Development and Validation of a Mental Practice Tool for Total Abdominal Hysterectomy.
Identifieur interne : 000913 ( Main/Exploration ); précédent : 000912; suivant : 000914Development and Validation of a Mental Practice Tool for Total Abdominal Hysterectomy.
Auteurs : Said S. Saab [États-Unis] ; Jamie Bastek [États-Unis] ; Sandra Dayaratna [États-Unis] ; Ellyn Hutton [États-Unis] ; Catherine R. Salva [États-Unis]Source :
- Journal of surgical education [ 1878-7452 ]
Descripteurs français
- KwdFr :
- Compétence clinique (MeSH), Enquêtes et questionnaires (MeSH), Enseignement spécialisé en médecine (méthodes), Femelle (MeSH), Gynécologie (enseignement et éducation), Humains (MeSH), Hystérectomie (enseignement et éducation), Hystérectomie (psychologie), Hôpitaux universitaires (MeSH), Internat et résidence (méthodes), Laparotomie (méthodes), Mâle (MeSH), Processus mentaux (MeSH), Période préopératoire (MeSH), États-Unis (MeSH), Études prospectives (MeSH).
- MESH :
- enseignement et éducation : Gynécologie, Hystérectomie.
- méthodes : Enseignement spécialisé en médecine, Internat et résidence, Laparotomie.
- psychologie : Hystérectomie.
- Compétence clinique, Enquêtes et questionnaires, Femelle, Humains, Hôpitaux universitaires, Mâle, Processus mentaux, Période préopératoire, États-Unis, Études prospectives.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Clinical Competence (MeSH), Education, Medical, Graduate (methods), Female (MeSH), Gynecology (education), Hospitals, University (MeSH), Humans (MeSH), Hysterectomy (education), Hysterectomy (psychology), Imagery, Psychotherapy (education), Internship and Residency (methods), Laparotomy (methods), Male (MeSH), Mental Processes (MeSH), Preoperative Period (MeSH), Prospective Studies (MeSH), Surveys and Questionnaires (MeSH), United States (MeSH).
- MESH :
- geographic : United States.
- education : Gynecology, Hysterectomy, Imagery, Psychotherapy.
- methods : Education, Medical, Graduate, Internship and Residency, Laparotomy.
- psychology : Hysterectomy.
- Clinical Competence, Female, Hospitals, University, Humans, Male, Mental Processes, Preoperative Period, Prospective Studies, Surveys and Questionnaires.
Abstract
OBJECTIVE
Total abdominal hysterectomy (TAH) is a common operation performed by obstetrician-gynecologists. Training opportunities for this procedure are declining. Mental practice (MP), the use of mental imagery to rehearse a task symbolically before performance, has been used successfully in sports and music to enhance skill. This strategy demonstrates benefit in existing surgical education literature. We aimed to develop and validate a MP tool (MPT) for resident training in TAH.
DESIGN
A prospective survey study was performed in a large, urban, academic medical center in Philadelphia, Pennsylvania, USA. A MPT was developed by guiding expert surgeons through a cognitive walk-through of TAH to identify key procedural cues. For validation, a convenience sample of 22 residents and attendings (N = 11 per group) mentally rehearsed TAH. Motivation, confidence, quality of imagery, and utility of the activity were assessed with a previously validated Mental Imagery Questionnaire (MIQ) before and after exposure to the MPT.
RESULTS
Residents, but not attendings, found MP to be useful in preparation for surgery (residents, p = 0.01; attendings, p = 0.34) and had increased confidence following this exercise (residents, p = 0.01; attendings, p = 0.08). Significant improvement in global imagery score after use of the tool was shown by residents (p = 0.01) but not by the attendings (p = 0.08), with residents having lower imagery skills than attendings both pre-MP and post-MP. Reliability testing of the MIQ indicated internal consistency (pre-MPT, 0.91; post-MPT, 0.90).
CONCLUSIONS
MP may serve as a potentially effective, portable, and inexpensive resident surgical training tool in preparation for TAH. Attendings may benefit from certain aspects of MP. The MIQ may serve as a measure of imagery skills in future experiments of MP in preparation for surgery.
DOI: 10.1016/j.jsurg.2016.10.005
PubMed: 27825661
Affiliations:
Links toward previous steps (curation, corpus...)
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Saab</name><affiliation wicri:level="2"><nlm:affiliation>Department of OBGYN, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of OBGYN, Hospital of the University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Bastek, Jamie" sort="Bastek, Jamie" uniqKey="Bastek J" first="Jamie" last="Bastek">Jamie Bastek</name><affiliation wicri:level="2"><nlm:affiliation>Department of OBGYN, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of OBGYN, Hospital of the University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Dayaratna, Sandra" sort="Dayaratna, Sandra" uniqKey="Dayaratna S" first="Sandra" last="Dayaratna">Sandra Dayaratna</name><affiliation wicri:level="2"><nlm:affiliation>Department of OBGYN, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of OBGYN, Thomas Jefferson University Hospital, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Hutton, Ellyn" sort="Hutton, Ellyn" uniqKey="Hutton E" first="Ellyn" last="Hutton">Ellyn Hutton</name><affiliation wicri:level="2"><nlm:affiliation>Wellness Within LLC, Wilmington, Delaware.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Delaware</region></placeName><wicri:cityArea>Wellness Within LLC, Wilmington</wicri:cityArea></affiliation></author><author><name sortKey="Salva, Catherine R" sort="Salva, Catherine R" uniqKey="Salva C" first="Catherine R" last="Salva">Catherine R. 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Training opportunities for this procedure are declining. Mental practice (MP), the use of mental imagery to rehearse a task symbolically before performance, has been used successfully in sports and music to enhance skill. This strategy demonstrates benefit in existing surgical education literature. We aimed to develop and validate a MP tool (MPT) for resident training in TAH.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A prospective survey study was performed in a large, urban, academic medical center in Philadelphia, Pennsylvania, USA. A MPT was developed by guiding expert surgeons through a cognitive walk-through of TAH to identify key procedural cues. For validation, a convenience sample of 22 residents and attendings (N = 11 per group) mentally rehearsed TAH. Motivation, confidence, quality of imagery, and utility of the activity were assessed with a previously validated Mental Imagery Questionnaire (MIQ) before and after exposure to the MPT.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Residents, but not attendings, found MP to be useful in preparation for surgery (residents, p = 0.01; attendings, p = 0.34) and had increased confidence following this exercise (residents, p = 0.01; attendings, p = 0.08). Significant improvement in global imagery score after use of the tool was shown by residents (p = 0.01) but not by the attendings (p = 0.08), with residents having lower imagery skills than attendings both pre-MP and post-MP. Reliability testing of the MIQ indicated internal consistency (pre-MPT, 0.91; post-MPT, 0.90).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>MP may serve as a potentially effective, portable, and inexpensive resident surgical training tool in preparation for TAH. Attendings may benefit from certain aspects of MP. The MIQ may serve as a measure of imagery skills in future experiments of MP in preparation for surgery.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27825661</PMID><DateCompleted><Year>2018</Year><Month>01</Month><Day>04</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-7452</ISSN><JournalIssue CitedMedium="Internet"><Volume>74</Volume><Issue>2</Issue><PubDate><MedlineDate>2017 Mar - Apr</MedlineDate></PubDate></JournalIssue><Title>Journal of surgical education</Title><ISOAbbreviation>J Surg Educ</ISOAbbreviation></Journal><ArticleTitle>Development and Validation of a Mental Practice Tool for Total Abdominal Hysterectomy.</ArticleTitle><Pagination><MedlinePgn>216-221</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1931-7204(16)30207-0</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jsurg.2016.10.005</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Total abdominal hysterectomy (TAH) is a common operation performed by obstetrician-gynecologists. Training opportunities for this procedure are declining. Mental practice (MP), the use of mental imagery to rehearse a task symbolically before performance, has been used successfully in sports and music to enhance skill. This strategy demonstrates benefit in existing surgical education literature. We aimed to develop and validate a MP tool (MPT) for resident training in TAH.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A prospective survey study was performed in a large, urban, academic medical center in Philadelphia, Pennsylvania, USA. A MPT was developed by guiding expert surgeons through a cognitive walk-through of TAH to identify key procedural cues. For validation, a convenience sample of 22 residents and attendings (N = 11 per group) mentally rehearsed TAH. Motivation, confidence, quality of imagery, and utility of the activity were assessed with a previously validated Mental Imagery Questionnaire (MIQ) before and after exposure to the MPT.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Residents, but not attendings, found MP to be useful in preparation for surgery (residents, p = 0.01; attendings, p = 0.34) and had increased confidence following this exercise (residents, p = 0.01; attendings, p = 0.08). Significant improvement in global imagery score after use of the tool was shown by residents (p = 0.01) but not by the attendings (p = 0.08), with residents having lower imagery skills than attendings both pre-MP and post-MP. Reliability testing of the MIQ indicated internal consistency (pre-MPT, 0.91; post-MPT, 0.90).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">MP may serve as a potentially effective, portable, and inexpensive resident surgical training tool in preparation for TAH. Attendings may benefit from certain aspects of MP. The MIQ may serve as a measure of imagery skills in future experiments of MP in preparation for surgery.</AbstractText><CopyrightInformation>Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Saab</LastName><ForeName>Said S</ForeName><Initials>SS</Initials><AffiliationInfo><Affiliation>Department of OBGYN, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bastek</LastName><ForeName>Jamie</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of OBGYN, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dayaratna</LastName><ForeName>Sandra</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of OBGYN, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hutton</LastName><ForeName>Ellyn</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Wellness Within LLC, Wilmington, Delaware.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Salva</LastName><ForeName>Catherine R</ForeName><Initials>CR</Initials><AffiliationInfo><Affiliation>Department of OBGYN, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: catherine.salva@uphs.upenn.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D023361">Validation Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>11</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Surg Educ</MedlineTA><NlmUniqueID>101303204</NlmUniqueID><ISSNLinking>1878-7452</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004503" MajorTopicYN="N">Education, Medical, Graduate</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006176" MajorTopicYN="N">Gynecology</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006785" MajorTopicYN="N">Hospitals, University</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007044" MajorTopicYN="N">Hysterectomy</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019018" MajorTopicYN="N">Imagery, Psychotherapy</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007396" MajorTopicYN="N">Internship and Residency</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007813" MajorTopicYN="N">Laparotomy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008606" MajorTopicYN="Y">Mental Processes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057234" MajorTopicYN="N">Preoperative Period</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Medical Knowledge</Keyword><Keyword MajorTopicYN="N">Patient Care</Keyword><Keyword MajorTopicYN="N">Practice-Based Learning and Improvement</Keyword><Keyword MajorTopicYN="N">abdominal hysterectomy</Keyword><Keyword MajorTopicYN="N">gynecology</Keyword><Keyword MajorTopicYN="N">imagery</Keyword><Keyword MajorTopicYN="N">mental practice</Keyword><Keyword MajorTopicYN="N">surgical education</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>05</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>08</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>10</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>11</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>11</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27825661</ArticleId><ArticleId IdType="pii">S1931-7204(16)30207-0</ArticleId><ArticleId IdType="doi">10.1016/j.jsurg.2016.10.005</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Delaware</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Saab, Said S" sort="Saab, Said S" uniqKey="Saab S" first="Said S" last="Saab">Said S. Saab</name></region><name sortKey="Bastek, Jamie" sort="Bastek, Jamie" uniqKey="Bastek J" first="Jamie" last="Bastek">Jamie Bastek</name><name sortKey="Dayaratna, Sandra" sort="Dayaratna, Sandra" uniqKey="Dayaratna S" first="Sandra" last="Dayaratna">Sandra Dayaratna</name><name sortKey="Hutton, Ellyn" sort="Hutton, Ellyn" uniqKey="Hutton E" first="Ellyn" last="Hutton">Ellyn Hutton</name><name sortKey="Salva, Catherine R" sort="Salva, Catherine R" uniqKey="Salva C" first="Catherine R" last="Salva">Catherine R. Salva</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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