Advances in Health Sciences Education

, Volume 14, Issue 1, pp 79–90

Lack of interaction between sensing–intuitive learning styles and problem-first versus information-first instruction: a randomized crossover trial

  • David A. Cook
  • Warren G. Thompson
  • Kris G. Thomas
  • Matthew R. Thomas
Original Article

Abstract

Background

Adaptation to learning styles has been proposed to enhance learning.

Objective

We hypothesized that learners with sensing learning style would perform better using a problem-first instructional method while intuitive learners would do better using an information-first method.

Design

Randomized, controlled, crossover trial.

Setting

Resident ambulatory clinics.

Participants

123 internal medicine residents.

Interventions

Four Web-based modules in ambulatory internal medicine were developed in both “didactic” (information first, followed by patient problem and questions) and “problem” (case and questions first, followed by information) format.

Measurements

Knowledge posttest, format preference, learning style (Index of Learning Styles).

Results

Knowledge scores were similar between the didactic (mean ± standard error, 83.0 ± 0.8) and problem (82.3 ± 0.8) formats (p = .42; 95% confidence interval [CI] for difference, −2.3 to 0.9). There was no difference between formats in regression slopes of knowledge scores on sensing-intuitive scores (p = .63) or in analysis of knowledge scores by styles classification (sensing 82.5 ± 1.0, intermediate 83.7 ± 1.2, intuitive 81.0 ± 1.5; p = .37 for main effect, p = .59 for interaction with format). Format preference was neutral (3.2 ± 0.2 [1 strongly prefers didactic, 6 strongly prefers problem], p = .12), and there was no association between learning styles and preference (p = .44). Formats were similar in time to complete modules (43.7 ± 2.2 vs 43.2 ± 2.2 minutes, p = .72).

Conclusions

Starting instruction with a problem (versus employing problems later on) may not improve learning outcomes. Sensing and intuitive learners perform similarly following problem-first and didactic-first instruction. Results may apply to other instructional media.

Keywords

Cognitive style Internet Instructional method Learning style Medical education Problem-based learning Web-based learning 

References

  1. Boshuizen, H. P. A., Machiels-Bongaerts, M., van de Wiel, M. W. J., & Schmidt, H. G. (1998). Learning from multiple cases: A new paradigm for investigating the effects of clinical experience on knowledge restructuring and knowledge acquisition. Paper presented at the Annual Meeting of the American Educational Research Association, San Diego, April 1998.Google Scholar
  2. Bostrum, R. P., Olfman, L., & Sein, M. K. (1990). The importance of learning style in end-user training. MIS Quarterly, 14, 101–119.CrossRefGoogle Scholar
  3. Bransford, J. D., Brown, A. L., Cocking, R. R., & for the Committee on Developments in the Science of Learning and the Commission on Behavioral and Social Sciences and Education of the National Research Council (Eds.). (2000). How people learn: brain, mind, experience, and school. Washington, DC: National Academy Press.Google Scholar
  4. Brown, J. S., Collins, A., & Duguid, P. (1989). Situated learning and the culture of learning. Education Researcher, 18, 32–42.Google Scholar
  5. Case, S. M., & Swanson, D. B. (2001). Constructing written test questions for the basic and clinical sciences (3rd ed.). Philadelphia, PA: National Board of Medical Examiners.Google Scholar
  6. Clark, R. E. (2005). Five common but questionable principles of multimedia learning. In R. E. Mayer (Ed.), The Cambridge handbook of multimedia learning (pp. 97–115). New York: Cambridge University Press.Google Scholar
  7. Cook, D. A. (2005a). Learning and cognitive styles in Web-based learning: Theory, evidence, and application. Academic Medicine, 80, 266–278.CrossRefGoogle Scholar
  8. Cook, D. A. (2005b). Reliability and validity of scores from the Index of Learning Styles. Academic Medicine, 80(10 suppl), S97–S101.CrossRefGoogle Scholar
  9. Cook, D. A. (2005c). The research we still are not doing: An agenda for the study of computer-based learning. Academic Medicine, 80, 541–548.CrossRefGoogle Scholar
  10. Cook, D. A., Dupras, D. M., Thompson, W. G., & Pankratz, V. S. (2005). Web-based learning in residents’ continuity clinics: A randomized, controlled trial. Academic Medicine, 80, 90–97.CrossRefGoogle Scholar
  11. Cook, D. A., Gelula, M. H., Dupras, D. M., & Schwartz, A. (2007). Instructional methods and cognitive and learning styles in web-based learning: Report of two randomised trials. Medical Education, 41, 897–905.CrossRefGoogle Scholar
  12. Cook, D. A., & Smith, A. J. (2006). Validity of Index of Learning Styles scores: Multitrait–multimethod comparison with three cognitive/learning style instruments. Medical Education, 40, 900–907.CrossRefGoogle Scholar
  13. Cook, D. A., Thompson, W. G., Thomas, K. G., Thomas, M. R., & Pankratz, V. S. (2006). Impact of self-assessment questions and learning styles in web-based learning: A randomized, controlled, crossover trial. Academic Medicine, 81, 231–238.CrossRefGoogle Scholar
  14. Cronbach, L. J., & Snow, R. E. (1977). Aptitudes and instructional methods: A handbook for research on interactions. New York: Irvington Publishers.Google Scholar
  15. Curry, L. (2000). Review of learning style, studying approach, and instructional preference research in medical education. In R. J. Riding & S. G. Rayner (Eds.), International perspectives on individual differences, volume 1: Cognitive styles (pp. 239–276). Stamford, CT: Ablex Publishing Corporation.Google Scholar
  16. Felder, R. M. (1993). Reaching the second tier: Learning and teaching styles in college science education. Journal of College Science Teaching, 23, 286–290.Google Scholar
  17. Felder, R. M., & Silverman, L. K. (1988). Learning and teaching styles in engineering education. Journal of Engineering Education, 78(7), 674–681.Google Scholar
  18. Felder, R. M., & Soloman, B. A. (2007). Index of learning styles. Retrieved July 17, 2007, from http://www.ncsu.edu/felder-public/ILSpage.html.
  19. Fleming, D. E., Mauriello, S. M., McKaig, R. G., & Ludlow, J. B. (2003). A comparison of slide/audiotape and web-based instructional formats for teaching normal intraoral radiographic anatomy. Journal of Dental Hygiene, 77, 27–35.Google Scholar
  20. Fraenkel, J. R., & Wallen, N. E. (2003). How to design and evaluate research in education. New York, NY: McGraw-Hill.Google Scholar
  21. Hart, G. (1995). Learning styles and hypertext: Exploring user attitudes. Australian Society for Computers in Learning in Tertiary Education, Melbourne.Google Scholar
  22. Kolb, D. (1984). Experiential learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  23. Lowdermilk, D. L., & Hopkins Fishel, A. (1991). Computer simulations as a measure of nursing students’ decision-making skills. Journal of Nursing Education, 30, 34–39.Google Scholar
  24. Lynch, T. G., Steele, D. J., Johnson Palensky, J. E., Lacy, N. L., & Duffy, S. W. (2001). Learning preferences, computer attitudes, and test performance with computer-aided instruction. American Journal of Surgery, 181, 368–371.CrossRefGoogle Scholar
  25. Melara, G. E. (1996). Investigating learning styles on different hypertext environments: Hierarchical-like and network-like structures. Journal of Educational Computing Research, 14, 313–328.CrossRefGoogle Scholar
  26. Merrill, M. D. (2002). Instructional strategies and learning styles: Which takes precedence? In R. Reiser & J. V. Dempsey (Eds.), Trends and issues in instructional design and technology (pp. 99–106). Upper Saddle River, NJ: Merrill/Prentice Hall.Google Scholar
  27. Norman, G. (2005). Research in clinical reasoning: Past history and current trends. Medical Education, 39, 418–427.CrossRefGoogle Scholar
  28. Patel, V. L., Groen, G. J., & Norman, G. R. (1991). Effects of conventional and problem-based medical curricula on problem solving. Academic Medicine, 66, 380–389.CrossRefGoogle Scholar
  29. Reed, W. M., Oughton, J. M., Ayersman, D. J., Ervin, J. R., Jr., & Giessler, S. F. (2000). Computer experience, learning style, and hypermedia navigation. Computers in Human Behavior, 16, 609–628.CrossRefGoogle Scholar
  30. Ross, B. H. (1987). This is like that: The use of earlier problems and the separation of similarity effects. Journal of Experimental Psychology: Learning, Memory, and Cognition, 13, 629–639.CrossRefGoogle Scholar
  31. Rourke, L., & Lysynchuk, L. (2000). The influence of learning style on achievement in hypertext. Annual Meeting of the American Education Research Association, New Orleans, LA, April 24–28, 2000.Google Scholar

Copyright information

© Springer Science+Business Media B.V. 2007

Authors and Affiliations

  • David A. Cook
    • 1
  • Warren G. Thompson
    • 2
  • Kris G. Thomas
    • 3
  • Matthew R. Thomas
    • 3
  1. 1.Division of General Internal MedicineCollege of Medicine, Mayo ClinicRochesterUSA
  2. 2.Division of Preventive, Occupational and Aerospace MedicineCollege of Medicine, Mayo ClinicRochesterUSA
  3. 3.Division Primary Care Internal MedicineCollege of Medicine, Mayo ClinicRochesterUSA

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