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Audiovisual material as educational innovation strategy to reduce anxiety response in students of human anatomy

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Abstract

This study presents the design, effect and utility of using audiovisual material containing real images of dissected human cadavers as an innovative educational strategy (IES) in the teaching of Human Anatomy. The goal is to familiarize students with the practice of dissection and to transmit the importance and necessity of this discipline, while modulating their anxiety. The study included 303 first-year Human Anatomy students, randomly assigned to two groups (Traditional and Educational Innovation). Their state of anxiety was measured using the State-Trait-Anxiety Inventory. Repeated measures ANOVA with between-subject factors was applied. The between-subject factor was Educational Innovation (EI). Two levels were established for this factor. The within-subject factor was Time, four levels being considered here. The results show that the effects of the Educational Innovation factor, Time factor and EI × Time interaction were statistically significant. These results provide an additional element of efficacy to the use of videos as an IES. That is, the use of video material as an introduction into an anxiety-provoking situation which resembles real-life viewing and interaction with human cadavers for the first time significantly diminishes the anticipatory reaction of dread against which novel students have not had the opportunity to develop any cognitive strategy of emotional control.

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References

  • Adamczyk, C. H., Holzer, M., Putz, R., & Fischer, M. R. (2009). Student learning preferences and the impact of a multimedia learning tool in the dissection course at the University of Munich. Annals of Anatomy, 191, 339–348.

    Article  Google Scholar 

  • Arráez-Aybar, L. A., Casado-Morales, M. I., & Castaño-Collado, G. (2004). Anxiety and dissection of the human cadaver, an unsolvable relationship? Anatomical Record (New Anat), 279, 16–23.

    Article  Google Scholar 

  • Arráez-Aybar, L. A., Castaño-Collado, G., & Casado-Morales, M. I. (2007). A study of cognitive-affective and physiological-motor reactions to human dissection in Spanish students of human anatomy. European Journal of Anatomy, 11, 67–71.

    Google Scholar 

  • Arráez-Aybar, L. A., Castaño-Collado, G., & Casado-Morales, M. I. (2008). Dissection as a modulator of emotional attitudes and reactions of future health professionals. Medical Education, 42, 563–571.

    Article  Google Scholar 

  • Arráez-Aybar, L.A., Castaño-Collado, G., & Casado-Morales, M.I. (2010) Audiovisual material to see before the dissection: Human anatomy and dissection. Reduca, 2, 1–9. Available in http://www.revistareduca.es/index.php/reduca/issue/current/showToc .

  • Aziz, M. A., McKenzie, J. C., Wilson, J. S., Cowie, R. J., Ayeni, S. A., & Dunn, B. K. (2002). The human cadaver in the age of biomedical informatics. Anatomical Record (New Anat), 269, 20–32.

    Article  Google Scholar 

  • Bastos, L. A. M., & Proença, M. A. (2000). A prática anatómica e a formação médica. Pan American Journal of Public Health, 7, 395–402.

    Article  Google Scholar 

  • Biasutto, S. N., Caussa, L. I., & Criado del Río, L. E. (2006). Teaching Anatomy: cadavers vs. computers? Annals of Anatomy, 188, 187–190.

    Article  Google Scholar 

  • Cahill, K. C., & Ettarh, R. R. (2009). Attitudes to anatomy dissection in an Irish medical school. Clinical Anatomy, 22, 386–391.

    Article  Google Scholar 

  • Casado, M. I., Castaño, M. G., & Arráez, L. A. (2005). Individual differences and anxiety reactions among university students when faced with the dissection of human cadavers. Ansiedad y estrés, 11, 75–85.

    Google Scholar 

  • Cribb, A., & Bignold, S. (1999). Towards the reflexive medical school: the hidden curriculum and medical education research. Studies in Higher Education, 24, 195–209.

    Article  Google Scholar 

  • de Leng, B. A., Dolmans, D. H. J. M., van de Wiel, M. W. J., Muijtjens, A. M. M., & van der Vleuten, C. P. M. (2007). How video cases should be used as authentic stimuli in problem-based medical education. Medical Education, 41, 181–188.

    Article  Google Scholar 

  • Dyer, G. S. M., & Thorndike, M. E. L. (2000). Quidne mortui vivos docent? The evolving purpose of human dissection in medical education. Academic Medicine, 75, 969–979.

    Article  Google Scholar 

  • Fox, R. C. (1979). Essays in Medical Sociology: Journeys into the Field. New York: John Wiley and Sons.

    Google Scholar 

  • Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (1999). Multivariate data Analysis. Madrid: Prentice-Hall Internacional.

    Google Scholar 

  • Heath, C., Luff, P., & Svensson, M. S. (2007). Video and qualitative research: analyzing medical practice and interaction. Medical Education, 4, 109–116.

    Article  Google Scholar 

  • Hughes, B., & Black, A. (2006). Body esteem as a moderator of cardiovascular stress responses in anatomy students viewing cadaver dissections. Journal of Psychosomatic Research, 61, 501–506.

    Article  Google Scholar 

  • Kostas, T. R., Jones, D. B., Schiefer, T. K., Geske, J. B., Carmichael, S. W., & Pawlina, D. R. W. (2007). The use of a video interview to enhance gross anatomy student’s understanding of professionalism. Medical Teacher, 29(2–3), 264–266.

    Article  Google Scholar 

  • Lazarus, R., & Folkman, S. (1984). Stress, appraisal and coping. Nueva York: Springer Publishing Company, Inc.

    Google Scholar 

  • Levinson, A. J., Weaver, B., Garside, S., McGinn, H., & Norman, G. R. (2007). Virtual reality and brain anatomy: A randomised trial of e-learning instructional designs. Medical Education, 41, 495–501.

    Article  Google Scholar 

  • Mathews, A. M., Gelder, M. G., & Johnston, D. W. (1981). Agoraphobia nature and treatment. New York: Guilford Press.

    Google Scholar 

  • McLachlan, J. C., & Patten, D. (2006). Anatomy teaching: ghosts of the past, present and future. Medical Education, 40, 243–253.

    Article  Google Scholar 

  • Miguel-Pérez, M., Porta-Riba, N., Ortiz-Sagristà, J. C., Martinez, A., & Götzens-García, V. (2007). Human anatomy: Reactions of first year medical students to the dissection room. Educación Medica, 10, 105–113.

    Google Scholar 

  • Moscoso, M., & Oblitas, L. (1994). Hacia una psicología de la salud en el año 2000: Retos y promesas. Psicología contemporánea, 1, 7–15.

    Google Scholar 

  • O’Carroll, R. E., Whiten, S., Jackson, D., & Sinclair, D. W. (2002). Assessing the emotional impact of cadaver dissection on medical students. Medical Education, 36, 550–554.

    Article  Google Scholar 

  • Pereira, J. A., Pleguezuelos, E., Meri, A., Molina-Ros, A., Molina-Tomas, M. C., & Masdeu, C. (2007). Effectiveness of using blended learning strategies for teaching and learning human anatomy. Medical Education, 41, 189–195.

    Article  Google Scholar 

  • Perry, G. F., & Ettarh, R. R. (2009). Age modulates attitudes to whole body donation among medical students. Anatomical Sciences Education, 2, 167–172.

    Article  Google Scholar 

  • Rains, D. (2004). Principios de neuropsicología humana. México: McGraw-Hill.

    Google Scholar 

  • Reeves, R. E., Aschenbrenner, J. E., Wordinger, R. J., Roque, R. S., & Sheedlo, H. J. (2004). Improved dissection efficiency in the human gross anatomy laboratory by the integration of computers and modern technology. Clinical Anatomy, 17, 337–344.

    Article  Google Scholar 

  • Regan de Bere, S., & Mattick, K. (2010). From anatomical ‘competence’ to complex capability. The views and experiences of UK tutors on how we should teach anatomy to medical students. Advances in Health Sciences Education (in press). doi:10.1007/s10459-010-9220-0.

  • Rosenberg, P. (1971). Students’ perceptions and concerns during their first year in medical school. Journal of Medical Education, 46, 211–218.

    Google Scholar 

  • Saxena, V., Natarajan, P., O’Sullivan, P. S., & Jain, S. (2008). Effect of the use of instructional anatomy videos on student performance. Anatomical Sciences Education, 1, 159–165.

    Article  Google Scholar 

  • Shalev, A., & Nathan, H. (1985). Medical students’ stress reactions to dissections. Israel Journal of Psychiatry and Related Sciences, 22, 121–133.

    Google Scholar 

  • Sokolov, Y. N. (1963). Perception and the conditioned reflex. New York: MacMillan.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the state-trait anxiety inventory. Palo Alto: Consulting Psychologists Press.

    Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1994). Cuestionario de Ansiedad Estado-rasgo Adaptación española [Manual for the state-trait anxiety inventory Spanish adaptation]. Madrid: TEA ediciones.

    Google Scholar 

  • Sue, D. (1996). Comportamiento anormal. México: McGraw-Hill.

    Google Scholar 

  • Tschernig, T., Schlaud, M., & Pabst, R. (2000). Emotional reactions of medical students to dissecting human bodies: A conceptual approach and its evaluation. Anatomical Record (New Anat), 261, 11–13.

    Article  Google Scholar 

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Acknowledgments

The authors wish to thank all the students who gave up time to participate in this study. We wish to express our gratitude to Ms Ana-Mª Álvarez Castrosín for her technical assistance in the preparation of this paper.

Declarations of interest

this study has been supported by Innovation Educative Project (PIE 2000/16) from Complutense University.

Conflicts of interest

None.

Ethical approval

This study was approved by the Ethical Committee of the Hospital Clínico “San Carlos” of Madrid (E-09/396).

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Authors and Affiliations

  1. Department of Basic Psychology II (Cognitive Processes), Faculty of Medicine, Complutense University, 28040, Madrid, Spain

    María Isabel Casado

  2. Department of Differential and Work Psychology, Faculty of Medicine, Complutense University, Madrid, Spain

    Gloria Castaño

  3. Department of Human Anatomy and Embryology II, Faculty of Medicine, Complutense University, Madrid, Spain

    Luis Alfonso Arráez-Aybar

Authors
  1. María Isabel Casado
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  2. Gloria Castaño
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  3. Luis Alfonso Arráez-Aybar
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Correspondence to María Isabel Casado.

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Casado, M.I., Castaño, G. & Arráez-Aybar, L.A. Audiovisual material as educational innovation strategy to reduce anxiety response in students of human anatomy. Adv in Health Sci Educ 17, 431–440 (2012). https://doi.org/10.1007/s10459-011-9307-2

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