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The Effect of Interactivity in an Online Course on Behavior Change and Self-Efficacy Among Health Care Professionals Monica Blackwell James Madison University

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The Effect of Interactivity in an Online Course on Behavior Change and Self-Efficacy Among Health Care Professionals Monica Blackwell James Madison University James Madison University JMU Scholarly Commons Masters Theses The Graduate School Spring 2011 The effect of interactivity in an online course on behavior change and self-efficacy among health care professionals Monica Blackwell James Madison University Follow this and additional works at: https://commons.lib.jmu.edu/master201019 Part of the Education Commons Recommended Citation Blackwell, Monica, "The effect of interactivity in an online course on behavior change and self-efficacy among health care professionals" (2011). Masters Theses. 152. https://commons.lib.jmu.edu/master201019/152 This Thesis is brought to you for free and open access by the The Graduate School at JMU Scholarly Commons. It has been accepted for inclusion in Masters Theses by an authorized administrator of JMU Scholarly Commons. For more information, please contact [email protected]. The Effect of Interactivity in an Online Course on Behavior Change and Self-Efficacy Among Health Care Professionals Monica L. Blackwell A thesis submitted to the Graduate Faculty of JAMES MADISON UNIVERSITY In Partial Fulfillment of the Requirements for the degree of Master of Science in Education Learning, Technology, and Leadership Education May 2011 Dedication To my family and fiancé, without each of them I would not be where I am today. Thanks for always showing me that even the largest task can be done by taking it one step at a time, knowing that each of you are behind me each step of the way. ii Acknowledgements First, I would like to thank my thesis chair, Dr. Diane Wilcox for her help and support throughout this process. I would also like to thank my committee members, Dr. Jane Thall and Dr. Karen Kellison. Without these three women, my thesis would not have been possible. Thank you for providing a listening ear and encouraging words when I needed it the most! Second, I would like to thank my graduate school classmates for supporting me throughout the thesis process. Your feedback and support was and will be irreplaceable as we continue on our journey through life. Thanks for all the memories! I would like to extend my gratitude to Dr. Elizabeth Maloney for providing the content used throughout my online courses. Her patience and guidance were integral parts in the design process. I would also like to thank the JMU HRD minor undergraduate team who produced the case study videos used in the experimental online course. Their perseverance and dedication to the project was also an integral part of the design process. Finally, and most importantly, I would like to thank my family, fiancé, and friends. There are not enough pages to begin to thank you for all that you have done for me throughout the years! Thank you for putting up with me and supporting me emotionally and financially, throughout this grueling process. I would not have made it through each of my meltdowns without your love and support. Thank you for the encouragement, ice cream, and finding ways to make me smile throughout this process. iii Table of Contents Dedication ...................................................................................................................... ii Acknowledgements ....................................................................................................... iii Table of Contents .......................................................................................................... iv List of Tables................................................................................................................ vii List of Figures ............................................................................................................. viii Abstract ...........................................................................................................................x Chapter I. Introduction.....................................................................................................1 Problem Statement .......................................................................................................5 Research Question .......................................................................................................6 Hypothesis ...................................................................................................................7 Study Overview ...........................................................................................................7 Definition of Terms ................................................................................................... 10 Scope of Study and Assumptions ............................................................................... 12 Significance of the Study ........................................................................................... 13 Organization of the Remainder of the Study ............................................................... 15 Chapter II. Review of Literature .................................................................................... 16 Conceptual/Theoretical Frameworks .......................................................................... 17 Continuing Medical Education ................................................................................... 19 Learning Theories and Instructional Design Elements ................................................ 21 Andragogy. ....................................................................................................................... 22 Self-directed learning ........................................................................................................ 23 Social learning theory and self-efficacy ............................................................................. 26 Instructional design frameworks ........................................................................................ 29 iv Interactive Elements. ......................................................................................................... 41 Collaboration. ................................................................................................................... 43 Evaluation of CME .................................................................................................... 45 Evaluation of 3 Current CME Courses ....................................................................... 59 Summary ................................................................................................................... 72 Chapter III. Methodology .............................................................................................. 74 Research Design ........................................................................................................ 74 Participants ................................................................................................................ 75 Role of Researcher ..................................................................................................... 80 Role of Subject Matter Expert .................................................................................... 80 Procedure .................................................................................................................. 81 Analyze ............................................................................................................................. 81 Design............................................................................................................................... 82 Development ..................................................................................................................... 86 Implementation ................................................................................................................. 93 Evaluation ......................................................................................................................... 95 Data Analysis .......................................................................................................... 102 Threats to Internal Validity ...................................................................................... 103 Summary ................................................................................................................. 105 Chapter IV. Data Collection......................................................................................... 106 Quantitative Data ..................................................................................................... 106 Pre-Test/Post-Test Results ............................................................................................... 106 Final Survey Results. ....................................................................................................... 109 Qualitative Data ....................................................................................................... 123 Confidence Level. ........................................................................................................... 124 Behavior Changes. .......................................................................................................... 126 v Instructional Elements ..................................................................................................... 127 Chapter V. Discussion, Conclusions, and Implications ................................................. 130 Discussion ............................................................................................................... 130 Strengths and Limitations of Study .........................................................................
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