Teaching clinical epidemiology: a controlled trial of two methods.

Abstract:

:The teaching of clinical epidemiology to second-year students at the Bowman Gray School of Medicine is carried out using journal articles to illustrate concepts. Because of the need for discussion, the instructors believed that the concepts of epidemiology might best be learned by, and that greater satisfaction with the learning process might be derived from, small group discussions rather than large lecture sessions. To test these hypotheses, students were randomized into either one of two discussion groups or a larger lecture group. The course handouts and text were identical, and the three instructors presented the same material successively to each group. In the final examination, all three groups answered approximately 26 of 36 questions correctly. Seventy percent of students responded to a questionnaire at the end of the course. There were no significant differences between the discussion and lecture groups in their ability to read and understand medical articles. However, the discussion group students were more favorable in their assessment of the success of the teaching method and in their perception of the importance and overall quality of the course. While there may be little difference in the short-term retention of epidemiological principles between the two teaching methods, the greater satisfaction reported by the students in the small groups will stimulate us to try to provide that type of learning environment in the future.

journal_name

Am J Prev Med

authors

Romm FJ,Dignan M,Herman JM

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

50-1

issue

1

eissn

0749-3797

issn

1873-2607

journal_volume

5

pub_type

临床试验,杂志文章,随机对照试验
  • Timely follow-up of positive fecal occult blood tests strategies associated with improvement.

    abstract:BACKGROUND:In light of previous research indicating that many patients fail to receive timely diagnostic follow-up of positive colorectal cancer (CRC) screening tests, the Veterans Health Administration (VA) initiated a national CRC diagnosis quality-improvement (QI) effort. PURPOSE:This article documents the percent ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2009.05.013

    authors: Powell AA,Gravely AA,Ordin DL,Schlosser JE,Partin MR

    更新日期:2009-08-01 00:00:00

  • Online Searching and Social Media to Detect Alcohol Use Risk at Population Scale.

    abstract:INTRODUCTION:Harnessing engagement in online searching and social media may provide complementary information for monitoring alcohol use, informing prevention and policy evaluation, and extending knowledge available from national surveys. METHODS:Relative search volumes for 7 alcohol-related keywords were estimated fr...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2019.08.027

    authors: Weitzman ER,Magane KM,Chen PH,Amiri H,Naimi TS,Wisk LE

    更新日期:2020-01-01 00:00:00

  • Preventing HIV transmission: behavior and attitudes of medical house staff in a high-prevalence area.

    abstract::Our objective was to evaluate human immunodeficiency virus (HIV) risk-factor assessment and counseling behavior in 86 medical house staff and to ascertain the effect of question format (closed versus open) on reported physician behaviors. We designed a cross-sectional survey using a self-report questionnaire; we recei...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:

    authors: Wheat ME,Hyman RB,Devons C,Solomon S

    更新日期:1993-09-01 00:00:00

  • The Affordable Care Act and Ethnic Disparities in Colorectal Cancer Screening.

    abstract:INTRODUCTION:Cost sharing can deter the use of health services and act as a potential contributor to racial/ethnic disparities in cancer. The Affordable Care Act required most health plans to cover, without cost sharing, preventive services, including colorectal cancer screening. Population-based data were used to esti...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2019.09.002

    authors: Mbah OM,Kinlaw AC,Trogdon JG,Wheeler SB,Samuel CA

    更新日期:2020-02-01 00:00:00

  • Cervical cancer among Hmong women in California, 1988 to 2000.

    abstract:BACKGROUND:The Hmong immigrated to the United States from Laos after the Vietnam conflict ended. Hmong encounter numerous readjustment issues, including health care. Traditional Hmong health beliefs and practices encompass more spiritual than biological etiologies. Hmong usually seek the first course of treatment from ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2004.04.003

    authors: Yang RC,Mills PK,Riordan DG

    更新日期:2004-08-01 00:00:00

  • Racial Disparities in Cardiovascular Health Behaviors: The Coronary Artery Risk Development in Young Adults Study.

    abstract:INTRODUCTION:There are known racial differences in cardiovascular health behaviors, including smoking, physical activity, and diet quality. A better understanding of these differences may help identify intervention targets for reducing cardiovascular disease disparities. This study examined whether socioeconomic, psych...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2018.03.017

    authors: Whitaker KM,Jacobs DR Jr,Kershaw KN,Demmer RT,Booth JN 3rd,Carson AP,Lewis CE,Goff DC Jr,Lloyd-Jones DM,Gordon-Larsen P,Kiefe CI

    更新日期:2018-07-01 00:00:00

  • Delayed Homelessness After Military Discharge: Examination of a Sleeper Effect.

    abstract:INTRODUCTION:Addressing veteran homelessness is a major federal priority, but there has been little research on the period between military discharge and homelessness. There are public concerns about new waves of homelessness among recent veterans and questions about a possible sleeper effect, that is, a delayed risk t...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2020.03.001

    authors: Tsai J,Szymkowiak D,Pietrzak RH

    更新日期:2020-07-01 00:00:00

  • Stand-alone mass media campaigns to increase physical activity: a Community Guide updated review.

    abstract:CONTEXT:The goal of the systematic review described in this summary was to determine the effectiveness of stand-alone mass media campaigns to increase physical activity at the population level. This systematic review is an update of a Community Guide systematic review and Community Preventive Services Task Force recomm...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.amepre.2012.07.035

    authors: Brown DR,Soares J,Epping JM,Lankford TJ,Wallace JS,Hopkins D,Buchanan LR,Orleans CT,Community Preventive Services Task Force.

    更新日期:2012-11-01 00:00:00

  • Firearm Ownership and Violent Crime in the U.S.: An Ecologic Study.

    abstract:INTRODUCTION:Although some view the ownership of firearms as a deterrent to crime, the relationship between population-level firearm ownership rates and violent criminal perpetration is unclear. The purpose of this study is to test the association between state-level firearm ownership and violent crime. METHODS:State-...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2015.02.008

    authors: Monuteaux MC,Lee LK,Hemenway D,Mannix R,Fleegler EW

    更新日期:2015-08-01 00:00:00

  • Association of Worksite Food Purchases and Employees' Overall Dietary Quality and Health.

    abstract:INTRODUCTION:Most Americans spend half their waking hours at work and consume food acquired there. The hypothesis was that the healthfulness of worksite food purchases was associated with employees' overall diet and health. METHODS:Participants were 602 hospital employees who regularly used worksite cafeterias and enr...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2019.02.020

    authors: McCurley JL,Levy DE,Rimm EB,Gelsomin ED,Anderson EM,Sanford JM,Thorndike AN

    更新日期:2019-07-01 00:00:00

  • Surveillance for deep vein thrombosis and pulmonary embolism: recommendations from a national workshop.

    abstract::Deep vein thrombosis (DVT) and pulmonary embolism (PE), known collectively as venous thromboembolism (VTE), affect an estimated 900,000 people in the U.S. each year, resulting in several hundred thousand hospitalizations and about 300,000 deaths. Despite this substantial public health burden, no systematic collection ...

    journal_title:American journal of preventive medicine

    pub_type:

    doi:10.1016/j.amepre.2010.01.010

    authors: Raskob GE,Silverstein R,Bratzler DW,Heit JA,White RH

    更新日期:2010-04-01 00:00:00

  • Utilization of Preventive Health Care in Adults and Children With Eczema.

    abstract:INTRODUCTION:Chronic disease is a barrier to delivery of preventive health care and health maintenance. However, health behaviors of adults and children with eczema, a chronic skin disorder, have not been examined. This study examined associations of eczema with vaccination, disease screening, health maintenance, and h...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2015.07.029

    authors: Strom MA,Silverberg JI

    更新日期:2016-02-01 00:00:00

  • Cluster Randomized Trial of a College Health Center Sexual Violence Intervention.

    abstract:INTRODUCTION:Sexual violence, particularly in the context of drinking, is prevalent on college campuses. This study tested a brief intervention to prevent sexual violence among students receiving care from college health centers. STUDY DESIGN:This study was a two-arm, unblinded cluster RCT. SETTING/PARTICIPANTS:On 28...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2020.02.007

    authors: Miller E,Jones KA,McCauley HL,Rofey DL,Clark DB,Talis JM,Anderson JC,Chugani CD,Coulter RWS,Abebe KZ

    更新日期:2020-07-01 00:00:00

  • Alternative HbA1c cutoffs to identify high-risk adults for diabetes prevention: a cost-effectiveness perspective.

    abstract:BACKGROUND:New recommendations about the use of hemoglobin A1c (HbA1c) for diagnosing diabetes have stimulated a debate about the optimal HbA1c cutoff to identify prediabetes for preventive intervention. PURPOSE:To assess the cost effectiveness associated with the alternative HbA1c cutoffs for identifying prediabetes....

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2012.01.003

    authors: Zhuo X,Zhang P,Selvin E,Hoerger TJ,Ackermann RT,Li R,Bullard KM,Gregg EW

    更新日期:2012-04-01 00:00:00

  • Poor Health and Violent Crime Hot Spots: Mitigating the Undesirable Co-Occurrence Through Focused Place-Based Interventions.

    abstract:INTRODUCTION:The geographic overlap of violence and poor health is a major public health concern. To understand whether and how place-based interventions targeting micro-geographic places can reduce this undesirable co-occurrence, the study addresses 2 important questions. First, to what extent are deteriorated health ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2019.12.012

    authors: Dong B,White CM,Weisburd DL

    更新日期:2020-06-01 00:00:00

  • Sedentary behavior in Dutch workers: differences between occupations and business sectors.

    abstract:BACKGROUND:Sedentary behavior is an independent risk factor for excess body weight and other health problems. There are no published data on sitting time at work, or how this is related to occupation and sector (branch of business). No published study has shown whether extended sitting at work is compensated for by sit...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2007.07.033

    authors: Jans MP,Proper KI,Hildebrandt VH

    更新日期:2007-12-01 00:00:00

  • Evaluation of referral completion after a workplace cholesterol screening program.

    abstract::We designed a randomized clinical trial to examine effectiveness of a follow-up educational mailing to improve referral completion following a workplace cholesterol screening program. Of 836 employees who participated in a cholesterol screening program at Blue Cross and Blue Shield of Maryland, 313 (37%) had a total c...

    journal_title:American journal of preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Fitzgerald ST,Gibbens S,Agnew J

    更新日期:1991-11-01 00:00:00

  • U.S. Adult Attitudes About Electronic Vapor Product Use in Indoor Public Places.

    abstract:INTRODUCTION:The U.S. Surgeon General has concluded that aerosol from electronic vapor products, such as e-cigarettes, can contain harmful and potentially harmful constituents. This study assessed the prevalence and determinants of U.S. adult attitudes toward electronic vapor product use in indoor public places. METHO...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2018.08.022

    authors: Wang TW,Marynak KM,Gentzke AS,King BA

    更新日期:2019-01-01 00:00:00

  • Community-Level Inequalities in Concussion Education of Youth Football Coaches.

    abstract:INTRODUCTION:USA Football has made the Heads Up Football (HUF) concussion education program available for coaches of youth football players. Existing evidence about the effectiveness of the HUF coach education program is equivocal. For HUF and other programs, there is growing concern that even effective interventions c...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2016.12.021

    authors: Kroshus E,Kerr ZY,Lee JGL

    更新日期:2017-04-01 00:00:00

  • Relation of Health Literacy to Exceeding the Labeled Maximum Daily Dose of Acetaminophen.

    abstract:INTRODUCTION:Acetaminophen is a commonly used analgesic/antipyretic; overdoses can lead to liver damage. Little is known about the relationship of health literacy to exceeding the recommended maximum daily dose (4 g). METHODS:Subjects were recruited at 23 U.S. malls in 2011. Health literacy was measured by Rapid Estim...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2015.11.005

    authors: Kaufman DW,Kelly JP,Battista DR,Malone MK,Weinstein RB,Shiffman S

    更新日期:2016-06-01 00:00:00

  • Engaging parents to increase youth physical activity a systematic review.

    abstract:BACKGROUND:Parents are often involved in interventions to engage youth in physical activity, but it is not clear which methods for involving parents are effective. PURPOSE:A systematic review was conducted of interventions with physical activity and parental components among healthy youth to identify how best to invol...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.amepre.2009.04.020

    authors: O'Connor TM,Jago R,Baranowski T

    更新日期:2009-08-01 00:00:00

  • The Health-Grant University: a comprehensive national health education plan.

    abstract::Although the need for universal and better health education has been recognized, no nationwide comprehensive program has been established. Consequently, we are proposing founding a national program of statewide health education networks, comparable in some ways to the Cooperative Extension Services of Land-Grant and S...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:

    authors: Fulton GP,Entel R,Still CN

    更新日期:1985-09-01 00:00:00

  • Impact of mailed and automated telephone reminders on receipt of repeat mammograms: a randomized controlled trial.

    abstract:BACKGROUND:This study compares the efficacy of three types of reminders in promoting annual repeat mammography screening. DESIGN:RCT. SETTING AND PARTICIPANTS:Study recruitment occurred in 2004-2005. Participants were recruited through the North Carolina State Health Plan for Teachers and State Employees. All were ag...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.amepre.2009.01.032

    authors: DeFrank JT,Rimer BK,Gierisch JM,Bowling JM,Farrell D,Skinner CS

    更新日期:2009-06-01 00:00:00

  • Measuring enjoyment of physical activity in adolescent girls.

    abstract:BACKGROUND:Enjoyment has been implicated as a determinant of physical activity among youth, but advances in understanding its importance have been limited by the use of measures that were not adequately validated. The present study examined: (1) the factorial validity of the Physical Activity Enjoyment Scale (PACES), a...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/s0749-3797(01)00326-9

    authors: Motl RW,Dishman RK,Saunders R,Dowda M,Felton G,Pate RR

    更新日期:2001-08-01 00:00:00

  • Vaccine Delay and Its Association With Undervaccination in Children in Sub-Saharan Africa.

    abstract:INTRODUCTION:Improving the timeliness and completion of vaccination is the key to reducing under-5 childhood mortality. This study examines the prevalence of delayed vaccination for doses administered at birth and age 6 weeks, 10 weeks, 14 weeks, and 9 months and its association with undervaccination among infants in S...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2020.10.003

    authors: Janusz CB,Frye M,Mutua MK,Wagner AL,Banerjee M,Boulton ML

    更新日期:2021-01-01 00:00:00

  • Dissemination of physical activity evidence, programs, policies, and surveillance in the international public health arena.

    abstract::The concepts of dissemination can be applied to the international challenges of promoting physical activity. With the 2004 release of the World Health Organization Global Strategy for Diet and Physical Activity, risk factor reduction and noncommunicable disease control are of global health interest. A six-step framewo...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.amepre.2006.06.026

    authors: Bauman AE,Nelson DE,Pratt M,Matsudo V,Schoeppe S

    更新日期:2006-10-01 00:00:00

  • The social and demographic correlates of smoking among young adults in Maryland.

    abstract:OBJECTIVES:We examine the utility of pooling data from the 1987 through 1994 Maryland Behavioral Risk Factor Surveillance system (BRFSS) surveys in order to increase sample size, and we investigate the social and demographic correlates of smoking in Maryland among 18-24-year-olds. METHODS:The data are from 1,714 subje...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:

    authors: Astone NM,Alexander C,Joffe A,Kanarek N

    更新日期:1997-11-01 00:00:00

  • Factors affecting evidence-based decision making in local health departments.

    abstract:BACKGROUND:Data indicating the extent to which evidence-based decision making (EBDM) is used in local health departments (LHDs) are limited. PURPOSE:This study aims to determine use of decision-making processes by New York State LHD leaders and upper-level staff and identify facilitators and barriers to the use of EBD...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/j.amepre.2013.08.004

    authors: Sosnowy CD,Weiss LJ,Maylahn CM,Pirani SJ,Katagiri NJ

    更新日期:2013-12-01 00:00:00

  • Worksite interventions: improving lifestyle habits among Latin American adults.

    abstract:CONTEXT:Worksite-based interventions have been shown to result consistently in significant improvements in weight- and health-related outcomes among the working adult population; however, applicability and effectiveness of studies has often been limited by inadequate reporting of age and ethnicity. This study aimed to ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审

    doi:10.1016/j.amepre.2013.01.015

    authors: Mehta S,Dimsdale J,Nagle B,Holub CK,Woods C,Barquera S,Elder JP

    更新日期:2013-05-01 00:00:00

  • American College of Preventive Medicine public policy on needle-exchange programs to reduce drug-associated morbidity and mortality.

    abstract:OVERVIEW:Based on a review of the current literature and recommendations, the American College of Preventive Medicine presents a public policy statement on needle-exchange programs. ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章

    doi:10.1016/s0749-3797(99)00136-1

    authors: Ferrini R

    更新日期:2000-02-01 00:00:00