Dr. Jim Moshinskie:
Distance Education Research Abstract


The Effects Of Using Distance Learning Technologies In Training Rural EMS Providers When Learner-Centered Designs Are Used.  
(This Paper Won Two Awards:
Best Research Paper, Texas A&M College of Medicine, April 10, 1996
Best Presentation of a Research Paper, Texas College of Emergency Physicians Conference, April 20, 1996)


Purpose | Design | Conclusions | Recommendations | Home Page 
 

The Research Team 

Purpose 
This study investigated the possibility of using distance education to train emergency medical services caregivers for rural areas where serious shortages of ambulance crews had been reported. However, previous research on the effectiveness of distance education courses revealed problems with decreased cognitive achievement and motivation. The decreased motivation was especially blamed for higher attrition in distance education classes. 

The purpose of the study was to determine if distance education would be an accepted resource for training rural EMS personnel when efforts were made to increase cognitive achievement and reduce attrition by incorporating learner-centered instructional designs. [Go to Top

 Design 
During the 18-month study, advanced life support EMS courses were presented to students by one of three treatments: 

  1. traditional classroom, 
  2. 2-way audio/graphic system, or 
  3. 2-way audio/video satellite-based system. 
The students in the 2-way audio/graphic system met around computer screens in their rural ambulance stations and interacted with the instructor via modems. During each class, the students viewed lesson screens and talked simultaneously with the instructor. Students also used a graphic tablet to "write" messages on the screen. Therefore, the instructor had the students view a screen and then write answers or circle graphic objects as part of the lesson. 

  In the 2-way audio/video system, a portable workstation (550k) and a satellite transponder (778k) were placed at the rural EMS station for the students to take the classes. During these classes, the instructor and student saw and interacted with each other on video monitors. The instructor showed videotapes, computer screens, and slides to the students during the classes. The analog images leaving each site were converted at the workstation into digital signals, transmitted to a NASA satellite, then sent to the other site where the workstation converted the digital signal back to analog. The entire process took two seconds. 

Learner-centered, rather than instructor-centered, instructional designs were used in the two distance education courses to improve cognition and increase motivation as reflected in attrition rates. In both distance education courses, the instructor telephoned students to check on progress. Additionally, extensive computer-based training, including test banks, electronic workbooks, and scenarios, were made available to the students who needed additional support. [Go to Top

Conclusions 
Students in both distance education groups scored as well as the students in the traditional classroom on the post-test (p=0.23), and there was no significant difference (p=0.94) in attrition rates between the three groups. Given the number of students, mean test scores, and test score ranges, post hoc calculations indicate a power of 80% to detect a four point difference in mean test score between groups. 

The study indicates that distance education may be an acceptable education resource to train EMS personnel in rural areas when effective learner-centered instructional strategies are purposefully incorporated. [Go to Top

Recommendations 
Based on the results of the study, the authors recommend increased funding for distance education classes in rural areas to improve declining ambulance staffing. The authors recommend that learner-centered designs, based on studies cited in the study, be purposefully incorporated during distance education classes. [Go to Top


The authors appreciate the following organizations for providing funding for this 18-month study: 

  

  1. The Bureau of Emergency Managment, Texas Department of Health, for an EMS Local Projects Grant, wich funded the research aspects of the study. 
  2. The Texas EMS Alliance for Education (TEMSAFE), which funded the 2-way audio/video satellite-based course. 
  3. The Education Outreach Project of NASA, which provided the satellite time for the 2-way audio/video classes. [Go to Top

Presented: 
Moshinskie, J. The Effects of Using Distance Learning Technologies In Training Rural EMS Providers When Learner-Centered Designs Are Used. Presented at the annual conference of the Society for Advanced Learning Technologies, Washington, D.C., August 15, 1995. 

Moshinskie, J. and Jarvis, J. The Effects of Using Distance Learning Technologies In Training Rural EMS Providers When Learner-Centered Designs Are Used. Presented at the annual conference of the Bureau of Emergency Management, Texas Department of Health, Fort Worth, TX., November 22, 1995. 

Associated Presentations: 
Moshinskie, J. and Williams, M. Designing Audiographic Pedagogy. Presented at the annual conference of the International Telecommunications Association, Washington, D.C., March 5, 1993. 

Moshinskie, J. Audiographic Presentation for EMS Personnel in Rural Areas. Poster presentation at the annual International Distance Education Conference, Dallas, TX, June 23, 1994. 


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