Effective doctor-patient communication is a central component in the delivery of healthcare. To direct an efficient and patient centred anamnesis interview, physiotherapy students use the pattern recognition technique. By pattern is meant a complex of data on age, gender, origin, origin factors, course, course influencing factors, symptoms and signs that are characteristic of a disorder, a disease or syndrome. In the anamnesis interview, the physiotherapist student is asked to recognize all these different patterns and to make connections both within and between the different domains of the ICF (International Classification of Functioning, Disability and Health) model , which lead to specific targets for physical examination. The experience of the teachers at Hogeschool Arnhem and Nijmegen (HAN) is that the students have difficulties mastering the pattern recognition, and the strategies used up to now have not solved this issue. A solution to this problem that is presented in this thesis is a Serious Game (SG) that will be conceptually designed. The aim of the SG is to enhance the pattern recognition of physiotherapist students and enabling them to collect an anamnesis in an efficient and effective way. The SG is conceptualized based on requirements in the literature and outcomes of the focus group carried out with physiotherapy experts. For the focus group six people were selected by the use of the inclusion criteria: (1) availability, (2) interest, (3) five years of working experience in the role of teacher, and (4) also five years of working experience in a physiotherapy practice. The participants were between the ages of 39 and 61 (M = 55.8, SD = 9.47) and had an average work experience as physiotherapist teacher of 16 years (SD = 12.04). The design for this qualitative study is the focus group session, the development of the conceptual design of the SG, and an evaluation with the focus group through a questionnaire. The focus group questions list, the demographic questionnaire, and the evaluation questionnaire were all prepared by the student-researcher (see Appendices A to C). The results show that the most important elements included in the conceptual SG must be: 1) all domains of the ICF model, 2) per domain (almost) all possible questions that can be asked during collecting an anamnesis, 3) the story of the patient, 4) additional sources, 5) a note window, and 6) a final test. The conclusion is that the conceptual SG presented in this Master’s thesis is intended to be a starting point for a SG to enhance pattern recognition by physiotherapy students during collecting an anamnesis. This was also reflected in the evaluation questionnaire, in which the participants indicate that they see potential in the game, but also see that the SG still needs further development. Further research will have to be done before the SG can be deployed in physiotherapy education.
|Date of Award||24 Jul 2019|
|Supervisor||Roland Klemke (Supervisor), Alessandra Antonaci (Supervisor) & Hans Hummel (Examinator)|
- conceptual design
- serious game
- pattern recognition