Treating Children With Physical Disabilities: A Video-Based Educational Resource Using Simulated Participants

Author:

Kimmel Alexandra1ORCID,Nozetz Erin2,Salisbury Mary1,Okanlami Oluwaferanmi34,Talwalkar Jaideep1,Martin Andrés56ORCID

Affiliation:

1. Yale School of Medicine, New Haven, CT, USA

2. Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA

3. Family Medicine/Physical Medicine & Rehabilitation/Urology, Michigan Medicine, Ann Arbor, MI, USA

4. Services for Students with Disabilities, and Adaptive Sports & Fitness, University of Michigan, Ann Arbor, MI, USA

5. Child Study Center, Yale School of Medicine, New Haven, CT, USA

6. Simulated Participant Program, Teaching and Learning Center, Yale School of Medicine, New Haven, CT, USA

Abstract

OBJECTIVES Children with physical disabilities (CWPD) have historically experienced inadequate and insensitive care across medical settings. A lack of comfort and knowledge about CWPD is prevalent among healthcare provider trainees. We developed a new, readily distributable educational resource about CWPD for healthcare students and conducted a study to determine its efficacy in improving their attitudes toward CWPD. METHODS We collaborated with a working group of stakeholders in the disability community to develop an educational resource for healthcare students. We developed nine short video clips (with a cumulative duration of 27 min) of a primary care visit using simulated participants and embedded them into a 50-min workshop. We conducted a study of the workshop's utility for volunteer healthcare students using synchronous videoconferencing. Participating students completed assessments at baseline and after the workshop. Our primary outcome measure was a change in the Attitudes to Disabled Persons—Original (ATDP-O) scale. RESULTS Forty-nine healthcare students participated in the training session: 29 (59%) from medicine, and 21 (41%) from physician assistant or nursing programs. The materials were easy to deliver virtually. The workshop resulted in measurable change in attitudes regarding physical disabilities, with improvement in ATDP-O scores between baseline ( M = 31.2, SD = 8.9) and endpoint ( M = 34.8, SD = 10.1) scores ( t(49)= 3.28, P = .002, Cohen's d = 0.38). CONCLUSION This video-based educational resource on CWPD is readily distributable and can be delivered virtually as a workshop. The video-enhanced workshop improved healthcare students’ perceptions and attitudes toward CWPDs. All materials are available to view, download, or adapt by end-use instructors.

Funder

Child Study Center, Yale School of Medicine

National Institute of Mental Health

Publisher

SAGE Publications

Subject

General Medicine

Reference32 articles.

1. Disability Impacts All of Us. Centers for Disease Control and Prevention. Updated September. 2020;16. https://www.cdc.gov/ncbddd/disabilityandhealth/infographic-disability-impacts-all.html. Last accessed March 12, 2022.

2. Physician perspectives on care of individuals with severe mobility impairments in primary care in Southwestern Ontario, Canada

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