Interactive Multimedia Program Research Articles

A WeChat-based Intervention, Wellness Enhancement for Caregivers (WECARE), for Chinese American Dementia Caregivers: Pilot Assessment of Feasibility, Acceptability, and Preliminary Efficacy.

Chinese American family caregivers of persons with dementia experience high rates of psychosocial distress and adverse health outcomes. Due to their immigrant and minority status, they face substantial obstacles to care and support, including stigma and misperception of dementia, limited knowledge and use of welfare and services, and poor social support. Few interventions have been developed or tested for this vulnerable population. This study aims to pilot-test the Wellness Enhancement for Caregivers (WECARE) intervention, a culturally tailored program delivered via WeChat, a social media app highly popular in the Chinese population. The 7-week WECARE was designed specifically for Chinese American dementia caregivers to improve their caregiving skills, reduce stress, and enhance psychosocial well-being. Feasibility, acceptability, and preliminary efficacy of the WECARE were assessed in this pilot. A total of 24 Chinese American family caregivers of persons with dementia were recruited for a pre-post 1-arm trial of the WECARE. By subscribing to the WECARE official account, participants received interactive multimedia programs on their WeChat account multiple times a week for 7 weeks. A backend database automatically delivered program components and tracked user activities. Three online group meetings were organized to facilitate social networking. Participants completed a baseline and a follow-up survey. Feasibility was assessed by the follow-up rate and curriculum completion rate; acceptability was assessed by user satisfaction and perceived usefulness of the program; and efficacy was assessed with pre-post differences in 2 primary outcomes of depressive symptoms and caregiving burden. The intervention was completed by 23 participants with a retention rate of 96%. Most of them (n=20, 83%) were older than 50 years and the majority (n=17, 71%) were female. The backend database revealed that the mean curriculum completion rate was 67%. Participants also reported high rates of user satisfaction and perceived usefulness of the intervention and high ratings of weekly programs. The intervention led to significant improvement in participants' psychosocial health outcomes; their depressive symptoms reduced from 5.74 to 3.35 with an effect size of -0.89 and caregiving burden decreased from 25.78 to 21.96 with an effect size of -0.48. This pilot study suggests that WeChat-based WECARE intervention was feasible and acceptable; it also demonstrated initial efficacy in improving psychosocial well-being in Chinese American dementia caregivers. Further research with a control group is needed to assess its efficacy and effectiveness. The study highlights the need for more culturally appropriate mobile health interventions for Chinese American family caregivers of persons with dementia.

Effectiveness of Colorectal Cancer Screening Promotion Using E-Media Decision Aids: A Systematic Review and Meta-Analysis.

Colorectal cancer (CRC)-screening reduces mortality, yet remains underutilized. The use of electronic media (e-media) decision aids improves saliency and fosters informed decision-making. This systematic review aimed to determine the effectiveness of CRC-screening promotion, using e-media decision aids in primary healthcare (PHC) settings. Three databases (MEDLINE, Web of Science, and the Cochrane Library) were searched for eligible studies. Studies that evaluated e-media decision aids compared to usual care or other conditions were selected. Quality was assessed by using Cochrane tools. Their effectiveness was measured by CRC-screening completion rates, and meta-analysis was conducted to calculate the pooled estimates. Ten studies involving 9393 patients were included in this review. Follow-up durations spanned 3–24 months. The two types of decision-aid interventions used were videos and interactive multimedia programs, with durations of 6–15 min. Data from nine feasible studies with low or some risk of bias were synthesized for meta-analysis. A random-effects model revealed that CRC-screening promotion using e-media decision aids were almost twice as likely to have screening completion than their comparisons (OR 1.62, 95% CI: 1.03–2.62, p < 0.05). CRC-screening promotion through e-media has great potential for increasing screening participation in PHC settings. Thus, its development should be prioritized, and it should be integrated into existing programs.

فاعلية برنامج وسائط متعددة تفاعلية لتنمية مهارات الطالبة معلمة الروضة في تصميم وإنتاج الألعاب الفزيائية للطفل

يهدف البحث إلى الکشف عن فاعلية استخدام برنامج وسائط متعددة تفاعلية لتنمية مهارات لطالبة معلمة الروضة في تصميم وإنتاج الألعاب الفيزيائية للطفل، واستخدمت الباحثة المنهج التجريبى، وتکونت العينة من عدد (30) طالبة معلمة تخصص رياض أطفال من معلمة الروضة مجموعة تجريبية واحدة، وقد أعدت وطبقت الباحثة( قائمة المفاهيم الفيزيائية – قائمة المهارات اللازمة لتصميم وإنتاج الألعاب الفيزيائية للطفل - برنامج مقترح باستخدام وسائط متعددة تفاعلية لتنمية مهارات وتصميم وإنتاج الألعاب الفيزيائية لطالبة معلمة الروضة – بطاقة ملاحظة لتصميم وإنتاج الألعاب الفيزيائية لطالبة معلمة الروضة ) وتم تحليل البيانات باستخدام اختبار t. Test، فتبين تحسن أداء الطالبات، عينة البحث على بطاقة ملاحظة لتصميم وإنتاج الألعاب الفيزيائية لطالبة معلمة الروضة، وذلک في التطبيق البعدى. The research aims to reveal the effectiveness of using an interactive multimedia program to develop the skills of a kindergarten teacher in designing and producing physical games for the child, and the researcher used the experimental method, and the sample consisted of (30) female students, a kindergarten teacher from a kindergarten teacher, one experimental group. The researcher has prepared and applied (a list of physical concepts - a list of skills needed to design and produce physical games for the child - a proposed program using interactive multimedia to develop skills, design and produce physical games for a kindergarten teacher - a note card for the design and production of physical games for a kindergarten teacher) and the data was analyzed to show the improvement in performance

An interactive cognitive-behavioural multimedia program favourably affects pain and kinesiophobia during rehabilitation after anterior cruciate ligament surgery: an effectiveness trial

ABSTRACT Psychological interventions have been found effective in helping athletes cope with the challenges associated with knee surgery. In this investigation, an interactive cognitive-behavioural multimedia program was evaluated as a means of delivering psychological interventions to individuals experiencing anterior cruciate ligament (ACL) surgery in a field trial with 69 ACL surgery patients (30 women and 39 men; 24 competitive athletes, 41 recreational athletes, and 4 nonathletes; M age = 35.01, SD = 11.98 years). Results indicated that compared to participants who received standard care, participants who received the multimedia program reported greater preoperative confidence in ability to cope, lower postoperative pain and kinesiophobia, and greater use and perceived utility of patient education materials. The findings suggest that the multimedia program has promise as an economical and effective means of educating and delivering psychological interventions to people experiencing ACL surgery and rehabilitation.

The design and evaluation of an interactive multimedia program for promoting deaf learners' reading skills

The design and evaluation of an interactive multimedia program for promoting deaf learners' reading skills

The design and evaluation of an interactive multimedia program for promoting deaf learners' reading skills

Deaf children have difficulties to remember things through vision. The study aimed to design and evaluate learning through reading conceptual framework by multimedia stories. The subjects are 16 deaf or hard-of-hearing (DHH) children, aged 10 to14, from two elementary schools for the deaf in Thailand. The reading experienced with experimental multimedia and the control (teachers without multimedia) groups were designed and conducted over a 20-week period in each school. The evaluation was conducted including the observation, interviews with instructors, DHH and DHH' parents. There was a significant increase in vocabulary learning skills of the DHH children in the experimental group (Z = 2.53*, Z = 2.53*) and a non-significant effect in the control group (Z = 1.58*, Z = −2.38*). The result shows that DHH in the experimental perception with words and sentences, while in the class DHH ability for learning and concentrating on multimedia will be till the end.

Effects of Computerized Instruction on Mastery and Generalized Use of Commas Strategies by Students With LD

The effects of an interactive multimedia (IM) software program for teaching comma strategies to students with learning disabilities (LD) were determined with regard to the students’ sentence-editing and sentence-construction skills. Students with LD at the middle-school and high-school levels were randomly selected in their intact cohorts for the experimental and control groups. Results showed that the experimental students completed the software program and readily learned information about and mastered the comma strategies. Additionally, experimental students at both school levels significantly outperformed the control students with regard to the percentage of correct commas inserted in an editing task. Moreover, they inserted significantly fewer incorrect commas. They also outperformed the control students with regard to the construction of complete sentences containing correct comma usage when prompted to write certain kinds of sentences while writing about a topic. Furthermore, both cohorts of experimental students with LD significantly outperformed their corresponding age groups of students who participated in validating the editing task. Therefore, this study indicates that students with LD can learn and generalize complex writing skills through the use of an IM program at a high level of quality.

PERANCANGAN MULTIMEDIA INTERAKTIF UNTUK KAMPANYE PENGHEMATAN ENERGI LISTRIK RUMAH TANGGA

The limited development of power plants in the last five years has an impact on electricity supply in several regions in Indonesia. If you want to continue to feel electricity in Indonesia, one of the things that electricity users in Indonesia must do now is to save electricity. Media and technology can now be used by the government to promote electricity saving. The multimedia design program of the campaign for electronic voting was designed and created which would later be expected to provide simple education for the community in wise electronic selection. Designing interactive multimedia programs using the MDLC design method. The results of this study can foster a sense of community awareness of the electrical energy used to use electricity carefully. It was proven by 86% of respondents saying that the existence of a game of interactive applications in the form of games could make the community think wiser and adaptive

Designing a Hypermedia Program for teaching Fashion Design for People with Hearing Impairment

Designing a hypermedia program seeking to learn knowledge and basic skills of fashion designing for people with hearing impairment. The study participates in shedding light on people with hearing impairment class and their potential skills and abilities that must be utilized through providing suitable educational conditions as well as coping with technological development in teaching methods used with people with hearing impairment based on using hypermedia programs. In addition, the study aims to open the field for people with hearing impairment to depend on themselves and meet their living requirements. The study aims to building a hypermedia program to learn certain skills and knowledge of designing fashion for people with hearing impairment. The current study copes the technological development in teaching methods of people with hearing impairment through activating the hypermedia role that many studies proved its effectiveness in gaining skills and knowledge for people with hearing impairment. Results: The current study presented a model for a proposed hypermedia program to learn certain skills and knowledge about fashion designing. The proposed hypermedia program model passes four basic steps from each step a set of procedures is branched as follows:

Learning Foreign Language through an Interactive Multimedia Program: An Experimental Study on the Effects of the Relevance Component of the ARCS Model

This experimental study investigated effects of intrinsic motivation and embedded relevance enhancement within a computer-based interactive multimedia (CBIM) lesson for English as a foreign language (EFL) learners. Subjects, categorized as having a higher or lower level of intrinsic motivation, were randomly assigned to learn concepts related to criticism using a CBIM program featuring English language text, videos, and exercises either with or without enhanced relevance components. Two dependent variables, comprehension, as measured by a posttest, and perceptions of motivation, as measured by the Modified Instructional Material Motivation Survey (MIMMS), were assessed after students completed the CBIM program. Two-way ANOVA was used to analyze the collected data. The findings indicated that (a) the use of relevance enhancement strategies facilitated students' language learning regardless of learners' level of intrinsic motivation, (b) more highly intrinsically motivated students performed better regardless of the specific treatments they received, (c) the effects of the two variables were additive; intrinsically motivated students who learned from the program with embedded instructional strategies performed the best overall, and (d) there was no significant interaction between the two variables.

59: Using a multimedia module to enhance patients’ recall of cesarean birth informed consent: a randomized control trial

Informed consent (IC) is legally and ethically required. Our objective was to determine if an interactive multimedia (MM) program could lead to patients recalling more risks related to their planned cesarean delivery (CD) on post-operative day #1 (POD#1) compared to patients receiving standard verbal consent. We conducted a randomized control trial of patients undergoing scheduled CD. Patients were recruited the morning of their CD. Eligibility criteria included gestational age ≥37 weeks, English speaking, and age ≥18 years. Participants were randomized to one of three arms: group 1 (standard verbal consent), group 2 (scripted verbal consent), or group 3 (MM consent). They were asked to recall the risks and benefits covered during the IC process on POD #1 and 6 weeks postpartum (pp). Anxiety levels were assessed at each encounter via a validated questionnaire and the IC process was timed. A total of 133 patients were enrolled. Demographic characteristics were similar between groups, except for age (30.4 ± 4.6 v 31.9 ± 4.6 v. 33.0 ± 4.7 years, respectively, p = 0.03). There were no differences in anxiety levels between the groups on POD#1 or at 6 weeks pp. On POD#1, the median number of risks and benefits remembered was significantly greater for the MM group (Table). There was no difference in the median number of risks or benefits remembered at 6 weeks PP. On POD#1, 82% of MM patients recalled 2 or more risks compared to 50% in the verbal group (p=0.001). At 6 weeks PP, 61% of MM patients recalled 2 or more risks compared to 40% in the verbal group (p=0.049). Patients consented for CD with MM recalled more risks and benefits than those consented verbally. Unlike the MM consent method described, verbal consent is not typically standardized, does not target all types of learners, and often does not result in patients effectively processing the information given to them.

Interactive Hypermedia Programs and its Impact on the Achievement of University Students Academically Defaulting in Computer Sciences

Traditional teaching practices through lecture series in a classroom have shown to have less universal efficacy in imparting knowledge to every student. Some students encounter problems in this traditional setting, especially in subjects that require applied instruction rather than verbal teaching. University students who have problems in understanding computer science have been hypothesized in this study to achieve better results on the application of interactive hypermedia programs in their curricula. The study has, thus, conducted a teaching survey through pretest-posttest control group design where computer science students of the Community College of Northern Border University were selected through non-probability sampling methodology and were made to undergo traditional teaching followed by interactive hypermedia sessions on the same subject. The evaluations of the change in performance provided results that showed that there existed a statistically significant difference in the mean scores of students after attending the interactive hypermedia program, providing evidence that hypermedia induced educational sessions were better to induce performance of students than those sessions that did not have any hypermedia exposure. However, the study also provided an understanding of limitations such as generalized quantitative experiments on computer science students of the Northern Border University, but the researcher believes that more widespread experimentation of the same kind can help establish the unbiased performance supremacy of hypermedia instruction in improving the academic performance of university students in different subjects.

Engaging Heart Failure Patients with Interactive Voice Response Calls and Multimedia Programs as They Transition from Hospital to Home

Background: When people with heart failure (HF) are discharged from hospitals, they need to manage their condition. Patients are overwhelmed and feel poorly. To avoid complications and readmissions, it’s essential they quickly engage in new behaviors, such as weighing themselves each day. Patients often do not start or maintain these behaviors. Objective: Researchers sought to measure the impact of a user-centered, interactive voice-response (IVR) phone call and multimedia program series (EmmiTransition®) to educate, and motivate patients to take self-care actions post-discharge. Methods: Researchers analyzed call records and conducted aggregate analysis from patients who interacted with the series between August 2013 and May 2016 at UAB Medicine and other healthcare organizations. The 45-day IVR series explains key concepts and behaviors and asks patients to report information like their daily weight. Short multimedia programs provided additional information. Call records from 4,503 patients who completed the series were analyzed. There were 3,615 people who answered and interacted with the calls. Interactions were analyzed to identify the impact on driving people to report their weight daily post-discharge. The percentage of patients who reported weighing themselves daily increased steadily over the first two weeks. After viewing a multimedia program, patients could take an optional survey from Emmi Solutions. Responses and comments were tabulated. Results: On day one of the IVR calls, 66% of UAB Medicine patients who answered the call reported their weight. On day 14 of the calls, 89% of UAB Medicine patients who answered the call reported their weight, comprising a 36% increase in reporting in two weeks. The behaviors seen over the first two weeks were sustained. For the remaining 30 days of the series, 93% of patients who answered calls continued to report their weight. There were 936 patients who opted to take the post-multimedia program survey. The survey findings were as follows: 66% showed increased confidence to ask questions; 75% were prepared to manage their health condition; 75% were more motivated to take their medications; 89% were more aware of how their lifestyle impacts health; 87% were willing to take new action to manage their health; and 88% indicated that they were motivated to change their lifestyle. Examples of patient comments follow: “Read labels and try to decrease processed foods and transfer to whole fruits and vegetables utilizing herbs for seasoning”; “making sure I have a calendar over the bathroom scales to keep track of weight instead of going my memory”; “was not aware diet soda contained high salt count. I will not drink diet sodas as often maybe a glass once or twice a week”; “I will get a flu and pneumonia shot every year. This is not something I did in the past.” Conclusions: Most patients who engaged in this series started a new behavior, regularly reporting they weighed themselves. Most people continued this behavior throughout the 45-day series. Most patients who viewed a multimedia program and completed the survey expressed plans to take specific actions or behavior changes based on information offered by the program about how to weigh themselves, reduce sodium, or manage their fluids.

Using digital multimedia to improve parents' and children's understanding of clinical trials.

Data show that many research subjects have difficulty understanding study information using traditional paper consent documents. This study, therefore, was designed to evaluate the effect of an interactive multimedia program on improving parents' and children's understanding of clinical trial concepts and participation. Parents (n=148) and children (n=135) were each randomised to receive information regarding clinical trials using either a traditional paper format (TF) or an interactive iPad program (IP) with inline exercises. Participants' understanding of the information was assessed using semistructured interviews prior to (pretest) and after (post-test) receiving the information. Participants also completed a short survey to assess their perceptions of information delivery and satisfaction with the process. Regardless of the mode of information delivery, all participants demonstrated improved pretest to post-test understanding. While there were no statistical differences in parents' post-test understanding between the TF and IP groups, children in the IP group had significantly greater post-test understanding compared with children in the TF group (11.65 (4.1) vs 8.85 (4.1) (2.8, 1.4, 4.2) 0-18 scale where 18=complete understanding). Furthermore, the IP was found to be significantly 'easier to follow' and 'more effective' in presenting information compared with the TF. Results demonstrated the importance of providing information regarding clinical trial concepts to parents and children. Importantly, the ability of interactive multimedia to improve understanding of clinical trial concepts and satisfaction with information delivery, particularly among children, supports this approach as a novel and effective vehicle for enhancing the informed consent process.

Development and preliminary testing of PROGRESS: a Web-based education program for prostate cancer survivors transitioning from active treatment.

This formative research study describes the development and preliminary evaluation of a theory-guided, online multimedia psycho-educational program (PROGRESS) designed to facilitate adaptive coping among prostate cancer patients transitioning from treatment into long-term survivorship. Guided by the Cognitive-Social Health Information Processing Model (C-SHIP) and using health communications best practices, we conducted a two-phase, qualitative formative research study with early stage prostate cancer patients (n = 29) to inform the Web program development. Phase 1 included individual (n = 5) and group (n = 12) interviews to help determine intervention content and interface. Phase 2 employed iterative user/usability testing (n = 12) to finalize the intervention. Interview data were independently coded and collectively analyzed to achieve consensus. Survivors expressed interest in action-oriented content on (1) managing treatment side effects, (2) handling body image and comorbidities related to overweight/obesity, (3) coping with emotional and communication issues, (4) tips to reduce disruptions of daily living activities, and (5) health skills training tools. Patients also desired the use of realistic and diverse survivor images. Incorporation of an established theoretical framework, application of multimedia intervention development best practices, and an evidence-based approach to content and format resulted in a psycho-educational tool that comprehensively addresses survivors' needs in a tailored fashion. The results suggest that an interactive Web-based multimedia program is useful for survivors if it covers the key topics of symptom control, emotional well-being, and coping skills training; this tool has the potential to be disseminated and implemented as an adjunct to routine clinical care.

An interactive multimedia program to prevent HIV transmission in men with intellectual disability.

The efficacy of a computer-based interactive multimedia HIV/AIDS prevention program for men with intellectual disability (ID) was examined using a quasi-experimental within-subjects design. Thirty-seven men with mild to moderate intellectual disability evaluated the program. The pretest and posttest instruments assessed HIV/AIDS knowledge (high-risk fluids, HIV transmission, and condom facts) and condom application skills. All outcome measures showed statistically significant gains from pretest to posttest, with medium to large effect sizes. In addition, a second study was conducted with twelve service providers who work with men with ID. Service providers reviewed the HIV/AIDS prevention program, completed a demographics questionnaire, and a program satisfaction survey. Overall, service providers rated the program highly on several outcome measures (stimulation, relevance, and usability).

Enhancing patient understanding of medical procedures: Evaluation of an interactive multimedia program with in-line exercises

IntroductionStandard print and verbal information provided to patients undergoing treatments are often difficult to understand and may impair their ability to be truly informed.This study examined the effect of an interactive multimedia informational program with in-line exercises and corrected feedback on patients’ real-time understanding of their cardiac catheterization procedure. Methods151 adult patients scheduled for diagnostic cardiac catheterization were randomized to receive information about their procedure using either the standard institutional verbal and written information (SI) or an interactive iPad-based informational program (IPI). Subject understanding was evaluated using semi-structured interviews at baseline, immediately following catheterization, and 2 weeks after the procedure. In addition, for those randomized to the IPI, the ability to respond correctly to several in-line exercises was recorded. Subjects’ perceptions of, and preferences for the information delivery were also elicited. ResultsSubjects randomized to the IPI program had significantly better understanding following the intervention compared with those randomized to the SI group (8.3±2.4 vs 7.4±2.5, respectively, 0–12 scale where 12=complete understanding, P<0.05). First-time correct responses to the in-line exercises ranged from 24.3% to 100%. Subjects reported that the in-line exercises were very helpful (9.1±1.7, 0–10 scale, where 10=extremely helpful) and the iPad program very easy to use (9.0±1.6, 0–10 scale, where 10=extremely easy) suggesting good clinical utility. DiscussionResults demonstrated the ability of an interactive multimedia program to enhance patients’ understanding of their medical procedure. Importantly, the incorporation of in-line exercises permitted identification of knowledge deficits, provided corrected feedback, and confirmed the patients’ understanding of treatment information in real-time when consent was sought.

A brief intervention affects parents’ attitudes toward using less physical punishment

Consecutive English and Spanish speaking caregivers of 6–24 month old children were randomly assigned to either a control or intervention group. Parents in the intervention group were instructed to view at least 4 options to discipline a child in an interactive multimedia program. The control group participants received routine primary care with their resident physician. After the clinic visit, all parents were invited to participate in a research study; the participation rate was 98% (258/263). The key measure was the Attitudes Toward Spanking (ATS) scale. The ATS is correlated with parents’ actual use of physical punishment. Parents with higher scores are more likely to use physical punishment to discipline their children. Parents in the intervention group had an ATS score that was significantly lower than the ATS score of parents in the control group (median=24.0, vs. median=30; p=0.043). Parents in the control group were 2 times more likely to report that they would spank a child who was misbehaving compared with parents in the intervention group (16.9% vs. 7.0%, p=0.015). In the short-term, a brief intervention, integrated into the primary care visit, can affect parents’ attitudes toward using less physical punishment. It may be feasible to teach parents to not use physical punishment using a population-based approach. The findings have implications for how to improve primary care services and the prevention of violence.

Individual Differences in Learning with Hypermedia: Effects of Students’ Cognitive Styles, Computer Competency Levels, and Prior Knowledge Levels on Learning Strategies

This study examines the effects of cognitive styles, computer competency levels, and prior domain knowledge levels on students’ learning strategies in an instructional hypermedia program. Sixteen students were selected out of 111 students from a Web-enhanced course, based on their cognitive style, computer competency, and prior domain knowledge test scores. In order to reveal students’ learning strategies, interviews and observations were conducted. Results indicated that cognitive styles may be important in terms of study management strategies of the students, and computer competency and prior knowledge levels may affect the patterns of using the hypermedia program.

Second Life machinima enhancing the learning of law: Lessons from successful endeavours

&lt;span&gt;A traditional approach centred on weekly lectures, perhaps supported by tutorials, still predominates in modern legal education in Australia. This approach tends to focus on the transmission of knowledge about legal rules and doctrine to students, who adopt a largely passive role. Criticisms of the traditional approach have led to law schools expanding their curricula to include the teaching of skills, including the skill of negotiation and an appreciation of legal ethics and professional responsibility. However, in a climate of limited government funding for law schools in Australia, innovation in legal education remains a challenge. This article considers the successful use of &lt;/span&gt;&lt;em&gt;Second Life&lt;/em&gt;&lt;span&gt; machinima in two interactive multimedia programs, &lt;/span&gt;&lt;em&gt;Air Gondwana&lt;/em&gt;&lt;span&gt; and &lt;/span&gt;&lt;em&gt;Entry into Valhalla&lt;/em&gt;&lt;span&gt;, and their part in the creation of engaging, effective learning environments. These programs not only engage students in active learning, but also facilitate flexibility in their studies and other benefits. The programs yield important lessons concerning the use of machinima innovations in curricula for academics involved in legal education as well as those in other disciplines, especially those that rely on traditional passive lectures in their teaching and learning approaches.&lt;/span&gt;