Effect of online customized psychiatry teaching on the perceptions about psychiatry among undergraduate medical students: a randomized controlled study

Authors

  • Nimmy Chandran Assistant Professor, Department of Psychiatry, Government Medical College, Palakkad
  • Vikas Menon Additional Professor, Department of Psychiatry, JIPMER, Puducherry

DOI:

https://doi.org/10.30834/KJP.35.2.2023.313

Keywords:

Innovative teaching methods, customized psychiatry teaching, medical students

Abstract

Background: Student-centered innovative teaching methods are needed to increase interest in and improve perceptions about the field of Psychiatry. We aimed to assess the effect of online customized psychiatry learning on perceptions about Psychiatry among undergraduate medical students. Materials and methods: Between June to August 2021, we carried out a randomized controlled trial among second-year medical students of a teaching cum tertiary health care institution in South India. Participants (n=36) were randomized into the intervention (n=18) or control group (n=18). The intervention group received online customized psychiatry teaching in addition to the regular curriculum teaching while the control group received only regular curriculum teaching. The outcome measure studied was perceptions about Psychiatry, assessed using a structured questionnaire that was applied before and after the intervention. Results: Usable responses were obtained from 32 participants (Mean age=22.3 years, standard deviation=0.8; 50% females). At the end of the study, there was no significant difference in the scores between the groups on either the Images of Psychiatry subscale (t=1.36, p=0.18) or the Efficacy of Psychiatry subscale (t=1.56, p=0.11). However, in a within-group analysis, scores on the Images of Psychiatry subscale improved significantly in the intervention group (t= -3.65, p=0.002) but not in the control group (t= -1.18, p = 0.258). Likewise, scores on the Efficacy of Psychiatry subscale improved significantly in the intervention group (t = -3.06, p=0.008) but not in the control group (t= -0.81, p=0.432). Conclusion: Online customized psychiatry teaching did not improve perceptions about Psychiatry compared to regular curriculum teaching.

References

Chawla JM, Balhara YP, Sagar R, Shivaprakash. Undergraduate medical students’ attitude toward psychiatry: A cross-sectional study. Indian J Psychiatry. 2012;54:37-40.

Lyons Z. Attitudes of medical students toward psychiatry and psychiatry as a career: a systematic review. Acad Psychiatry 2013;37:150-7.

Muraleedharan A, Menon V, Raj GV. Career preferences and influencing factors among students entering medical school. Int J Community Med Public Health 2019;6:2484-9.

Stuart H, Sartorius N, Liinamaa T, Images Study Group. Images of psychiatry and psychiatrists. Acta Psychiatr Scand 2015;131:21-8.

Murthy RS. National mental health survey of India 2015–2016. Indian J Psychiatry. 2017;59:21-6.

Matsumura Y, Shinno H, Mori T, Nakamura Y. Simulating clinical psychiatry for medical students: a comprehensive clinic simulator with virtual patients and an electronic medical record system. Acad Psychiatry 2018;42:613-21.

Piot MA, Dechartres A, Attoe C, Jollant F, Lemogne C, Burn CL, et al. Simulation in psychiatry for medical doctors: a systematic review and meta?analysis. Med Educ 2020;54:696-708.

King J, Hill K, Gleason A. All the world’s a stage: evaluating psychiatry role - play based learning for medical students. Australas Psychiatry 2015;23:76-9.

Hassoulas A, Forty E, Hoskins M, Walters J, Riley S. A case-based medical curriculum for the 21st century: the use of innovative approaches in designing and developing a case on mental health. Med Teach 2017;39:505-11.

Schwartz AC, Cotes RO, Kim J, Ward MC, Manning KD. Bite-sized teaching: engaging the modern learner in psychiatry. Acad Psychiatry 2019;43:315-8.

Amsalem D, Gothelf D, Dorman A, Goren Y, Tene O, Shelef A, et al. Reducing stigma toward psychiatry among medical students: a multicenter controlled trial. Primary Care Companion CNS Disord 2020;22:19m02527.

Eksteen HC, Becker PJ, Lippi G. Stigmatization towards the mentally ill: Perceptions of psychiatrists, pre-clinical and post-clinical rotation medical students. Int J Soc Psychiatry 2017;63:782-91.

Friedrich B, Evans-Lacko S, London J, Rhydderch D, Henderson C, Thornicroft G. Anti-stigma training for medical students: the Education Not Discrimination project. The Br J Psychiatry Suppl 2013;202(s55):s89-94.

Lyons Z, Janca A. Impact of a psychiatry clerkship on stigma, attitudes towards psychiatry, and psychiatry as a career choice. BMC Med Educ 2015;15:34. DOI: 10.1186/s12909-015-0307-4

Carlo Faravelli. Case5.2 Panic. In: Barnhill, John W. DSM-5 Clinical Cases. Special edition. India: CBS Publishers and Distributors; 2017:p. 111-114

Adib-Hajbaghery M, Faraji M. Comparison of effect between group discussion and educational booklet on Iranian nursing students’ attitude and practice toward patient privacy. J Educ Eval Health Prof 2016;13: 29. DOI: 10.3352/jeehp.2016.13.29. eCollection 2016.

Stuart H, Sartorius N, Liinamaa T, Images Study Group. The images of psychiatry scale: development, factor structure, and reliability. BMC Psychiatry 2014;14:337. Available from: https://doi.org/10.1186/s12888-014-0337-1

Thomas KG, Thomas MR, York EB, Dupras DM, Schultz HJ, Kolars JC. Teaching evidence-based medicine to internal medicine residents: the efficacy of conferences versus small-group discussion. Teach Learn Med 2005;17:130-5.

Skokauskas N, Doody B, Gallagher L, Lawlor M, Moran T, Fitzgerald M, et al. Problem-based learning in child and adolescent psychiatry at Trinity College, Dublin, Ireland. Acad Psychiatry 2012;36:335-9.

McParland M, Noble LM, Livingston G. The effectiveness of problem?based learning compared to traditional teaching in undergraduate psychiatry. Med Educ 2004;38:859-67.

Liu CX, Ouyang WW, Wang XW, Chen D, Jiang ZL. Comparing hybrid problem-based and lecture learning (PBL+ LBL) with LBL pedagogy on clinical curriculum learning for medical students in China: a meta-analysis of randomized controlled trials. Medicine 2020;99:e19687.

Sharma N, Sharma S, Ghai S. Psychiatry movie club: An innovative way to teach psychiatry. Delhi Psychiatry Journal. 2013;16:335-42.

Kerby J, Calton T, Dimambro B, Flood C, Glazebrook C. Anti-stigma films and medical students' attitudes towards mental illness and psychiatry: randomised controlled trial. Psychiatr Bull 2008;32:345-9.

Williams E, Gupta N, Oyebode F. Views of medical educators on virtual teaching methods and curriculum changes within an undergraduate psychiatry rotation during the COVID-19 pandemic–a quality improvement project. BJPsych Open 2021;7(Suppl 1):S227. DOI: 10.1192/bjo.2021.606

Jayaram M, Shields G, Buisman-Pijlman F. Novel methods of teaching psychiatry to medical and postgraduate students. Curr Opin Psychiatry 2021;34:491-6.

Nicklen P, Keating JL, Paynter S, Storr M, Maloney S. Remote-online case-based learning: A comparison of remote-online and face-to-face, case-based learning - a randomized controlled trial. Educ Health 2016;29(3):195-202.

Gao J, Yang L, Zou J, Fan X. Comparison of the influence of massive open online courses and traditional teaching methods in medical education in China: A meta?analysis. Biochem Mol Biol Educ 2021;49:639-51.

Tartavulea CV, Albu C, Albu N, Dieaconescu RI, Petre S. Online teaching practices and the effectiveness of the educational process in the wake of the COVID-19 pandemic. Amfiteatru Economic 2020;22:920-36.

Koole S, Vervaeke S, Cosyn J, De Bruyn H. Exploring the relation between online case?based discussions and learning outcomes in dental education. J Dent Educ 2014;78:1552-7.

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Published

2023-01-16

How to Cite

Chandran, N., and V. Menon. “Effect of Online Customized Psychiatry Teaching on the Perceptions about Psychiatry Among Undergraduate Medical Students: A Randomized Controlled Study”. Kerala Journal of Psychiatry, vol. 35, no. 2, Jan. 2023, pp. 112-21, doi:10.30834/KJP.35.2.2023.313.

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Section

Research Report