Date of Award:

5-2006

Document Type:

Dissertation

Degree Name:

Doctor of Philosophy (PhD)

Department:

Instructional Technology and Learning Sciences

Department name when degree awarded

Instructional Technology

Committee Chair(s)

Byron Burnham

Committee

Byron Burnham

Committee

Margaret Lubke

Committee

Andrew Gibbons

Committee

Mike Toney

Committee

Nick Eastmond

Abstract

While medical technology, intervention, and treatment continue to advance, patients often find themselves involved in an increasingly complex healthcare system. Because of this, many patients lack access to the knowledge to facilitate successful navigation or participation in healthcare systems to their best advantage. Patient education that provides experiential information has been shown to reduce anxiety levels and increase patient health outcomes and compliance with medical instructions or recommendations. Given the demonstrated effectiveness of experiential instruction in patient education, Model-Centered Instruction (MCI) has the potential to be an effective instructional design for patient education because it affords the learner experience with systems or models in the presence of instructional augmentation. While MCI design theory is well-documented, it has not been widely implemented and tested at the instructional product level.

education. This project combines both design study research in MCI and research into MCI and its application to patient education. The study utilized a quasi-experimental design and included 40 participants in a control group (N=20) and an experimental group (N=20). Survey instruments included a pre and post State-Trait Anxiety Inventory (STAI), a pre and post patient survey, a pre and post physical therapist survey, and an instruction survey that was administered to the experimental group after each instructional session.

Results indicated that participants in the experimental group that received the MCI were less anxious and more compliant than the participants in the control group that did not receive the MCI. The experimental groups did not differ in anxiety or compliance with regard to age or gender. The experimental group also felt more confident than the control group in talking to healthcare providers and asking friends and family for assistance. The experimental group participants were also more likely to complete their physical therapy sessions at the facility and at home. The significance of these findings for MCI design and its application to patient education is discussed.

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