Joshua R Wortzel1, Daniel D Maeng2, Andrew Francis3, Mark A Oldham2. 1. University of Rochester, Rochester, NY, USA. Joshua_Wortzel@URMC.Rochester.edu. 2. University of Rochester, Rochester, NY, USA. 3. Pennsylvania State University, Hershey, PA, USA.
Abstract
OBJECTIVE: Catatonia is widely underdiagnosed, in large part due to inaccurate recognition of its specific features. This study aimed to evaluate the effectiveness of an online educational module to improve theoretical and practical knowledge of the Bush-Francis Catatonia Rating Scale (BFCRS) across a broad range of clinicians and medical students. METHOD: A 1-h online module, including a training manual and videos, was disseminated to medical students, psychiatry residents and fellows, and psychiatrists through national Listservs and through the Academy of Consultation-Liaison Psychiatry. Participants completed pre- and post-module testing consisting of a 50-question multiple-choice test and a 3-min standardized patient video scored using the 23-item BFCRS. Participants accessed the module from October 1, 2020, to April 4, 2021. Immediate improvement and 3-month knowledge retention were assessed using quantitative and qualitative analyses. RESULTS: Study enrollment was high with moderate dropout (pre-testing: n = 482; post-testing: n = 236; 3-month testing: n = 105). Adjusting for demographics, large pre-post improvements were found in performance (multiple-choice: 11.3 points; standardized patient scoring: 4.2 points; both p < 0.001) and for nearly all individual BFCRS items. Knowledge attrition was modest, and improvements persisted at 3 months. CONCLUSIONS: This educational resource provides descriptive and demonstrative reference standards of the items on the BFCRS. This curriculum improved identification of catatonia's features on both multiple choice and standardized patient scoring across all ages and training levels with good overall knowledge retention.
OBJECTIVE: Catatonia is widely underdiagnosed, in large part due to inaccurate recognition of its specific features. This study aimed to evaluate the effectiveness of an online educational module to improve theoretical and practical knowledge of the Bush-Francis Catatonia Rating Scale (BFCRS) across a broad range of clinicians and medical students. METHOD: A 1-h online module, including a training manual and videos, was disseminated to medical students, psychiatry residents and fellows, and psychiatrists through national Listservs and through the Academy of Consultation-Liaison Psychiatry. Participants completed pre- and post-module testing consisting of a 50-question multiple-choice test and a 3-min standardized patient video scored using the 23-item BFCRS. Participants accessed the module from October 1, 2020, to April 4, 2021. Immediate improvement and 3-month knowledge retention were assessed using quantitative and qualitative analyses. RESULTS: Study enrollment was high with moderate dropout (pre-testing: n = 482; post-testing: n = 236; 3-month testing: n = 105). Adjusting for demographics, large pre-post improvements were found in performance (multiple-choice: 11.3 points; standardized patient scoring: 4.2 points; both p < 0.001) and for nearly all individual BFCRS items. Knowledge attrition was modest, and improvements persisted at 3 months. CONCLUSIONS: This educational resource provides descriptive and demonstrative reference standards of the items on the BFCRS. This curriculum improved identification of catatonia's features on both multiple choice and standardized patient scoring across all ages and training levels with good overall knowledge retention.
Authors: Daniel J Benjamin; James O Berger; Magnus Johannesson; Brian A Nosek; E-J Wagenmakers; Richard Berk; Kenneth A Bollen; Björn Brembs; Lawrence Brown; Colin Camerer; David Cesarini; Christopher D Chambers; Merlise Clyde; Thomas D Cook; Paul De Boeck; Zoltan Dienes; Anna Dreber; Kenny Easwaran; Charles Efferson; Ernst Fehr; Fiona Fidler; Andy P Field; Malcolm Forster; Edward I George; Richard Gonzalez; Steven Goodman; Edwin Green; Donald P Green; Anthony G Greenwald; Jarrod D Hadfield; Larry V Hedges; Leonhard Held; Teck Hua Ho; Herbert Hoijtink; Daniel J Hruschka; Kosuke Imai; Guido Imbens; John P A Ioannidis; Minjeong Jeon; James Holland Jones; Michael Kirchler; David Laibson; John List; Roderick Little; Arthur Lupia; Edouard Machery; Scott E Maxwell; Michael McCarthy; Don A Moore; Stephen L Morgan; Marcus Munafó; Shinichi Nakagawa; Brendan Nyhan; Timothy H Parker; Luis Pericchi; Marco Perugini; Jeff Rouder; Judith Rousseau; Victoria Savalei; Felix D Schönbrodt; Thomas Sellke; Betsy Sinclair; Dustin Tingley; Trisha Van Zandt; Simine Vazire; Duncan J Watts; Christopher Winship; Robert L Wolpert; Yu Xie; Cristobal Young; Jonathan Zinman; Valen E Johnson Journal: Nat Hum Behav Date: 2018-01
Authors: Marco Solmi; G Giorgio Pigato; Beatrice Roiter; Argentina Guaglianone; Luca Martini; Michele Fornaro; Francesco Monaco; Andrè F Carvalho; Brendon Stubbs; Nicola Veronese; Christoph U Correll Journal: Schizophr Bull Date: 2018-08-20 Impact factor: 9.306
Authors: Jo Ellen Wilson; Kathy Niu; Stephen E Nicolson; Stephen Z Levine; Stephan Heckers Journal: Schizophr Res Date: 2015-01-13 Impact factor: 4.939