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17 pages, 601 KiB  
Article
“It’s Like a Nice Atmosphere”—Understanding Physics Students’ Experiences of a Flipped Classroom Through the Lens of Transactional Distance Theory
by Anna K. Wood
Educ. Sci. 2025, 15(7), 921; https://doi.org/10.3390/educsci15070921 - 18 Jul 2025
Viewed by 580
Abstract
In this paper, physics students’ experiences of a flipped, active learning physics class are explored through the lens of transactional distance theory (TDT). Transactional distance (TD) is the psychological and communicative distance that may arise between students and their teacher in learning environments [...] Read more.
In this paper, physics students’ experiences of a flipped, active learning physics class are explored through the lens of transactional distance theory (TDT). Transactional distance (TD) is the psychological and communicative distance that may arise between students and their teacher in learning environments such as large classes. TD has been shown to have a negative impact on students’ satisfaction, engagement, and learning outcomes, yet there is lack of research on how pedagogical approaches, such as the flipped classroom and active learning, may ameliorate the impacts of TD. In this paper, I use a qualitative methodology to gain an in-depth understanding of the ways in which a flipped class can impact the experience of transactional distance for first year physics students. Eleven students took part in semi-structured interviews about their experience of the class, from which three themes were developed: (a) creating connections; (b) stimulating engagement; and (c) supporting responsiveness. These themes are interpreted through the lens of TDT to understand the ways in which the flipped class and active learning pedagogics reduced students’ experience of TD. This gives new insights into students’ experiences of small group discussions, pre-class quizzes, and in-class ‘clicker’ questions. The implications for the pedagogical design of flipped classes will be discussed. Full article
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16 pages, 983 KiB  
Article
Blood Sampling in Göttingen Minipigs—A Case Study of Two Standard Methods and Clicker Training as a Restraint-Free Alternative
by Kathrine Schiøler, Mikkel Lykke Jensen and Dorte Bratbo Sørensen
Animals 2025, 15(3), 407; https://doi.org/10.3390/ani15030407 - 1 Feb 2025
Viewed by 1870
Abstract
Blood sampling often requires restraint that negatively affects animal welfare. This case study evaluated three methods for jugular vein blood sampling (V-bench, sling, and clicker training) with the overall aim of assessing the negative impact on animal welfare and providing a general recommendation [...] Read more.
Blood sampling often requires restraint that negatively affects animal welfare. This case study evaluated three methods for jugular vein blood sampling (V-bench, sling, and clicker training) with the overall aim of assessing the negative impact on animal welfare and providing a general recommendation on the use of methods. First, the effects of simulated blood sampling in V-bench and sling on behaviour, heart rate, and saliva cortisol concentrations 15 min after sampling were assessed. The sling (which had the least negative effects) was re-evaluated after one week of habituation to assess a possible positive effect. Clicker training was evaluated using behavioural observations only. The heart rate was significantly higher in animals placed in the V-bench compared to the sling (p < 0.05), but no significant differences were found in the saliva cortisol concentrations. Habituation to the sling resulted in a further reduction in heart rate compared to the V-bench (p < 0.01). When trained to voluntarily cooperate, three out of six minipigs allowed blood sampling from the jugular vein without restraint. We are convinced that all six minipigs would have succeeded if the training environment had been optimised. In conclusion, clicker training results in blood sampling with no negative behaviours displayed such as struggling or squealing/screaming. When restraint is unavoidable, the sling is preferable compared to the V-bench. Full article
(This article belongs to the Section Animal Welfare)
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17 pages, 302 KiB  
Article
The Past, Present, and Future of Clickers: A Review
by J. Bryan Henderson and Elijah L. Chambers
Educ. Sci. 2024, 14(12), 1345; https://doi.org/10.3390/educsci14121345 - 9 Dec 2024
Cited by 1 | Viewed by 1355
Abstract
Classroom response technologies commonly called “clickers” have been a popular tool for teaching in many disciplines, even required by some courses. Despite this excitement and corresponding investment in clicker technology, scholars disagree on the value of clickers. To help support teachers who utilize [...] Read more.
Classroom response technologies commonly called “clickers” have been a popular tool for teaching in many disciplines, even required by some courses. Despite this excitement and corresponding investment in clicker technology, scholars disagree on the value of clickers. To help support teachers who utilize or are interested in using clickers, we explore the past, present, and future of clickers in education. This manuscript provides a literature review of how clickers are used, the benefits and challenges, and suggestions on the implementation of clicker technologies. Utilizing five research databases and a wide range of search terms, two general trends for clicker use became apparent: traditional classrooms that use clickers to enhance them and classrooms integrating clickers with more novel pedagogical approaches. After separating the papers into groups based on the trend they follow, the benefits and challenges were identified and recorded. In turn, we summarize what research has to say regarding both teachers and students for each of these primary outcomes. Building off clicker research both past and present, this review then looks toward the future by providing suggestions for overcoming the challenges faced by students and teachers when using clickers. Furthermore, we recommend important directions to consider for future research on clickers, including the need for more empirical studies of how different uses of clickers can benefit different learners in increasingly equitable ways. Full article
15 pages, 2180 KiB  
Article
Clicker Training in Minipigs to Reduce Stress during Blood Collection—An Example of Applied Refinement
by Delia Fiderer, Christa Thoene-Reineke and Mechthild Wiegard
Animals 2024, 14(19), 2819; https://doi.org/10.3390/ani14192819 - 30 Sep 2024
Viewed by 1359
Abstract
Pigs (and minipigs) are often restrained with a maxillary sling for blood collection. They mainly produce strong vocalisations and show resistance to the procedure, which subjectively appears to be stressful for the animals. The present study investigated whether minipigs can be trained to [...] Read more.
Pigs (and minipigs) are often restrained with a maxillary sling for blood collection. They mainly produce strong vocalisations and show resistance to the procedure, which subjectively appears to be stressful for the animals. The present study investigated whether minipigs can be trained to tolerate aversive stimuli and whether training can reduce stress during blood collection. Blood was taken from 12 Ellegaard minipigs with fixation; thereafter, the animals were trained for 3 weeks using clicker training. Then, blood was taken again, but without fixation. Before and after each blood sample, saliva samples were taken. The cortisol concentration was determined using ELISAs. Serum cortisol was not significantly different before and after training (paired-sample t-test, t (9) = 2.052, p = 0.07). However, salivary cortisol was significantly lower after training (ANOVA (analysis of variance), p-value < 0.001, F-value 6.181). In addition, trained minipigs showed a significantly lower heart rate after blood sampling (paired-sample t-test, t (11) = 4.678, p = 0.001) as well as significantly lower heart rate variability (t (11) = 3.704, p = 0.003) compared to before training. The minipigs could be trained to tolerate aversive stimuli. This contributed to stress reduction when taking blood samples. Full article
(This article belongs to the Section Animal Welfare)
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20 pages, 638 KiB  
Article
Clicker Training as an Applied Refinement Measure in Chickens
by Gordon Mählis, Anne Kleine, Dörte Lüschow, Alexander Bartel, Mechthild Wiegard and Christa Thoene-Reineke
Animals 2023, 13(24), 3836; https://doi.org/10.3390/ani13243836 - 13 Dec 2023
Cited by 1 | Viewed by 2126
Abstract
When using chickens in animal studies, the handling of these animals for sample collection or general examinations is considered stressful due to their prey nature. For the study presented here, plasma and salivary corticosterone as well as New Area Test behavior and fecal [...] Read more.
When using chickens in animal studies, the handling of these animals for sample collection or general examinations is considered stressful due to their prey nature. For the study presented here, plasma and salivary corticosterone as well as New Area Test behavior and fecal output were used to evaluate whether it is possible to influence this stress perception using a three-week clicker training program. The results indicate that clicker training seems to be a suitable refinement measure in the sense of cognitive enrichment for the husbandry of this species. However, since it was also shown that three-week training was not sufficient to sustainably reduce the stress perception with regard to prolonged stressor exposure, and since it was also evident that manipulations such as routine blood sampling are perceived as less stressful than assumed, further studies with prolonged training intervals and situations with higher stressor potential are warranted. Also, further parameters for training assessment must be considered. For the general use of training as a supportive measure in animal experiments, its proportionality must be considered, particularly considering the expected stress and adequate training time. Full article
(This article belongs to the Section Animal Welfare)
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11 pages, 807 KiB  
Article
Digital Literacy and Digital Self-Efficacy of Australian Technology Teachers
by Amy Cosby, Eloise S. Fogarty and Jaime Manning
Educ. Sci. 2023, 13(5), 530; https://doi.org/10.3390/educsci13050530 - 22 May 2023
Cited by 6 | Viewed by 5343
Abstract
Agriculture is being increasingly transformed into a technological industry and calls for a greater need for digitally literate employees. To ensure school students are best placed for this requirement, the development of teacher digital literacy, self-efficacy, and the awareness of agricultural technology is [...] Read more.
Agriculture is being increasingly transformed into a technological industry and calls for a greater need for digitally literate employees. To ensure school students are best placed for this requirement, the development of teacher digital literacy, self-efficacy, and the awareness of agricultural technology is essential. The current study explores the digital literacy and self-efficacy of Australian Technology Mandatory teachers who were participants in a one-day workshop (n = 185). The workshop introduced participants to the GPS Cows module, a complete teaching resource specifically designed to cover agricultural aspects of the Technology Mandatory syllabus. Data were collected by way of classroom ‘clickers’ during the workshop and by a post-workshop survey. Teachers were found to have reasonable basic digital literacy but lacked the confidence to conduct more detailed analytics. There was also some evidence that a teacher’s own digital literacy may also impact their perception of their students’ skills. Professional development workshops, such as the GPS Cows workshop, can improve teacher digital literacy and self-efficacy through hands-on learning in a collaborative, team environment. Full article
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12 pages, 2529 KiB  
Concept Paper
Engagement Assessment for the Educational Web-Service Based on Largest Lyapunov Exponent Calculation for User Reaction Time Series
by Evgeny Nikulchev, Alexander Gusev, Nurziya Gazanova, Shamil Magomedov, Anna Alexeenko, Artem Malykh, Pavel Kolyasnikov and Sergey Malykh
Educ. Sci. 2023, 13(2), 141; https://doi.org/10.3390/educsci13020141 - 30 Jan 2023
Cited by 1 | Viewed by 2077
Abstract
Contemporary digital platforms provide a large number of web services for learning and professional growth. In most cases, educational web services only control access when connecting to resources and platforms. However, for educational and similar resources (internet surveys, online research), which are characterized [...] Read more.
Contemporary digital platforms provide a large number of web services for learning and professional growth. In most cases, educational web services only control access when connecting to resources and platforms. However, for educational and similar resources (internet surveys, online research), which are characterized by interactive interaction with the platform, it is important to assess user engagement in the learning process. A fairly large body of research is devoted to assessing learner engagement based on automatic, semi-automatic, and manual methods. Those methods include self-observation, observation checklists, engagement tracing based on learner reaction time and accuracy, computer vision methods (analysis of facial expressions, gestures, and postures, eye movements), methods for analyzing body sensor data, etc. Computer vision and body sensor methods for assessing engagement give a more complete objective picture of the learner’s state for further analysis in comparison with the methods of engagement tracing based on learner’s reaction time, however, they require the presence of appropriate sensors, which may often not be applicable in a particular context. Sensory observation is explicit to the learner and is an additional stressor, such as knowing the learner is being captured by the webcam while solving a problem. Thus, the further development of the hidden engagement assessment methods is relevant, while new computationally efficient techniques of converting the initial signal about the learner’s reaction time to assess engagement can be applied. On the basis of the hypothesis about the randomness of the dynamics of the time series, the largest Lyapunov exponent can be calculated for the time series formed from the reaction time of learners during prolonged work with web interfaces to assess the learner’s engagement. A feature of the proposed engagement assessment method is the relatively high computational efficiency, absence of high traffic loads in comparison with computer vision as well as secrecy from the learner coupled with no processing of learner’s personal or physical data except the reaction time to questions displayed on the screen. The results of experimental studies on a large amount of data are presented, demonstrating the applicability of the selected technique for learner’s engagement assessment. Full article
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10 pages, 1284 KiB  
Article
Clicker Training Mice for Improved Compliance in the Catwalk Test
by Jana Dickmann, Fernando Gonzalez-Uarquin, Sandra Reichel, Dorothea Pichl, Konstantin Radyushkin, Jan Baumgart and Nadine Baumgart
Animals 2022, 12(24), 3545; https://doi.org/10.3390/ani12243545 - 15 Dec 2022
Cited by 3 | Viewed by 2810
Abstract
The CatWalk test relies on the run of mice across the platform to measure a constant speed with low variation. Mice usually require a stimulus to walk to the end of the catwalk. However, such stimuli are usually aversive and can impair welfare. [...] Read more.
The CatWalk test relies on the run of mice across the platform to measure a constant speed with low variation. Mice usually require a stimulus to walk to the end of the catwalk. However, such stimuli are usually aversive and can impair welfare. Positive reinforcement training of laboratory animals is a thriving tool for refinement and contributes to meeting the demands instituted by Directive 2010/63/EU. We have already demonstrated the positive effects of clicker training. In this study, we trained male and female mice to complete the CatWalk protocol while assessing the effects of training on their well-being (Open Filed and Elevated Plus Maze). In the CatWalk test, we observed that clicker training improved the running speed of the mice. In addition, clicker training reduced the number of runs required by mice, which was more pronounced in males. Clicker training lowered anxiety-like behaviors in our mice, especially in females, where a significant difference was observed between trained and untrained ones. Based on our findings, we hypothesize that clicker training is an effective tool to motivate mice and increase performance on the CatWalk test without potentially impairing their welfare (e.g., by puffing them). Full article
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12 pages, 4030 KiB  
Communication
Evaluation of User Reactions and Verification of the Authenticity of the User’s Identity during a Long Web Survey
by Evgeny Nikulchev, Alexander Gusev, Dmitry Ilin, Nurziya Gazanova and Sergey Malykh
Appl. Sci. 2021, 11(22), 11034; https://doi.org/10.3390/app112211034 - 22 Nov 2021
Cited by 4 | Viewed by 2902
Abstract
Web surveys are very popular in the Internet space. Web surveys are widely incorporated for gathering customer opinion about Internet services, for sociological and psychological research, and as part of the knowledge testing systems in electronic learning. When conducting web surveys, one of [...] Read more.
Web surveys are very popular in the Internet space. Web surveys are widely incorporated for gathering customer opinion about Internet services, for sociological and psychological research, and as part of the knowledge testing systems in electronic learning. When conducting web surveys, one of the issues to consider is the respondents’ authenticity throughout the entire survey process. We took 20,000 responses to an online questionnaire as experimental data. The survey took about 45 min on average. We did not take into account the given answers; we only considered the response time to the first question on each page of the survey interface, that is, only the users’ reaction time was taken into account. Data analysis showed that respondents get used to the interface elements and want to finish a long survey as soon as possible, which leads to quicker reactions. Based on the data, we built two neural network models that identify the records in which the respondent’s authenticity was violated or the respondent acted as a random clicker. The amount of data allows us to conclude that the identified dependencies are widely applicable. Full article
(This article belongs to the Special Issue Big Data: Advanced Methods, Interdisciplinary Study and Applications)
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11 pages, 538 KiB  
Article
A Case Study on the Behavioural Effect of Positive Reinforcement Training in a Novel Task Participation Test in Göttingen Mini Pigs
by Lisa Jønholt, Cathrine Juel Bundgaard, Martin Carlsen and Dorte Bratbo Sørensen
Animals 2021, 11(6), 1610; https://doi.org/10.3390/ani11061610 - 29 May 2021
Cited by 15 | Viewed by 6737
Abstract
In laboratory animal research, many procedures will be stressful for the animals, as they are forced to participate. Training animals to cooperate using clicker training (CT) or luring (LU) may reduce stress levels, and thereby increase animal welfare. In zoo animals, aquarium animals, [...] Read more.
In laboratory animal research, many procedures will be stressful for the animals, as they are forced to participate. Training animals to cooperate using clicker training (CT) or luring (LU) may reduce stress levels, and thereby increase animal welfare. In zoo animals, aquarium animals, and pets, CT is used to train animals to cooperate during medical procedures, whereas in experimental research, LU seem to be the preferred training method. This descriptive case study aims to present the behaviour of CT and LU pigs in a potentially fear-evoking behavioural test—the novel task participation test—in which the pigs walked a short runway on a novel walking surface. All eight pigs voluntarily participated, and only one LU pig showed body stretching combined with lack of tail wagging indicating reduced welfare. All CT pigs and one LU pig displayed tail wagging during the test, indicating a positive mental state. Hence, training pigs to cooperate during experimental procedures resulted in a smooth completion of the task with no signs of fear or anxiety in seven out of eight animals. We suggest that training laboratory pigs prior to experimental procedures or tests should be done to ensure low stress levels. Full article
(This article belongs to the Special Issue Laboratory Animals)
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10 pages, 4461 KiB  
Article
Novel Flexible PVDF-TrFE and PVDF-TrFE/ZnO Pressure Sensor: Fabrication, Characterization and Investigation
by Mingran Liu, Yang Liu and Limin Zhou
Micromachines 2021, 12(6), 602; https://doi.org/10.3390/mi12060602 - 23 May 2021
Cited by 27 | Viewed by 5166
Abstract
With the development of human healthcare devices, smart sensors, e-skins, and pressure sensors with outstanding sensitivity, flexibility, durability and biocompatibility have attracted more and more attention. In this paper, to develop a novel flexible pressure sensor with high sensitivity, different poly (vinylidene fluoride-trifluoroethylene) [...] Read more.
With the development of human healthcare devices, smart sensors, e-skins, and pressure sensors with outstanding sensitivity, flexibility, durability and biocompatibility have attracted more and more attention. In this paper, to develop a novel flexible pressure sensor with high sensitivity, different poly (vinylidene fluoride-trifluoroethylene) (PVDF-TrFE)-based composite membranes were fabricated, characterized and tested. To improve the β-phase crystallinity and piezoelectricity of the membranes, and for the purpose of comparison, nano ZnO particles with different concentrations (99:1, 9:1 in a weight ratio of PVDF-TrFE to ZnO) were, respectively added into PVDF-TrFE polymer acting as a nucleating agent and dielectric material. To facilitate the formation of β-phase crystal, the membranes were fabricated by electrospinning method. After the electrospinning, an annealing process was conducted to the fabricated membranes to increase the size and content of β-phase crystal. Then, the fabricated PVDF-TrFE membranes, acting as the core sensing layer, were, respectively built into multiple prototype sensors in a sandwich structure. The sensitivity of the prototype sensors was tested by an auto-clicker. The stimulation of the auto-clicker on the prototype sensors generated electrical signals, and the electrical signals were collected by a self-built testing platform powered by LabVIEW. As a result, combining the addition of ZnO nanofillers and the annealing process, a highly sensitive pressure sensor was fabricated. The optimal peak-to-peak voltage response generated from the prototype sensor was 1.788 V which shows a 75% increase compared to that of the pristine PVDF-TrFE sensor. Furthermore, a human pulse waveform was captured by a prototype sensor which exhibits tremendous prospects for application in healthcare devices. Full article
(This article belongs to the Special Issue Wearable Devices for Healthcare)
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18 pages, 8833 KiB  
Article
Assessing Water Literacy: Undergraduate Student Conceptions of Groundwater and Surface Water Flow
by Nicole D. LaDue, Jessica R. Ackerman, Dylan Blaum and Thomas F. Shipley
Water 2021, 13(5), 622; https://doi.org/10.3390/w13050622 - 27 Feb 2021
Cited by 8 | Viewed by 4183
Abstract
Given the importance of fresh water, we investigated undergraduate students’ understanding of water flow and its consequences. We probed introductory geology students’ pre-instruction knowledge using a classroom management system at two large research-intensive universities. Open-ended clicker questions, where students click directly on diagrams [...] Read more.
Given the importance of fresh water, we investigated undergraduate students’ understanding of water flow and its consequences. We probed introductory geology students’ pre-instruction knowledge using a classroom management system at two large research-intensive universities. Open-ended clicker questions, where students click directly on diagrams using their smart device (e.g., cell phone, tablet) to respond, probed students’ predictions about: (1) groundwater movement and (2) velocity and erosion in a river channel. Approximately one-third of students correctly identified groundwater flow as having lateral and vertical components; however, the same number of students identified only vertical components to flow despite the diagram depicting enough topographic gradient for lateral flow. For rivers depicted as having a straight channel, students correctly identified zones of high velocity. However, for curved river channels, students incorrectly identified the inside of the bend as the location of greatest erosion and highest velocity. Systematic errors suggest that students have mental models of water flow that are not consistent with fluid dynamics. The use of students’ open-ended clicks to reveal common errors provided an efficient tool to identify conceptual challenges associated with the complex spatial and temporal processes that govern water movement in the Earth system. Full article
(This article belongs to the Special Issue Water Literacy and Education)
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23 pages, 4510 KiB  
Review
Student Response Systems: A Multidisciplinary Analysis Using Visual Analytics
by Rosario I. Herrada, Raúl Baños and Alfredo Alcayde
Educ. Sci. 2020, 10(12), 348; https://doi.org/10.3390/educsci10120348 - 24 Nov 2020
Cited by 17 | Viewed by 6589
Abstract
In recent years, several innovations have emerged in the field of education, including Blended-Learning, Massive Open Online Courses, Flipped Classroom and Gamification. In particular, several investigations have highlighted the effectiveness of student response systems, or clickers, in different subjects and disciplines. Although some [...] Read more.
In recent years, several innovations have emerged in the field of education, including Blended-Learning, Massive Open Online Courses, Flipped Classroom and Gamification. In particular, several investigations have highlighted the effectiveness of student response systems, or clickers, in different subjects and disciplines. Although some literature reviews have been published on this subject, none of them offer a review of a large volume of publications from a multidisciplinary approach. Similarly, in the literature there are no studies that have analyzed scientific collaborations on this subject. To respond to these concerns, we proposed the use of a bot to retrieve information from a large number of papers (1696 documents co-authored by a total of 4091 researchers) included in the Scopus database. The disciplines covered include natural sciences, engineering and technology, medical and health sciences, agricultural and veterinary sciences, social sciences and humanities, and the arts. The review of the literature reveals that student response systems are generally well-perceived by teachers and students in all the disciplines. Another interesting result achieved from visual data obtained using network visualization software and word clouds is that student response systems are mainly used in some disciplines, such as physics, chemistry, medicine, and nursing. It is clearly observed that the relationship between researchers from the same country is stronger than between researchers from different countries. Finally, some reflections are included on the role of student response systems in online teaching, especially regarding the changes experienced after the COVID-19 pandemic. Full article
(This article belongs to the Section Technology Enhanced Education)
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31 pages, 994 KiB  
Review
What’s in a Click? The Efficacy of Conditioned Reinforcement in Applied Animal Training: A Systematic Review and Meta-Analysis
by Nicole Pfaller-Sadovsky, Camilo Hurtado-Parrado, Daniela Cardillo, Lucia G. Medina and Susan G. Friedman
Animals 2020, 10(10), 1757; https://doi.org/10.3390/ani10101757 - 28 Sep 2020
Cited by 10 | Viewed by 11757
Abstract
A conditioned reinforcer is a stimulus that acquired its effectiveness to increase and maintain a target behavior on the basis of the individual’s history—e.g., pairings with other reinforcers. This systematic review synthesized findings on conditioned reinforcement in the applied animal training field. Thirty-four [...] Read more.
A conditioned reinforcer is a stimulus that acquired its effectiveness to increase and maintain a target behavior on the basis of the individual’s history—e.g., pairings with other reinforcers. This systematic review synthesized findings on conditioned reinforcement in the applied animal training field. Thirty-four studies were included in the review and six studies were eligible for a meta-analysis on the effectiveness of behavioral interventions that implemented conditioned reinforcement (e.g., clicks, spoken word, or whistles paired with food). The majority of studies investigated conditioned reinforcement with dogs (47%, n = 16) and horses (30%, n = 10) implementing click–food pairings. All other species (cats, cattle, fish, goats, and monkeys) were equally distributed across types of conditioned (e.g., clicker or spoken word) and unconditioned reinforcers (e.g., food, water, or tactile). A meta-analysis on the effectiveness of conditioned reinforcement in behavioral interventions found a medium summary effect size (Tau-U 0.77; CI95% = [0.53, 0.89]), when comparing baseline, where no training was done, and treatment levels. Moderators of conditioned reinforcement effectiveness were species (e.g., horses) and research design (e.g., multiple-baseline designs). The small number of intervention-focused studies available limits the present findings and highlights the need for more systematic research into the effectiveness of conditioned reinforcement across species. Full article
(This article belongs to the Special Issue Learning Theory Applied to the Welfare of Animals)
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9 pages, 1673 KiB  
Article
The Utility of Virtual Patient Simulations for Clinical Reasoning Education
by Takashi Watari, Yasuharu Tokuda, Meiko Owada and Kazumichi Onigata
Int. J. Environ. Res. Public Health 2020, 17(15), 5325; https://doi.org/10.3390/ijerph17155325 - 24 Jul 2020
Cited by 33 | Viewed by 7377
Abstract
Virtual Patient Simulations (VPSs) have been cited as a novel learning strategy, but there is little evidence that VPSs yield improvements in clinical reasoning skills and medical knowledge. This study aimed to clarify the effectiveness of VPSs for improving clinical reasoning skills among [...] Read more.
Virtual Patient Simulations (VPSs) have been cited as a novel learning strategy, but there is little evidence that VPSs yield improvements in clinical reasoning skills and medical knowledge. This study aimed to clarify the effectiveness of VPSs for improving clinical reasoning skills among medical students, and to compare improvements in knowledge or clinical reasoning skills relevant to specific clinical scenarios. We enrolled 210 fourth-year medical students in March 2017 and March 2018 to participate in a real-time pre-post experimental design conducted in a large lecture hall by using a clicker. A VPS program (®Body Interact, Portugal) was implemented for one two-hour class session using the same methodology during both years. A pre–post 20-item multiple-choice questionnaire (10 knowledge and 10 clinical reasoning items) was used to evaluate learning outcomes. A total of 169 students completed the program. Participants showed significant increases in average total post-test scores, both on knowledge items (pre-test: median = 5, mean = 4.78, 95% CI (4.55–5.01); post-test: median = 5, mean = 5.12, 95% CI (4.90–5.43); p-value = 0.003) and clinical reasoning items (pre-test: median = 5, mean = 5.3 95%, CI (4.98–5.58); post-test: median = 8, mean = 7.81, 95% CI (7.57–8.05); p-value < 0.001). Thus, VPS programs could help medical students improve their clinical decision-making skills without lecturer supervision. Full article
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