A Mixed Method Intervention Study to Assess Effectiveness of Teaching ‘Nutritional Assessment of An Individual’ by Demonstration-Observation-Assistance-Performance Technique in Comparison to Conventional Teaching Learning Methods
Main Article Content
Abstract
Introduction: The concept of CBME was introduced in India in 2018. It is need of the hour to test newer techniques like DOAP in Indian Educational context.
Objectives:
- To compare effectiveness of DOAP with Conventional TL (CTL) method with regards to acquisition of cognitive learning outcomes and psychomotor skills for “Nutritional Assessment of an Individual”.
- To assess and compare subjective opinion of the students on a Satisfaction Scale for both the TL Methods.
- To evaluate feedback on DOAP on a Quantitative Scale and Qualitative method (FGD).
Methods: The study type was Interventional Mixed Method Study. Sample size - 43 in each interventional group. Study participants were Third MBBS (I) students who gave Informed consent. On day one Pretest (MCQ and OSCE) was conducted on the full class. After basal equalization of pre test scores, two groups were formed. On day two, Intervention (DOAP and CTL) was carried out separately in the two groups. Day 3 all participants were subjected to post test. On Day four, cross-over sessions were conducted followed by Satisfaction Sale of both TL Techniques, Feedback on DOAP on Likert-Scale and FGD on a randomly selected sub-sample.
Results: As far as gain of knowledge and skill is considered, both TL techniques were found to be at par with each other. Satisfaction Scale and Quantitative as well as Qualitative (FGD) Feedback on DOAP shows that DOAP is very well accepted by the students.
Conclusion: Students opined that DOAP Sessions must be encouraged.
Metrics
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical Graduate, 2018. UG-Curriculum-Vol-II.pdf. [Internet]. [cited 2022 Jan 25]. Available from: https://www.nmc.org.in/wp-content/uploads/2020/01/UG-Curriculum-Vol-II.pdf
Sadawarte MK, Kakeri MK, Nandanwar DY. Community medicine: perceptions among medical students and career preference: a cross sectional study. Int J Community Med Public Health. 2017 Nov 23;4(12):4577.
Balakrishnan S, Paul L, Rajan MN, Arthungal SA. Demonstrate, observe, assist perform (DOAP) versus structured educational video (SEV) in imparting standard skill in male urinary bladder catheterisation [Internet]. Medical Education; 2021 Mar [cited 2022 Jan 30]. Available from: http://medrxiv.org/lookup/doi/10.1101/2021.03.06.21250996
Giacomino K, Caliesch R, Sattelmayer KM. The effectiveness of the Peyton’s 4-step teaching approach on skill acquisition of procedures in health professions education: A systematic review and meta-analysis with integrated meta-regression. PeerJ. 2020 Oct 9;8:e10129.
Gradl-Dietsch G, Lübke C, Horst K, Simon M, Modabber A, Sönmez TT, et al. Peyton’s four-step approach for teaching complex spinal manipulation techniques – a prospective randomized trial. BMC Med Educ. 2016 Dec;16(1):284.
Mangayarkarasi V, Kalaiselvi K, Kavitha D, Chitraleka V, Balaji R. Program-Based Teaching and Learning To Increase Competency in Undergraduate Medical Students Using a Model of the Revised National Tuberculosis Control Program. J Microbiol Biol Educ. 2019 Jan;20(1):50.
Nikendei C, Huber J, Stiepak J, Huhn D, Lauter J, Herzog W, et al. Modification of Peyton’s four-step approach for small group teaching – a descriptive study. BMC Med Educ. 2014 Dec;14(1):68.
Raghunath G, Francis YM, Karthikeyan G, Sankaran PK, Begum Z. A study on the effectiveness of Peyton’s four-step approach in teaching procedural skill for MBBS students. :3.
Sundeep S, Pillai SK. Demonstrate observe assist perform versus video assisted teaching in teaching deep tendon reflexes to medical students: a comparative study. Int J Res Med Sci. 2020 Jan 27;8(2):613.
Adams KM, Kohlmeier M, Powell M, Zeisel SH. Nutrition in Medicine: Nutrition Education for Medical Students and Residents. Nutr Clin Pract. 2010 Oct;25(5):471–80.
Tripisciano F, Hills A, Neild P. Medical students’ perception of nutrition education at an undergraduate level – an experience of two medical school courses. Proc Nutr Soc. 2010;69(OCE2):E144.
Crowley J, Ball L, Hiddink GJ. Nutrition in medical education: a systematic review. Lancet Planet Health. 2019 Sep;3(9):e379–89.
Pr S. An urgent need to strengthen nutrition education among medical students in India. :3.
Mogre V, Stevens F, Aryee PA, Scherpbier AJJA. Nutrition in Medicine: Medical Students׳ Satisfaction, Perceived Relevance and Preparedness for Practice. Health Prof Educ. 2018 Mar;4(1):31–8.
Ananthakrishnan N. Competency based undergraduate curriculum for the Indian Medical Graduate, the new MCI curricular document: Positives and areas of concern. SBV J Basic Clin Appl Health Sci. 2018 Dec;1(1):34–42.
Burgess A, van Diggele C, Roberts C, Mellis C. Tips for teaching procedural skills. BMC Med Educ. 2020 Dec;20(S2):458.
K. Park. Park’s Textbook Of Preventive And Social Medicine. 25th ed. Banarasidas Bhanot Publishers;
NHANES. Anthropometry Procedures Manual [Internet]. CDC; 2020 [cited 2021 May 22]. Available from: https://wwwn.cdc.gov/nchs/data/nhanes/2019-2020/manuals/2020-Anthropometry-Procedures-Manual-508.pdf