Impact of game jam learning about cultural safety in Colombian medical education: a randomised controlled trial
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URI: http://hdl.handle.net/10818/53191Visitar enlace: https://bmcmededuc.biomedcentr ...
ISSN: 1472-6920
DOI: 10.1186/s12909-021-02545-7
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2021Abstract
Background: Cultural safety, whereby health professionals respect and promote the cultural identity of patients,
could reduce intercultural tensions that hinder patient access to effective health services in Colombia. Game jams
are participatory events to create educational games, a potentially engaging learning environment for Millennial
medical students. We set out to determine whether medical student participation in a game jam on cultural safety
is more effective than more conventional education in changing self-reported intended patient-oriented behavior
and confidence in transcultural skills.
Methods: We conducted a parallel-group, two-arm randomized controlled trial with 1:1 allocation. Colombian
medical students and medical interns at University of La Sabana participated in the trial. The intervention was a
game jam to create an educational game on cultural safety, and the reference was a standard lesson plus an
interactive workshop on cultural safety. Both sessions lasted eight hours. Stratified randomization allocated the
participants to the intervention and control groups, with masked allocation until commencement.
Results: 531 students completed the baseline survey, 347 completed the survey immediately after the intervention,
and 336 completed the survey after 6 months. After the intervention, game jam participants did not have better
intentions of culturally safe behaviour than did participants in the reference group (difference in means: 0.08 95% CI
− 0.05 to 0.23); both groups had an improvement in this outcome. Multivariate analysis adjusted by clusters
confirmed that game jam learning was associated with higher transcultural self-efficacy immediately after the
intervention (wt OR 2.03 cl adj 95% CI 1.25–3.30).
Conclusions: Game jam learning improved cultural safety intentions of Colombian medical students to a similar
degree as did a carefully designed lecture and interactive workshop. The game jam was also associated with
positive change in participant transcultural self-efficacy. We encourage further research to explore the impact of
cultural safety training on patient-related outcomes. Our experience could inform initiatives to introduce cultural
safety training in other multicultural settings.
Ubication
BMC Medical Education. 21(1):1-12
Collections to which it belong
- Facultad de Medicina [957]