物理治疗翻转课堂教学应用效果的系统综述

doi:10.3969/j.issn.1006-9771.2022.04.018

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (4): 490-496.doi: 10.3969/j.issn.1006-9771.2022.04.018

• 康复教育 • 上一篇

物理治疗翻转课堂教学应用效果的系统综述

邹文晨¹,何宇^1,²,韩小钗¹,刘学敏²,周凤华^1,²,刘学勇^1,²()

1.中国医科大学附属盛京医院康复医学中心,辽宁沈阳市 110134
2.中国医科大学第二临床学院,辽宁沈阳市 110122

收稿日期:2021-11-02 修回日期:2022-03-12 出版日期:2022-04-25 发布日期:2022-05-05
通讯作者: 刘学勇 E-mail:liuxysjh@sj-hospital.org
作者简介:邹文晨(1991-),男,汉族,辽宁沈阳市人,硕士,康复治疗师,主要研究方向：物理治疗临床教育研究与应用。
基金资助:
中国医科大学教学课题(YDJK2020015)

Flipped classroom in physical therapist education: a systematic review

ZOU Wenchen¹,HE Yu^1,²,HAN Xiaochai¹,LIU Xuemin²,ZHOU Fenghua^1,²,LIU Xueyong^1,²()

1. Department of Rehabilitation, Shengjing Hospital of China Medical University, Liaoning, Shenyang 110134, China
2. The Second Clinical College of China Medical University, Liaoning, Shenyang 110122, China

Received:2021-11-02 Revised:2022-03-12 Published:2022-04-25 Online:2022-05-05
Contact: LIU Xueyong E-mail:liuxysjh@sj-hospital.org
Supported by:
Teaching Project of China Medical University(YDJK2020015)

摘要/Abstract

摘要：

目的系统评价翻转课堂教学模式在物理治疗学教学中的应用效果。方法计算机检索CENTRAL、MEDLINE、EMBASE、CINAHL Plus、Academic Search Premier、Teacher Reference Center、ERIC以及Education Research,纳入翻转课堂教学模式应用于物理治疗学教学的原始研究。检索时限为建库至2021年6月。由2名研究人员独立完成文献筛选、数据提取、质量评价,对翻转课堂教学模式对比传统教学模式在物理治疗学教学中的效果进行综述。结果与结论 共检索文献1 307篇,最终纳入7篇,包括至少770名学生。发表时间集中在2013年至2019年,研究对象为物理治疗学专业学生,主要结局指标为考试成绩。翻转课堂教学模式总体说来可提高学生的笔试成绩,增强高阶思维能力,得到了学生和教师的积极评价。

关键词: 翻转课堂, 物理治疗, 教学, 医学教育, 系统综述

Abstract:

Objective To systematically summarize the effect of flipped classroom (FC) in physiotherapy teaching.Methods The following electronic bibliographic databases were searched from inception to June, 2021: CENTRAL, Medline, EMBASE, CINAHL plus, Academic Search Premier, Teacher Reference Center, ERIC, and Education Research. Original researches about FC for physiotherapy teaching were searched. The researches were screened, selected, extracted and assessed independently by two researchers, and, systematically reviewed.Results and Conclusion A total of 1 307 literatures were retrieved, and seven studies involving at least 770 student participants were finally included, which published mainly from 2013 to 2019. The subjects were students majored in physiotherapy, and the primary outcome index was exam results. FC teaching model generally can improve students' written test scores and enhance their high-level thinking ability. Students and teachers generally hold a positive attitude towards the FC teaching model.

Key words: flipped classroom, physical therapy, education, medical education, systematic review

邹文晨,何宇,韩小钗,刘学敏,周凤华,刘学勇. 物理治疗翻转课堂教学应用效果的系统综述[J]. 《中国康复理论与实践》, 2022, 28(4): 490-496.

ZOU Wenchen,HE Yu,HAN Xiaochai,LIU Xuemin,ZHOU Fenghua,LIU Xueyong. Flipped classroom in physical therapist education: a systematic review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(4): 490-496.

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参考文献 46

[1]	BAKER S E, PAINTER E E, MORGAN B C, et al. Systematic clinical reasoning in physical therapy (SCRIPT): tool for the purposeful practice of clinical reasoning in orthopedic manual physical therapy[J]. Phys Ther, 2017, 97(1):61-70.
[2]	JOHNSON M P, ABRAMS S L. Historical perspectives of autonomy within the medical profession: considerations for 21st century physical therapy practice[J]. J Orthop Sports Phys Ther, 2005, 35(10):628-636. doi: 10.2519/jospt.2005.35.10.628
[3]	VAN LANKVELD W, MAAS M, VAN WIJCHEN J, et al. Self-regulated learning in physical therapy education: a non-randomized experimental study comparing self-directed and instruction-based learning[J]. BMC Med Educ, 2019, 19(1):50. doi: 10.1186/s12909-019-1484-3
[4]	PERSKY A M, MCLAUGHLIN J E. The flipped classroom: from theory to practice in health professional education[J]. Am J Pharm Educ, 2017, 81(6):118. doi: 10.5688/ajpe816118
[5]	BERGMANN J, SAMS A. Remixing chemistry class[J]. Learn Lead Technol, 2008, 36(4):24-27.
[6]	BERGMANN J, SAMS A. Flip Your Classroom: Reach Every Student in Every Class Every Day[M]. Eugene, Oregon: International Society for Technology in Education, 2012.
[7]	BETIHAVAS V, BRIDGMAN H, KORNHABER R, et al. The evidence for 'flipping out': a systematic review of the flipped classroom in nursing education[J]. Nurse Educ Today, 2016, 38:15-21. doi: 10.1016/j.nedt.2015.12.010
[8]	GIANONI-CAPENAKAS S, LAGRAVERE M, PACHECO-PEREIRA C, et al. Effectiveness and perceptions of flipped learning model in dental education: a systematic review[J]. J Dent Educ, 2019, 83(8):935-945. doi: 10.21815/JDE.019.109
[9]	VANKA A, VANKA S, WALI O. Flipped classroom in dental education: a scoping review[J]. Eur J Dent Educ, 2020, 24(2):213-226. doi: 10.1111/eje.12487
[10]	SANDRONE S, BERTHAUD J V, CARLSON C, et al. Strategic considerations for applying the flipped classroom to neurology education[J]. Ann Neurol, 2020, 87(1):4-9. doi: 10.1002/ana.25609
[11]	SANDRONE S, BERTHAUD J V, CARLSON C, et al. Education research: flipped classroom in neurology: principles, practices, and perspectives[J]. Neurology, 2019, 93(1):e106-e111. doi: 10.1212/WNL.0000000000007730
[12]	MCLAUGHLIN J E, GRIFFIN L M, ESSERMAN D A, et al. Pharmacy student engagement, performance, and perception in a flipped satellite classroom[J]. Am J Pharm Educ, 2013, 77(9):196. doi: 10.5688/ajpe779196
[13]	WONG T H, IP E J, LOPES I, et al. Pharmacy students' performance and perceptions in a flipped teaching pilot on cardiac arrhythmias[J]. Am J Pharm Educ, 2014, 78(10):185. doi: 10.5688/ajpe7810185
[14]	O'CONNOR E E, FRIED J, MCNULTY N, et al. Flipping radiology education right side up[J]. Acad Radiol, 2016, 23(7):810-822. doi: 10.1016/j.acra.2016.02.011
[15]	BELFI L M, BARTOLOTTA R J, GIAMBRONE A E, et al. "Flipping" the introductory clerkship in radiology: impact on medical student performance and perceptions[J]. Acad Radiol, 2015, 22(6):794-801. doi: 10.1016/j.acra.2014.11.003
[16]	COVILL L, COOK J. Comparison of academic performance in traditional and flipped classrooms and students' attitudes of the flipped experience[J]. J Allied Health, 2019, 48(1):e1-e7.
[17]	RØE Y, ROWE M, ØDEGAARD N B, et al. Learning with technology in physiotherapy education: design, implementation and evaluation of a flipped classroom teaching approach[J]. BMC Med Educ, 2019, 19(1):291. doi: 10.1186/s12909-019-1728-2
[18]	HEW K F, LO C K. Flipped classroom improves student learning in health professions education: a meta-analysis[J]. BMC Med Educ, 2018, 18(1):38. doi: 10.1186/s12909-018-1144-z
[19]	REED D A, COOK D A, BECKMAN T J, et al. Association between funding and quality of published medical education research[J]. JAMA, 2007, 298(9):1002-1009. doi: 10.1001/jama.298.9.1002
[20]	COOK D A, REED D A. Appraising the quality of medical education research methods: the Medical Education Research Study Quality Instrument and the Newcastle-Ottawa Scale-Education[J]. Acad Med, 2015, 90(8):1067-1076. doi: 10.1097/ACM.0000000000000786
[21]	BOUCHER B, ROBERTSON E, WAINNER R, et al. "Flipping" Texas State University's physical therapist musculoskeletal curriculum: implementation of a hybrid learning model[J]. J Phys Ther Educ, 2014, 27(3):72-77. doi: 10.1097/00001416-201307000-00010
[22]	MURRAY L, MCCALLUM C, PETROSINO C. Flipping the classroom experience: a comparison of online learning to traditional lecture[J]. J Phys Ther Educ, 2014, 28(3):35-41.
[23]	DAY L J. A gross anatomy flipped classroom effects performance, retention, and higher-level thinking in lower performing students[J]. Anat Sci Educ, 2018, 11(6):565-574. doi: 10.1002/ase.1772
[24]	DEPREY S M. Outcomes of flipped classroom instruction in an entry-level physical therapy course[J]. J Phys Ther Educ, 2018, 32(3):289-294. doi: 10.1097/JTE.0000000000000035
[25]	WILLIS B W, PROST E L, SAYERS S P. Assessing the educational environment of a flipped physical therapy course: utilization of the Dundee Ready Education Environment Measure (DREEM)[J]. Inter J Allied Health Sci Prac, 2018, 16(4): Article 3.
[26]	BLOOM B S. Taxonomy of Educational Objectives, The Classification of Educational Goals, Handbook I: Cognitive Domain[M]. New York: Longman, 1956.
[27]	ANDERSON L W, KRATHWOHL D R, AIRASIAN P W, et al. A Taxonomy for Learning, Teaching, and Assessing: A Revision of Bloom's Taxonomy of Education[M]. New York: Longman, 2001.
[28]	ROFF S, MCALEER S, HARDEN R M, et al. Development and validation of the Dundee Ready Education Environment Measure (DREEM)[J]. Med Teach, 1997, 19(4):295-299. doi: 10.3109/01421599709034208
[29]	MORAROS J, ISLAM A, YU S, et al. Flipping for success: evaluating the effectiveness of a novel teaching approach in a graduate level setting[J]. BMC Med Educ, 2015, 15: 27. doi: 10.1186/s12909-015-0317-2
[30]	CHEN K S, MONROUXE L, LU Y H, et al. Academic outcomes of flipped classroom learning: a meta-analysis[J]. Med Educ, 2018, 52(9):910-924. doi: 10.1111/medu.13616
[31]	HU R, GAO H, YE Y, et al. Effectiveness of flipped classrooms in Chinese baccalaureate nursing education: a meta-analysis of randomized controlled trials[J]. Int J Nurs Stud, 2018, 79:94-103. doi: 10.1016/j.ijnurstu.2017.11.012
[32]	FREEMAN S, EDDY S L, MCDONOUGH M, et al. Active learning increases student performance in science, engineering, and mathematics[J]. Proc Natl Acad Sci U S A, 2014, 111(23):8410-8415. doi: 10.1073/pnas.1319030111
[33]	MORTON D A, COLBERT-GETZ J M. Measuring the impact of the flipped anatomy classroom: the importance of categorizing an assessment by Bloom's taxonomy[J]. Anat Sci Educ, 2017, 10(2):170-175. doi: 10.1002/ase.1635
[34]	PROBER C G, HEATH C. Lecture halls without lectures: a proposal for medical education[J]. N Engl J Med, 2012, 366(18):1657-1659. doi: 10.1056/NEJMp1202451
[35]	APPLEYARD J W. Using a flipped classroom approach in medical education: a medical student's perspective[J]. Med Teach, 2020, 42(7):839-840. doi: 10.1080/0142159X.2019.1700220
[36]	LEE Y H, KIM K J. Enhancement of student perceptions of learner-centeredness and community of inquiry in flipped classrooms[J]. BMC Med Educ, 2018, 18(1):242. doi: 10.1186/s12909-018-1347-3
[37]	HESSLER K L. Student perception of the flipped classroom in nursing education[J]. Int J Nurs Educ Scholarsh, 2019, 16(1).
[38]	GILBOY M B, HEINERICHS S, PAZZAGLIA G. Enhancing student engagement using the flipped classroom[J]. J Nutr Educ Behav, 2015, 47(1):109-114. doi: 10.1016/j.jneb.2014.08.008
[39]	ROTELLAR C, CAIN J. Research, perspectives, and recommendations on implementing the flipped classroom[J]. Am J Pharm Educ, 2016, 80(2):34. doi: 10.5688/ajpe80234
[40]	MCLAUGHLIN J E, ROTH M T, GLATT D M, et al. The flipped classroom: a course redesign to foster learning and engagement in a health professions school[J]. Acad Med, 2014, 89(2):236-243. doi: 10.1097/ACM.0000000000000086
[41]	MARTINELLI S M, CHEN F, MCEVOY M D, et al. Utilization of the flipped classroom in anesthesiology graduate medical education: an initial survey of faculty beliefs and practices about active learning[J]. J Educ Perioper Med, 2018, 20(1):E617.
[42]	MOFFETT J. Twelve tips for "flipping" the classroom[J]. Med Teach, 2015, 37(4):331-336. doi: 10.3109/0142159X.2014.943710
[43]	LIN H, LIN E, AUDITORE S, et al. A narrative review of high-quality literature on the effects of resident duty hours reforms[J]. Acad Med, 2016, 91(1):140-150. doi: 10.1097/ACM.0000000000000937
[44]	WASSON L T, CUSMANO A, MELI L, et al. Association between learning environment interventions and medical student well-being: a systematic review[J]. JAMA, 2016, 316(21):2237-2252. doi: 10.1001/jama.2016.17573
[45]	COOK D A, LEVINSON A J, GARSIDE S. Method and reporting quality in health professions education research: a systematic review[J]. Med Educ, 2011, 45(3):227-238. doi: 10.1111/j.1365-2923.2010.03890.x
[46]	KIRKPATRICK D L. Evaluation of training[M]//CRAIG R L. Training and Development Handbook. New York: McGraw Hill, 1976.

研究	国家	试验设计	学历	课程	对比	样本量	结局指标
Covill等^[16](2019)	美国	历史对照试验	第一年DPT	下肢肌肉骨骼疾病	2017 FC vs. 2016 FC vs. 2015 TC	2017 FC=47 2016 FC=54 TC=47	课程成绩学生满意度
Røe等^[17](2019)	挪威	历史对照试验	第二年 BPT	肌肉骨骼疾病	2017 FC vs. 2016 TC vs. 2015 TC vs. 2014 TC vs. 2013 TC	FC=54 未报告早期队列样本量	课程成绩学生看法
Boucher等^[21](2014)	美国	准实验后测设计	第一年DPT	脊柱肌肉骨骼	2012完全FC vs. 2011部分 FC vs. 2010部分FC vs. 2009部分FC	FC=38 未报告早期队列样本量	课堂成果学生调查教师反馈
Murray等^[22](2014)	美国	历史对照试验	DPT	肌肉骨骼临床科学	2011 FC vs. 2010 TC	FC=30 TC=23	课程成绩
Day^[23](2018)	美国	历史对照试验	第一年DPT	人体解剖	2014 FC vs. 2013 TC	FC=112 TC=105	课程成绩后续运动功能学课程成绩
Deprey^[24](2018)	美国	历史对照试验	第五年DPT	神经系统：姿势控制单元	2014完全FC vs. 2013部分FC vs. 2012 TC	FC=50 部分FC=49 TC=44	单元成绩
Willis等^[25](2018)	美国	历史对照试验,准实验后测设计	第五年DPT	物理因子治疗	FC vs. TC	FC=58 TC=59	DREEM调查累计平均绩点

研究	课程	干预时间	课前学习策略	课上学习策略
Covill等^[16](2019)	下肢肌肉骨骼疾病	未报告	预先录制的课程阅读材料,非评分测验及需要的讨论问题	教师组织的大量的问题和案例讨论小组提问和案例讨论随机点名回答问题测试讨论
Røe等^[17](2019)	肌肉骨骼疾病	8周	预先录制的视频讲座 YouTube视频播客电子学习课程关键科学论文	七次全天研讨会(全体会议、学生小组作业、学生报告)
Boucher等^[21](2014)	脊柱肌肉骨骼	1学期 (实际学时未指明)	录制好的讲座、课前复习大纲及3~5项课前问题	回顾和讨论实验小型实验活动和实践患者案例
Murray等^[22](2014)	肌肉骨骼临床科学	2011年夏季(实际时长不详)	在线讲座	简短的问答环节教师主导的PPT演示和知识整合案例小组讨论在教师带领下进行讨论实验活动和案例研究
Day^[23](2018)	人体解剖	15周	观看几个简短的讲座视频	通过“点击器”演示、绘画和应用问题思考-配对-分享活动主要内容记录同伴间互相指导通过“点击器”就学生观看的课前视频进行答题解剖尸体实验室
Deprey^[24](2018)	神经系统：姿势控制单元	2周	五场预先录制的PPT讲座	小组答疑与情景模拟随堂测验
Willis等^[25](2018)	物理因子治疗	16周	之前的网上视频	面对面交流讨论

研究	实验设计	抽样：研究机构	抽样：反应率	数据类型	评价工具有效性	数据分析适用性	数据分析复杂性	结果	总分
Covill等^[16](2019)	2	0.5	1.5	3	0	1	2	1.5	11.5
Røe等^[17](2019)	2	0.5	1.5	3	0	1	1	1.5	10.5
Boucher等^[21](2014)	1	0.5	1.5	1	0	1	1	1.0	7.0
Murray等^[22](2014)	2	0.5	1.5	3	2	1	2	1.5	13.5
Day^[23](2018)	2	0.5	1.5	3	2	1	2	1.5	13.5
Deprey^[24](2018)	2	0.5	1.5	3	1	1	2	1.5	12.5
Willis等^[25](2018)	2	0.5	1.5	3	2	1	2	1.5	13.5

物理治疗翻转课堂教学应用效果的系统综述

Flipped classroom in physical therapist education: a systematic review

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