Effectiveness and perception of demonstration‑observation‑ assistance‑performance (DOAP) versus video‑assisted learning (VAL) in training advanced cardiac life support (ACLS) among medical interns – A comparative study

نویسندگان

1 Emergency Medicine, Government Medical College, Kannur, Pariyaram, Kerala, India

doi
چکیده

BACKGROUND: Demonstration‑Observation‑Assistance‑Performance (DOAP) and Video‑AssistedLearning (VAL) are small‑group teaching/learning methods (TLM) in medical education. Comparisonstudies between the two are scanty. There is a gap in knowledge, skills, and attitude among medicalinterns toward Advanced Cardiac Life Support (ACLS). The author studied the effectiveness of DOAPand VAL in training ACLS using mannequins and automated external defibrillator (AED)-simulatorsamong interns in 2021.MATERIALS AND METHODS: This descriptive study was done in the Emergency Department ofa tertiary teaching hospital in South India. Out of 80 medical interns, 39 and 41 were allocated toACLS training by DOAP (Group 1) and VAL (Group 2), respectively, by convenient sampling withrandom allocation, with the use of mannequins and AED‑Simulators (10 interventions in each smallgroup; three‑five participants in each session). Pre‑validated pre‑test and posttest multiple‑choicequestionnaires (MCQs) and attitude questionnaires, OSCE by two blinded assessors, and perceptionby Likert‑based questionnaire were analyzed with appropriate statistical analysis.RESULTS: The mean pretest and posttest MCQs and Attitude and OSCE scores of DOAP and VALshowed no statistically significant difference between them (MCQ pre‑test 44.51 (11.43); 42.54 (6.56);p = 0.350 and MCQ posttest, 78.97 (8.59); 77.22 (11.29); p = 0.438; OSCE 40.51 (2.43) and40.63 (1.92); p = 0.804; Attitude: 11 (3), 11 (2); p = 0.567; 14 (2), 14 (3); p = 0.095). MCQ post‑testsshowed improved scores (p < 0.001) in both the methods and the standardized mean differencebased on the MCQ scores for the DOAP group was 3.02, and for the VAL group 3, showed theeffectiveness of both methods. Perception scores showed learners’ interest and positive feedbackto both methods and ACLS.CONCLUSION: Both DOAP and VAL were equally effective TLMs in imparting knowledge, skills, andattitude to medical interns with positive feedback. In DOAP, the learner performs under supervisionand clarifies doubts. As repeatable and cost‑effective, VAL is useful in resource‑limited settings.Both can be used as complementary methods in training ACLS. The attitude of learners towardsACLS improved with training.