Teaching human anatomy before during and after COVID-19 pandemic: A longitudinal study on kinesiology students' performance, cognitive load, and congruent embodied learning
Rawad Chaker
ECP Laboratory, Université Lumière Lyon 2, Lyon, France
Search for more papers by this authorMélanie Gallot
Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France
Search for more papers by this authorAyodélé Madi
ECP Laboratory, Université Lumière Lyon 2, Lyon, France
Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France
Search for more papers by this authorChristian Collet
Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France
Search for more papers by this authorCorresponding Author
Nady Hoyek
Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France
Correspondence
Nady Hoyek, Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France.
Email: [email protected]
Search for more papers by this authorRawad Chaker
ECP Laboratory, Université Lumière Lyon 2, Lyon, France
Search for more papers by this authorMélanie Gallot
Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France
Search for more papers by this authorAyodélé Madi
ECP Laboratory, Université Lumière Lyon 2, Lyon, France
Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France
Search for more papers by this authorChristian Collet
Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France
Search for more papers by this authorCorresponding Author
Nady Hoyek
Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France
Correspondence
Nady Hoyek, Inter-University Laboratory of Human Motor Performance (LIBM – UR 7424), Université Claude Bernard, Lyon 1, Villeurbanne Cedex, France.
Email: [email protected]
Search for more papers by this authorAbstract
During the COVID-19 pandemic, anatomy educators have demonstrated their ability to respond to face-to-face (F2F) teaching restrictions and offer emergency remote teaching and learning (ERTL) approach. Another educational model that was intensified during COVID-19 was blended learning (BL) which is a combination of F2F and online settings. Studies on the effects of the methods employed during COVID-19 pandemic on anatomy students' learning outcomes are sparse and show slightly similar but nuanced results. There is poor evidence on how the transition to online-only or to BL in response to COVID-19 impacted anatomy students' performance, cognitive load, and embodied learning. The main aim of this longitudinal study is to evaluate the effectiveness of ERTL and BL on anatomy performance in kinesiology students. The second aim of this study was to better understand students' performance in terms of cognitive load embodied learning, and the use of 3D digital tools. The results indicate no significant differences between F2F and ERTL students’ performance. However, the results yielded significantly better performance for the BL students in comparison with both F2F (p = 0.001) and ERTL cohort (p = 0.001). The rapid transition to online-only teaching and learning neither enhanced nor deteriorated students' performance. The BL modality appears to be the most efficient. Learning outcomes were discussed in relation to cognitive load, embodied learning, and the use of 3D digital tools.
REFERENCES
- 1Bozkurt A, Jung I, Xiao J, Vladimirschi V, Schuwer R, Egorov G, et al. A global outlook to the interruption of education due to COVID-19 pandemic: navigating in a time of uncertainty and crisis. Asian J Dist Educ. 2020; 15(1): 1–126.
- 2Ashraf MA, Yang M, Zhang Y, Denden M, Tlili A, Liu J, et al. A systematic review of systematic reviews on blended learning: trends, gaps and future directions. Psychol Res Behav Manag. 2021; 14: 1525–1541.
- 3Müller C, Mildenberger T. Facilitating flexible learning by replacing classroom time with an online learning environment: a systematic review of blended learning in higher education. Educ Res Rev. 2021; 34:100394.
- 4Raes A, Detienne L, Windey I, Depaepe F. A systematic literature review on synchronous hybrid learning: gaps identified. Learn Environ Res. 2020; 23: 269–290.
10.1007/s10984-019-09303-z Google Scholar
- 5Rasheed RA, Kamsin A, Abdullah NA. Challenges in the online component of blended learning: a systematic review. Comput Educ. 2020; 144:103701.
- 6Evans DJ, Pawlina W. Effects of Covid-19: the need to assess the real value of anatomy education. Anat Sci Educ. 2021; 14(2): 129–131.
- 7Byrnes KG, Kiely PA, Dunne CP, McDermott KW, Coffey JC. Communication, collaboration and contagion: “virtualisation” of anatomy during COVID-19. Clin Anat. 2021; 34(1): 82–89.
- 8Carvalho Filho MA, Hafferty FW, Pawlina W. Anatomy 3.0: rediscovering theatrum anatomicum in the wake of Covid-19. Anat Sci Educ. 2021; 14(5): 528–535.
- 9Evans DJ, Bay BH, Wilson TD, Smith CF, Lachman N, Pawlina W. Going virtual to support anatomy education: a STOPGAP in the midst of the Covid-19 pandemic. Anat Sci Educ. 2020; 13(3): 279–283.
- 10Evans DJ. Has pedagogy, technology, and Covid-19 killed the face-to-face lecture? Anat Sci Educ. 2022; 15(6): 1145–1151.
- 11Longhurst GJ, Stone DM, Dulohery K, Scully D, Campbell T, Smith CF. Strength, weakness, opportunity, threat (SWOT) analysis of the adaptations to anatomical education in the United Kingdom and Republic of Ireland in response to the Covid-19 pandemic. Anat Sci Educ. 2020; 13(3): 301–311.
- 12Thorpe G. Talk to the chair: it's lonely being a university lecturer, post-pandemic. 2022. The New Daily, 2022 Sep 4. Industry Super Holdings, Melbourne, VIC, Australia. Available from: https://thenewdaily.com.au/life/education/2022/09/04/university-empty-lecture-halls/. Accessed 5 Sep 2022.
- 13Smith CF, Pawlina W. A journey like no other: anatomy 2020! Anat Sci Educ. 2021; 14(1): 5–7.
- 14Xiao J, Evans DJ. Anatomy education beyond the Covid-19 pandemic: a changing pedagogy. Anat Sci Educ. 2022; 15(6): 1138–1144.
- 15Wilhelm J, Mattingly S, Gonzalez VH. Perceptions, satisfactions, and performance of undergraduate students during Covid-19 emergency remote teaching. Anat Sci Educ. 2022; 15(1): 42–56.
- 16Nathaniel TI, Goodwin RL, Fowler L, McPhail B, Black AC Jr. An adaptive blended learning model for the implementation of an integrated medical neuroscience course during the Covid-19 pandemic. Anat Sci Educ. 2021; 14(6): 699–710.
- 17Diong J, Lee H, Reed D. The effect of face-to-face versus online learning on student performance in anatomy: an observational study using a causal inference approach. Discov Educ. 2023; 2(1): 3.
- 18Yun YH, Jo DH, Jeon SK, Kwon HY, Jeon YM, Shin DH, et al. The impact of the modified schedules of anatomy education on students' performance and satisfaction: responding to COVID-19 pandemic in South Korea. PLoS One. 2022; 17(4):e0266426.
- 19Rabattu PY, Debarnot U, Hoyek N. Exploring the impact of interactive movement-based anatomy learning in real classroom setting among kinesiology students. Anat Sci Educ. 2022; 00: 1–9. https://doi.org/10.1002/ase.2172
10.1002/ase.2172 Google Scholar
- 20Hoyek N, Collet C, Rastello O, Fargier P, Thiriet P, Guillot A. Enhancement of mental rotation abilities and its effect on anatomy learning. Teach Learn Med. 2009; 21: 201–206.
- 21Hoyek N, Collet C, Di Rienzo F, De Almeida M, Guillot A. Effectiveness of three-dimensional digital animation in teaching human anatomy in an authentic classroom context. Anat Sci Educ. 2014; 7: 430–437.
- 22Chaker R, Binay M, Gallot M, Hoyek N. User experience of a 3D interactive human anatomy learning tool. Educ Technol Soc. 2021; 24(2): 136–150. https://doi.org/10.30191/ETS.202104_24(2).0011
10.30191/ETS.202104_24(2).0011 Google Scholar
- 23Garg A, Norman GR, Spero L. How medical students learn spatial anatomy. Lancet. 2001; 357: 363–364.
- 24Keehner M, Khooshabeh P, Hegarty M. Individual differences among users: implications for the design of 3D medical visualizations. In: F Dong, G Ghinea, S Chen, editors. User centered design for medical visualization. Hershey, PA: IGI GLobal; 2008. p. 1–24.
10.4018/978-1-59904-777-5.ch001 Google Scholar
- 25Mayer RE, Moreno R. Nine ways to reduce cognitive load in multimedia learning. Educ Psychol. 2003; 38: 43–52.
- 26Cook SW, Friedman HS, Duggan KA, Cui J, Popescu V. Hand gesture and mathematics learning: lessons from an avatar. Cognit Sci. 2017; 41: 518–535. https://doi.org/10.1111/cogs.12344
- 27Goldin-Meadow S. How gesture works to change our minds. Trends Neurosci Educ. 2014; 3(1): 4–6.
- 28Johnson-Glenberg MC, Megowan-Romanowicz C. Embodied science and mixed reality: how gesture and motion capture affect physics education. Cogn Res Princ Implic. 2017; 2: 24.
- 29Abeysekera L, Dawson P. Motivation and cognitive load in the flipped classroom: definition, rationale and a call for research. High Educ Res Dev. 2015; 34: 1–14.
- 30Gallot M, Di Rienzo F, Binay M, Collet C, Hoyek N. Learning functional human anatomy with a new interactive three-dimensional digital tool. Anat Sci Educ. 2024; 00: 1–14. https://doi.org/10.1002/ase.2377
10.1002/ase.2377 Google Scholar
- 31Bloom BS, Engelhart MD, Furst EJ, Hill WH, Krathwohl DR. Taxonomy of educational objectives: the classification of educational goals. Handbook I: cognitive domain. 1st ed. New York: David McKay Company; 1956 207 p.
- 32Hart SG, Staveland LE. Development of NASA-TLX (Task Load Index): results of empirical and theoretical research. In: P Hancock, N Meshkati, editors. Human mental workload. Amsterdam: North Holland Publishing Co; 1988. p. 139–183.
- 33Ruiz-Rabelo JF, Navarro-Rodriguez E, Di-Stasi LL, Diaz-Jimenez N, Cabrera-Bermon J, Diaz-Iglesias C, et al. Validation of the NASA-TLX score in ongoing assessment of mental workload during a laparoscopic learning curve in bariatric surgery. Obes Surg. 2015; 25: 2451–2456.
- 34Schneider A, Hommel G, Blettner M. Linear regression analysis: part 14 of a series on evaluation of scientific publications. Dtsch Arztebl Int. 2010; 107(44): 776–782. https://doi.org/10.3238/arztebl.2010.0776
- 35 SL Macrine, JM Fugate, editors. Movement matters: how embodied cognition informs teaching and learning. Cambridge, Massachusetts, USA: MIT Press; 2022.
10.7551/mitpress/13593.001.0001 Google Scholar
- 36Scheiter K, Brucker B, Ainsworth S. “Now move like that fish”: can enactment help learners come to understand dynamic motion presented in photographs and videos? Comput Educ. 2020; 155:103934.
10.1016/j.compedu.2020.103934 Google Scholar
- 37Cherdieu M, Palombi O, Gerber S, Troccaz J, Rochet-Capellan A. Make gestures to learn: reproducing gestures improves the learning of anatomical knowledge more than just seeing gestures. Front Psychol. 2017; 8: 1689.
- 38Birbara NS, Pather N. Instructional design of virtual learning resources for anatomy education. In: PM Rea, editor. Biomedical visualisation. Volume 9. Cham: Springer International Publishing; 2021. p. 75–110.
10.1007/978-3-030-61125-5_5 Google Scholar
- 39Kim-Berman H, Bui D, Lee K, Mitchell V, Bonine B, Benavides E, et al. Student learning of head and neck anatomy using cone beam computed tomography and immersive virtual reality. J Dent Educ. 2023; 87(8): 1180–1187.
- 40Said S, Gozdzik M, Roche TR, Braun J, Rössler J, Kaserer A, et al. Validation of the raw national aeronautics and space administration task load index (NASA-TLX) questionnaire to assess perceived workload in patient monitoring tasks: pooled analysis study using mixed models. J Med Internet Res. 2020; 22(9):e19472.
