Effectiveness of Tik Tok Videos on Novice Physical Therapy Students' Clinical Reasoning Skills in Musculoskeletal Conditions - A Quantitative Analysis
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Abstract
Introduction: This study explored the potential of TikTok as an educational tool to enhance clinical reasoning skills in undergraduate physical therapy students. We observed a decline in these skills, particularly during and after the Covid-19 pandemic, coinciding with increased social media use, including TikTok. Materials and methods: A quasi-experimental design involved 60 students (84.4% female, 15.5% male, mean age 21.6) divided into an experimental and control group. Baseline proficiency was established through pre-tests consisting of a theory-based clinical reasoning test and four objective structured practical examination (OSPE) stations. Both groups then participated in traditional classroom learning and self-directed learning for ten weeks. The experimental group accessed researcher-designed TikTok videos, while the control group chose their own learning materials. Post-tests mirrored the pre-tests. Results: While both groups showed significant improvement (p-value < 0.001), no statistically significant differences (p-value > 0.05) were found between the groups' theory and practical test scores. Conclusion: Despite this, the study highlights TikTok's potential as an engaging format for acquiring knowledge on musculoskeletal conditions, encompassing prevalence, pathophysiology, diagnostics, treatment, and home care. Further research is needed to refine and optimize the use of social media platforms like TikTok for enhanced clinical reasoning skills in physical therapy education.
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Sych T, Khrykov Y, Ptakhina O. Digital transformation as the main condition for the development of modern higher education. Educational Technology Quarterly. 2021;2021(2):293–309. https://doi.org/10.55056/etq.27.
K V K, Bahel V. Transfer learning approach for analyzing attentiveness of students in an online classroom environment with emotion detection. Preprints. 2021;202105.0303.v1. https://doi.org/10.20944/preprints202105.0303.v1.
Manasrah A, Masoud M, Jaradat Y. Short videos, or long videos? A study on the ideal video length in online learning. IEEE Xplore. 2021. https://doi.org/10.1109/ICIT52682.2021.9491115.
Zhang L, Lu S, Zhou Z. Adaptive online learning in dynamic environments. arXiv (Cornell University). 2018;31:1323–33.
Clinciu AI. Trends and perspectives in European higher education. Tuning Industrial Educational Structures in Europe. p. 113.
Sablić M, Mirosavljević A, Škugor A. Video-based learning (VBL)—past, present and future: An overview of the research published from 2008 to 2019. Technology, Knowledge and Learning. 2021;26(4):1061–77.
Allen MW. Michael Allen's Online Learning Library: Successful E-learning Interface: Making Learning Technology Polite, Effective, and Fun. John Wiley & Sons; 2011.
Clark RC, Mayer RE. E-learning and the Science of Instruction: Proven Guidelines for Consumers and Designers of Multimedia Learning. John Wiley & Sons; 2023.
Zulkifli MZ. Calcu-structure: a fascinating video-based learning.
Gikas J, Grant MM. Mobile computing devices in higher education: Student perspectives on learning with cellphones, smartphones & social media. Internet High Educ. 2013;19:18–26.
Arbaugh JB, Duray R. Technological and structural characteristics, student learning and satisfaction with web-based courses: An exploratory study of two online MBA programs. Manage Learn. 2002;33(3):331–47.
Wheeler LB, Palmer M, Aneece I. Students’ perceptions of course syllabi: The role of syllabi in motivating students. Int J Scholarsh Teach Learn. 2019;13(3). https://doi.org/10.20429/ijsotl.2019.130307.
Pintrich PR. The role of metacognitive knowledge in learning, teaching, and assessing. Theory Into Practice. 2002;41(4):219–25. https://doi.org/10.1207/s15430421tip4104_3.
Railean EA. Teacher-centered versus learner-centered design of screen. User Interface Design of Digital Textbooks: How Screens Affect Learning. 2017:59–80.
Delialioğlu Ö. Student engagement in blended learning environments with lecture-based and problem-based instructional approaches. J Educ Technol Soc. 2012;15(3):310–22.
Barkley EF, Major CH. Student Engagement Techniques: A Handbook for College Faculty. John Wiley & Sons; 2020.
Alam AS, Ma L, Watson A, Wijeratne V, Chai M. Transnational education and e-learning during a pandemic: Challenges, opportunities, and future. E-learning and Digital Education in the Twenty-first Century. 2022.
Slemmons K, Anyanwu K, Hames J, Grabski D, Mlsna J, Simkins E, et al. The impact of video length on learning in a middle-level flipped science setting: Implications for diversity inclusion. J Sci Educ Technol. 2018;27(5):469–79. https://doi.org/10.1007/s10956-018-9736-2.
Gaba A. Teaching clinical judgment: A review with consideration of applications for health professions. Open Nutr J. 2015;9(1).
Thompson C, Cullum N, McCaughan D, Sheldon T, Raynor P. Nurses, information use, and clinical decision making—the real-world potential for evidence-based decisions in nursing. Evid Based Nurs. 2004;7(3):68–72.
Kuzņecova A. Instructional design approach to the creation of educational materials.
Ahlse J, Nilsson F, Sandström N. It’s time to TikTok: Exploring Generation Z’s motivations to participate in #challenges.
Ndoro MC. Learner performance in integrated science process skills and attitudes in hands-on practical work versus virtual practical work.
Chotiyarnwong P, Boonnasa W, Chotiyarnwong C, Unnanuntana A. Video-based learning versus traditional lecture-based learning for osteoporosis education: A randomized controlled trial. Aging Clin Exp Res. 2020. https://doi.org/10.1007/s40520-020-01514-2.
Coyne E, Rands H, Frommolt V, Kain V, Plugge M, Mitchell M. Investigation of blended learning video resources to teach health students clinical skills: An integrative review. Nurse Educ Today. 2018;63:101–7. https://doi.org/10.1016/j.nedt.2018.01.021.
Whatley J, Ahmad A. Using video to record summary lectures to aid students’ revision. Interdiscip J E-Skills Lifelong Learn. 2007;3:185–96. https://doi.org/10.28945/393.
Hurst KM. Using video podcasting to enhance the learning of clinical skills: A qualitative study of physiotherapy students’ experiences. Nurse Educ Today. 2016;45:206–11. https://doi.org/10.1016/j.nedt.2016.08.011.
Sadik A. Digital storytelling: A meaningful technology-integrated approach for engaged student learning. Educ Technol Res Dev. 2008;56:487–506.
Herrmann-Werner A, Nikendei C, Keifenheim K, Bosse HM, Lund F, Wagner R, et al. ‘Best practice’ skills lab training vs. a ‘see one, do one’ approach in undergraduate medical education: An RCT on students’ long-term ability to perform procedural clinical skills. PLoS One. 2013;8(9). https://doi.org/10.1371/journal.pone.0076354.
Looi CK, Seow P, Zhang B, So HJ, Chen W, Wong LH. Leveraging mobile technology for sustainable seamless learning: A research agenda. Br J Educ Technol. 2010;41(2):154–69. https://doi.org/10.1111/j.1467-8535.2008.00912.x.
Hurst KM. Using video podcasting to enhance the learning of clinical skills: A qualitative study of physiotherapy students’ experiences. Nurse Educ Today. 2016;45:206–11.
Jang HW, Kim KJ. Use of online clinical videos for clinical skills training for medical students: Benefits and challenges. BMC Med Educ. 2014;14(1). https://doi.org/10.1186/1472-6920-14-56.
Rasheed RA, Kamsin A, Abdullah NA. Challenges in the online component of blended learning: A systematic review. Comput Educ. 2020;144:103701. https://doi.org/10.1016/j.compedu.2019.103701.
Forbes H, Oprescu FI, Downer T, Phillips NM, McTier L, Lord B, et al. Use of videos to support teaching and learning of clinical skills in nursing education: A review. Nurse Educ Today. 2016;42:53–6. https://doi.org/10.1016/j.nedt.2016.04.010.
Dymond SK, Bentz JL. Using digital videos to enhance teacher preparation. Teach Educ Spec Educ. 2006;29(2):98–112. https://doi.org/10.1177/088840640602900202.
Solomon S. Incorporating social media into the classroom: A case study on how TikTok can be immersed into classroom pedagogy.
Haury DL, Rillero P. Perspectives of hands-on science teaching.
Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. FT Press; 2014.
Supovitz JA, Klein V. Mapping a Course for Improved Student Learning: How Innovative Schools Systematically Use Student Performance Data to Guide Improvement. Philadelphia, PA: Consortium for Policy Research in Education; 2003.
Ndukwe IG, Daniel BK. Teaching analytics, value and tools for teacher data literacy: A systematic and tripartite approach. Int J Educ Technol High Educ. 2020;17:1–31.
Bolliger DU. Investigating student learning in a constructivist multimedia-rich learning environment. Assoc Educ Commun Technol. 2004.
McKnight K, O'Malley K, Ruzic R, Horsley MK, Franey JJ, Bassett K. Teaching in a digital age: How educators use technology to improve student learning. J Res Technol Educ. 2016;48(3):194–211.
Herodotou C, Sharples M, Gaved M, Kukulska-Hulme A, Rienties B, Scanlon E, et al. Innovative pedagogies of the future: An evidence-based selection. Front Educ. 2019;4:113.