Virtual Patients in a Behavioral Medicine MOOC: Meeting the challenge of ensuring technical capacity and analyzing user navigation patterns Anne H Berman, PhD, Associate Professor, Clinical Psychology
[email protected] Natalia Stathakarou, MSc Health Informatics
[email protected] Karolinska Institutet Dept of Clinical Neuroscience/ Center for Psychiatric Research Dept of Learning, Informatics, Management & Ethics (LIME) MOOCs in Scandinavia Conference Stockholm, 11-12 June 2015
A Massive Open Online Course (MOOC) September 9 - October 14, 2014, currently openly archived https://www.edx.org/course/kix/kix-kibehmedx-behavioralmedicine-key-1527
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Why a MOOC on behavioral medicine?
*See Hauer et al., 2012, Behavior Change Counseling Curricula for Medical Trainees: A Systematic Review. Academic Medicine, 87 (7), 956-968.
§ Enrollment: 19236 learners/5000 initiated course; 740 completion certificates issued (=4%/15%) § USA , India and UK most represented countries § Activity: 2458 and 1806 participants declared completing the VPs of weeks 2 and 3; Most agreed that VPs were a very helpful exercise 6 augusti 2015
with Virtual Patient Virtual patient – computer program that simulates real-life clinical scenarios in which the learner acts as a health care professional (Ellaway, 2006)
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Virtual Patient Production § Professional actor Production and film team Virtual Patient § Interviews and role-playing with real clinicians à 33 short video clips à Two interconnected cases (stress and coping, sleep problems)
§ Branched structure § Student interactivity
Production time about 1 month total
à decision points, multiple choice questions, free text, discussion
Video production
Instructional design, script writing
Designing navigation pathways
After patient describes his problems Decision point:
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Clinician de-dramatizes problems New decision point:
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Offering a Functional Behavioral Analysis
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Visual learning analytics (VLA): instructional design perspective
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VP system and platform integration http://openlabyrinth.ca
1. VP player and platform integration
§ Open Labyrinth 3.1 à Navigation models imported from the VUE (Visual Understanding Environment) à Stress tests with Gatling revealed database problems under high load
§ Integration with EdX à Graphical layout adjustments à Implementation of the Basic LTI Single-Sign On functionality Stathakarou N, Zary N, Kononowicz AA: Beyond xMOOCs in healthcare education: study of the feasibility in integrating virtual patient systems and MOOC platforms. PeerJ 2014 Nov 13;2:e672
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Ensuring technical capacity • Atmosphere – cloud management solution offered 2. Ensuring technical as part of the VPH-Share project and hosted by ACC Cyfronet
capacity
• Different virtual server templates with deployed variants of virtual patient player services and a load balancer • 131,303 server requests in one month (~ 2300 students) • Hardly any database problems reported Nowakowski P, Bartyński T, Bubak M, Gubała T, Harężlak D, Kasztelnik M, Malawski M. Execution and Sharing of VPH Applications in the Cloud with the Atmosphere Platform. Proceedings of the VPH Conf; 2014 Sept 9-12; Trondheim, Norway. 2014.
Next course steps § Re-run MOOC in January 2016 § Repackage and redesign content for professional Continuing Education (CE) locally and globally § Develop MOOC on addictive behaviors, increasing use of virtual patients
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Acknowledgements to:*
*Also to Andrzej Kononowicz for VP development and Beata Westin-Hägglöf for qualitative analysis
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Thank you for your attention !!!
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