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The impact of three different educational interventions on the utilization of medical self-care materials
Abstract
This study examined the impact of teaching a medical self-care (MSC) program using three different interventions among railroad employees. Social Cognitive Theory (SCT) provided the theoretical framework and, medical care and training costs provided the practical foundation. No study to date has examined the theoretical premise behind MSC or what specific theoretical constructs should be enhanced to predispose someone to use MSC materials. Three different educational interventions were used in this study. The home study intervention group used a videotape to learn about MSC. Participants viewed the film at their home independently. The interactive video intervention group used a videotape in a workshop format. The small group intervention did not use a video, instead participants worked in small groups to solve medical situations. These three interventions were chosen because they complied with adult learning principles and were supported in the MSC literature. Six hundred railroad employees were invited to participate in the study. A total of 275 participated in an intervention and completed the post (first) survey. Ninety-three percent of these participants completed the post-post survey three months later. The results showed that all participants were pleased with the overall content of the program. No one intervention significantly enhanced utilization among the groups. A MANOVA procedure was used to determine if one particular intervention enhanced the selected constructs of SCT. There was a significant difference among the groups. Self-efficacy (strength) and outcome expectancy were the dependent variables responsible for the significant effect. The independent variables (intervention groups) responsible for the significant effect could not be identified. A number of research questions were written to support the hypotheses. A secondary analysis consisted of examining the impact of the different intervention methods among blue- and white-collar workers. For example, the home study group, in both worker classification groups, scored reliably higher on behavioral capability. A low-cost method of disseminating MSC materials achieves the same results as other more costly interventions.
Subject Area
Health education|Adult education|Continuing education|Educational software
Recommended Citation
Leutzinger, Joseph Anthony, "The impact of three different educational interventions on the utilization of medical self-care materials" (1992). ETD collection for University of Nebraska-Lincoln. AAI9314412.
https://digitalcommons.unl.edu/dissertations/AAI9314412