Evidence-based Practice activity | Before the module | After the module | ||||||
---|---|---|---|---|---|---|---|---|
Near-peer-tutored (n=108) | Staff-tutored (n=66) | t | p | Near-peer-tutored (n=161) | Staff-tutored† (n=65) | t/F | p | |
How confident are you in your ability to: | ||||||||
1. Identify a gap in your knowledge related to a patient or client situation (e.g. history, assessment, treatment)? | 61.20 (13.09) | 61.21 (15.04) | 0.004 | 0.997 | 72.17 (11.55) | 72.46 (13.92) | 0.159 | 0.873 |
2. Formulate a question to guide a literature search based on a gap in your knowledge? | 63.52 (15.12) | 60.00 (16.82) | -1.427 | 0.156 | 78.26 (10.64) | 79.23 (9.891) | 0.633 | 0.528 |
3. Effectively conduct an online literature search based on a gap in your knowledge? | 65.83 (14.08) | 63.64 (16.04) | -0.947 | 0.345 | 77.95 (10.43) | 78.77 (10.38) | 0.535 | 0.593 |
4. Critically appraise the strengths and weaknesses of study methods (e.g. appropriateness of study design, recruitment, data collection and analysis)? | 54.44 (16.87) | 46.97 (20.97) | -2.451 | 0.016 | 75.28 (9.88) | 72.19 (10.15) | 0.003 | 0.956* |
5. Critically appraise the measurement properties (e.g. reliability and validity, sensitivity and specificity) of standardized tests or assessment tools you are considering using in your practice? | 53.36 (15.83) | 48.64 (20.22) | -1.618 | 0.108 | 76.38 (9.74) | 73.69 (11.26) | -1.788 | 0.075 |
6. Interpret study results obtained using statistical tests such as t-tests or chi-square test)? | 56.98 (18.46) | 53.03 (20.75) | -1.304 | 0.194 | 72.38 (14.12) | 71.69 (12.69) | -0.338 | 0.736 |
7. Interpret study results obtained using statistical procedures such as linear or logistic regression? | 48.89 (18.81) | 45.30 (20.32) | -1.183 | 0.238 | 66.96 (15.17) | 63.54 (15.95) | -1.511 | 0.132 |
8. Determine if evidence from the research literature applies to your patient's or client's situation? | 60.75 (15.16) | 52.88 (21.32) | -2.617 | 0.010 | 75.13 (10.64) | 74.84 (10.23) | 0.508 | 0.477* |
9. Ask your patient or client about his/her needs, values and treatment preferences? | 67.50 (13.47) | 63.03 (19.13) | -1,663 | 0.099 | 77.13 (11.62) | 77.54 (10.76) | 0.247 | 0.805 |
10. Decide on appropriate course of action based on integrating the research evidence, clinical judgement and patient or client preferences? | 60.74 (15.32) | 55.61 (18.32) | -1.905 | 0.059 | 75.60 (11.11) | 74.77 (10.62) | -0.513 | 0.609 |
11. Continually evaluate the effect of your course of action on your patient's or client's outcomes? | 61.85 (13.95) | 58.18 (19.12) | -1.354 | 0.179 | 75.96 (11.26) | 75.54 (11.32) | -0.256 | 0. 798 |
Overall | 59.56 (11.62) | 55.32 (15.77) | -1.895 | 0.061 | 74.82 (8.49) | 74.04 (8.65) | 0.179 | 0.673* |
*ANCOVA with baseline score as covariate †Consisted of groups of students that were not being assigned to the cross-over as well. Thus, the respective groups were not being subject to near-peer tutor during the whole duration of the module.
Int J Med Educ. 2019; 10:9-15; doi: 10.5116/ijme.5c39.b55b