a routinized program, and a no-planned-instruction program--on patients' knowledge of their disease and treatment. Data analysis revealed that the individualized program produced a 100% greater learning gain than the routinized program in patients who had low pretest scores. The results suggest that maximum patient learning occurs when the teaching process accommodates important patient differences.

Arthritis, Rheumatoid↗

Peer coaching: building collegial support for using innovative health programs.

To ensure students achieve intended benefits from effective health programs, it is necessary to maximize program implementation and maintenance. Peer coaching provides a post-inservice staff development approach for health educators to strengthen teacher use of new health programs during implementation trials. While peer coaching positively influences teacher behavior and student outcomes, previous coaching programs have been limited in scope, have not been theoretically derived or adequately evaluated, and have not been systematically applied to health programs. This paper addresses teacher needs during trials, reviews peer coaching program features, and proposes a model to guide future planning, evaluation, and research. In this model, critical components of the coaching program include classroom assessments, coaching team cluster meetings, and administrative support. Strategies based on Social Learning Theory and Diffusion Theory are incorporated into the peer coaching program to influence teacher perceptions of their work roles, capability to implement a program, and commitment to the new instructional program. Interrelations among components are discussed and directions for future research and practice are suggested.

Curriculum↗

Two approaches to reading instruction with children with disabilities: does program design make a difference?

This study examined the effects on reading achievement of variation in program design and tested the hypothesis this Distar Reading Mastery's (Engelmann & Bruner, 1988b) demonstrated effects with disadvantaged children in Project Follow Through can be generalized to children with disabilities. We compared the effects of two synthetic phonics reading programs, Direct Instruction (DI) Reading Mastery I and II and Addison Wesley's Meet the Superkids and The Superkids' Club, (Rowland, 1982a, 1982b) for 81 children in transitional kindergarten special education classes. No significant achievement differences were evident for the instructional program either at the end of the treatment year, or on follow-up testing 1 year later. However, among children who made advanced progress, the DI group showed larger reading gains.

Child↗

The utilization of cross-sectional anatomy in a surgical residency training program.

The education of students and residents in a surgical department involves a thorough knowledge of three-dimensional anatomical relationships in the body. In addition, the advances in new imaging modalities demand an in-depth study of cross-sectional anatomy by both students and residents. Traditionally, surgical training incorporated dissections of cadavers and the progressive involvement of the resident in the surgical theater. At the King/Drew Medical Center cross-sectional anatomy has been incorporated into the teaching program. The central focus of this instructional program utilizes problem-solving learning modules that emphasize important surgical and anatomical principles.LEARNING MODULES FOR EACH MAJOR REGION OF THE BODY WERE ESTABLISHED AND INCLUDE THE FOLLOWING: (1) serial cross sections, corresponding computerized tomographic scans and roentgenograms; (2) an atlas (cross sections), case histories, and examination questions; and (3) audiovisual presentation of the normal anatomy, the surgical principles involved, and a discussion of the examination questions. The serial cross sections were prepared at the King/Drew Medical Center.A selected case study is used to illustrate how the knowledge of three-dimensional anatomy can be critical in the evaluation and surgical plan of a patient. Entire learning modules of the thorax and abdomen were used.

Abdomen↗

Teaching plaque control. I. A five-visit versus a two-visit program.

The effects of two series of oral hygiene instruction programs were studied. One of the programs was given as a series of five consecutive 30-min visits during 14 days. The other program contained the same basic components but was scheduled as two 60-min visits. Sixty-nine white-collar employees served as subjects and were divided into three matched groups; two experimental groups (five-visit group, two-visit group) and one control group. The five-visit program as well as the two-visit program significantly reduced the presence of plaque, gingival bleeding and periodontal pockets. No differences could be observed between the results in two experimental groups during the immediate 12-week observation interval or throughout the subsequent 48 months of maintenance care.

Adult↗

Interactive instruction in the radiographic anatomy of the chest.

An instructional program has been developed which is designed to instruct medical students in a systematic approach to the reading of the chest radiograph. A videodisc player is used to display a radiograph on a video monitor and computer graphics are superimposed over this image. Another feature is the use of a mouse pointer as an input device to identify structures on the radiograph. The instructional approach is based upon the drill and practice method. All questions and responses are created by the computer through the program's database manipulation.

Computer-Assisted Instruction↗

An instructional guide for reducing the stress of hearing parents of hearing-impaired children.

The impact of a self-instructional program to reduce stress levels of parents of hearing-impaired children is examined. Fifty parents with hearing-impaired children were randomly assigned to one of two groups: Participating Parents, who received a Self-Instructional Parent Program (SIPP); and Non-participating Parents, who received no such program. Findings indicate that the participating parents did not experience significant decreases in their stress levels or in the perceived incidence of misbehavior in their children in comparison with non-participating parents. Participating parents, however, reported a decrease in their children's misbehavior; non-participating parents noted an increase. Additionally, the findings also associated increasing stress on the part of parents with parental perceptions of burgeoning misbehavior on the part of the child.

Child↗

Effects of a prenatal teaching program on postpartum regeneration of the pubococcygeal muscle.

A quasi-experimental design was used to compare postpartum perineometer readings of an experimental group of 32 women receiving a prenatal teaching program for the use of Kegel exercises with a control group of 30 women for whom the instructional program was omitted. All subjects received postpartum instruction from a pre-existing program presented by hospital staff. Significantly higher mean postpartum perineometer readings (t = 4.07; P less than .01) were found for the experimental group than for the control group, which supported the hypothesis that women who are offered the prenatal program for the use of Kegel exercises during the third trimester of pregnancy and are instructed on Kegel exercises by the staff during the hospitalized postpartum period will have significantly higher readings on the perineometer at the postpartum visit than those women for whom the prenatal program is omitted.

Female↗

A systems approach to the development and evaluation of a minicourse for nurses.

An autotutorial, audiovisual minicourse was designed to: 1) inform nurses and other hospital personnel to handle effectively problems associated with contamination and decontamination of respiratory therapy equipment according to the best procedures currently availabel, 2) investigate how different instructional methods are related to student achievement, and 3) determine an effective approach for implementing this educational modality. The subjects-137 allied health students, predominantly nurses, enrolled in introductory microbiology in the Department of Biology, Georgia State University, Atlanta, during the Spring Quarter 1974-were randomly placed in four treatment groups: 1-programmed instruction (PI), 2-audiovisual (AV), 3-AV-PI combined, 4-no exposure to the mini-course-control group. Achievement was measured by comparing pre- and posttest scores on a subject matter achievement test. An analysis of variance revealed that not all treatment population means were equal. Tukey's Honestly Significant Difference Test showed that all three groups exposed to one or both methods of the minicourse scored higher than the control group, with the AV-PI group scoring highest.

Audiovisual Aids↗

Teaching the patient with ischemic heart disease: a systemic approach to instructional design.

Does a systematic approach to the design of instruction for patients with ischemic heart disease (IHD) produce an effective educational product? One hundred patients, 67 men and 33 women with an average age of 57 years, who were hospitalized with IHD (myocardial infarction or unstable angina), were randomly assigned to an experimental or control condition and pretested to determine their knowledge of the disease and its treatment. Experimental subjects received a linear self-instructional program on the nature and treatment of IHD. Control subjects did not receive the program. Two days later a posttest was administered to experimental and control subjects; an average of 14 days after discharge a retention test was given to both groups. Individual test scores revealed that (allowing for a subject effect) patients who completed the program achieved significantly (P less than 0.001) higher posttest and retention test scores than those who did not. Also, patients who completed the program retained the information during the two weeks between the posttest and the retention test. Results of this study indicate that the instructional framework that was effective in the design of a health-education program for pregnant women can be applied to the design of instruction for patients with IHD.

Canada↗

Teaching memorized spelling with a microcomputer: time delay and computer-assisted instruction.

A computer-assisted instruction program was evaluated that used a constant time-delay procedure to teach 5 students 18 spelling words. In addition to delivering the instructional procedure, the program managed the presentation of training content based on individual student responding and collected instructional data on individual student performance. The procedure was effective at teaching 4 of the 5 students the words, and generalization occurred from the computer-delivered keyboard response format to a teacher-delivered hand-written response format. Maintenance data varied among the students. The study demonstrated the feasibility of using microcomputers to deliver time-delay instruction in special education classrooms and suggested several research questions related to specific features of microcomputer-delivered time-delay instruction.

Achievement↗

The American Society of Tropical Medicine and Hygiene initiative to stimulate educational programs to enhance medical expertise in tropical diseases.

More than a decade ago, at a time when current and emerging tropical diseases posed growing threats to the United States, expert panels convened by the Institute of Medicine of the U.S. National Academy of Sciences concluded that medical expertise within the United States competent to address diseases of the tropics had declined. Recognizing a national need to encourage and enhance such, The American Society of Tropical Medicine and Hygiene developed a program to stimulate new postgraduate medical education in diseases of the tropics. The Society formally requested academic institutions within the United States and Canada to propose new postgraduate programs. To assure the quality of these new curricular offerings, the Society developed an outline of key areas of competency and agreed to offer an examination that would grant physicians a Certificate of Knowledge in Clinical Tropical Medicine and Travelers Health. The certifying examination was to be an integral component of a program to stimulate academic institutions to provide instructional programs in tropical diseases and to encourage physicians to become trained, evaluated, and recognized for their knowledge of clinical tropical diseases and travelers' health. The Society's initiative to stimulate educational programs in tropical medicine is reviewed.

Canada↗

An individualized course in clinical psychiatry.

Although a variety of new teaching strategies and materials are available in education today, medical education has been slow to move away from the traditional lecture format. An individualized course in clinical psychiatry is described, both from a philosophical and operational frame of reference. Features of the course of include programmed instruction, behavioral objectives, criterion-referenced mastery level evaluations, contracting for grades, and utilization of small-group discussions. Attention is directed to the advantages of the new methods as well as to new problems which surfaced.

Educational Measurement↗

Consonant errors and remediation in sensorineural hearing loss.

An analysis of consonant errors for hearing-impaired subjects in a multiple-choice format revealed that about 14 consonants caused most of the difficulty in consonant recognition. For a given consonant, error probability was typically lower in the initial position of the stimulus word than in the final position. When errors were made, the substitutions were limited typically to two or three other consonants, with a greater variety occurring for consonants in the final position. Substitutions tended to be the same over a wide range of pure-tone configurations. Place errors were predominant, but manner errors also occurred. In only a few instances did specific relationships occur between particular stimulus consonants and pure-tone configurations. With knowledge of the error consonants and typical substitutions, auditory recognition of consonants can be improved by programmed instruction methods. Shaping can be accomplished by a manipulation of the response foils (choices). Since it has been shown that visual recognition of consonants can also be improved, advantage can be taken of both the visual and auditory modalities in remedial procedures. Frequency of usage in the language should be considered in the ordering of consonants for retraining purposes. Work in consonant recognition should be beneficial to the hearing-impaired patient as part of a total rehabilitation program.

Hearing Loss, Sensorineural↗

An evaluation of programmed text, slide-tape, and lecture at six dental schools.

The results of previous studies reported in the literature have been inconclusive as regards the effectiveness of programmed instruction as compared to the lecture method. The results of this study demonstrate that the formats are, in the end, of similar effectiveness. Therefore, the choice of teaching format in a dental school can safely be based on considerations other than the amount of learning that will occur.

Analysis of Variance↗

Keeping extension programs current in order to meet the needs of a dynamic dairy industry.

Extension is one of three missions of land-grant colleges. Funding and support include local, state, and federal dollars plus industry support, competitive grants, and user fees. To evaluate changes and emphasis, a survey of 13 selected dairy states was conducted to evaluate changes in dairy full-time equivalents (FTE) in the last 10 yr (1989 compared with 1999) at county or unit, regional, and state levels. A reduction of 5 to 34% in FTE occurred at all three levels. Surveys of dairy support state specialists in other related departments were also collected from the 13 states based on 1999 data. Wide ranges in state specialist support in other departments were reported. Changes and future program needs were collected from a 13-state survey. Two futuristic dairy information delivery programs are illustrated. The Illinois extramural CD-ROM-based instructional program used existing technologies to reach broad clientele bases, allowed students to receive instruction when time was available and earn college credit. The National Dairy Database (NDD) is an Internet-based delivered program with 23 domain areas that contained peer reviewed material. Users can access the new NDD by subscribing to an Internet address (which will be updated as new material is received) or by purchasing a CD-ROM.

Computer-Assisted Instruction↗