Enhancing Final-Year Medical Students’ Clinical Examinations Performance via a Transdiagnostic ACT-Based Intervention

Introduction: Performance anxiety is a transdiagnostic construct similar in both sports and clinical medical examinations. Given that acceptance and commitment therapy (ACT) and other similar therapies have transdiagnostic evidence in improving the performance of athletes, the same approach can be a...

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Main Authors: Pang, Nicholas Tze Ping, Eugene Koh, Mohd Amiruddin Mohd Kassim, Shoesmith, Wendy Diana, Assis Kamu, Ho, Chong Mun, Jun, Rong Ng, Walton Wider
Format: Article
Language:English
English
Published: Multidisciplinary Digital Publishing Institute (MDPI) 2022
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Online Access:https://eprints.ums.edu.my/id/eprint/33787/1/Enhancing%20Final-Year%20Medical%20Students%E2%80%99%20Clinical%20Examinations%20Performance%20via%20a%20Transdiagnostic%20ACT-Based%20Intervention.pdf
https://eprints.ums.edu.my/id/eprint/33787/2/Enhancing%20Final-Year%20Medical%20Students%E2%80%99%20Clinical%20Examinations%20Performance%20via%20a%20Transdiagnostic%20ACT-Based%20Intervention%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/33787/
https://www.mdpi.com/2071-1050/14/13/7522/htm
https://doi.org/10.3390/su14137522
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spelling my.ums.eprints.337872022-08-16T01:37:04Z https://eprints.ums.edu.my/id/eprint/33787/ Enhancing Final-Year Medical Students’ Clinical Examinations Performance via a Transdiagnostic ACT-Based Intervention Pang, Nicholas Tze Ping Eugene Koh Mohd Amiruddin Mohd Kassim Shoesmith, Wendy Diana Assis Kamu Ho, Chong Mun Jun, Rong Ng Walton Wider R735-854 Medical education. Medical schools. Research Introduction: Performance anxiety is a transdiagnostic construct similar in both sports and clinical medical examinations. Given that acceptance and commitment therapy (ACT) and other similar therapies have transdiagnostic evidence in improving the performance of athletes, the same approach can be adopted for medical students in improving their performance during clinical examinations. This pilot study aimed to assess the efficacy of a brief ACT-based intervention in improving transdiagnostic performance anxiety in clinical medical students through assessing changes in psychopathology scores (depression, anxiety, and stress) and psychological process variables (psychological flexibility, cognitive fusion, and mindfulness). Methods: Final-year medical students were randomized into intervention and control groups. A one-day ACT-based intervention was delivered to an intervention group, with the control group crossing over one month post intervention. Both groups filled in sociodemographic questionnaires and questionnaires measuring psychological flexibility, cognitive fusion, mindfulness, depression, anxiety, and stress at three time points: T1 (before intervention), T2 (immediately after intervention), and T3 (one month post intervention). Repeated measures ANOVA was employed to assess the change between the intervention and control groups over time. Results and Conclusions: There was a significant change in anxiety scores from T1 to T3. In addition, there were significant improvements in mindfulness, cognitive fusion, and psychological flexibility scores over time in the intervention group compared with the control group. This pilot study builds on small single-sample evidence bases for the efficacy of an ACT-based intervention in non-sports performance enhancement, suggesting that larger-scale randomized trials of similar interventions in clinical medical students may prove equally efficacious. Multidisciplinary Digital Publishing Institute (MDPI) 2022 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/33787/1/Enhancing%20Final-Year%20Medical%20Students%E2%80%99%20Clinical%20Examinations%20Performance%20via%20a%20Transdiagnostic%20ACT-Based%20Intervention.pdf text en https://eprints.ums.edu.my/id/eprint/33787/2/Enhancing%20Final-Year%20Medical%20Students%E2%80%99%20Clinical%20Examinations%20Performance%20via%20a%20Transdiagnostic%20ACT-Based%20Intervention%20_ABSTRACT.pdf Pang, Nicholas Tze Ping and Eugene Koh and Mohd Amiruddin Mohd Kassim and Shoesmith, Wendy Diana and Assis Kamu and Ho, Chong Mun and Jun, Rong Ng and Walton Wider (2022) Enhancing Final-Year Medical Students’ Clinical Examinations Performance via a Transdiagnostic ACT-Based Intervention. Sustainability, 14 (7522). pp. 1-11. ISSN 2071-1050 https://www.mdpi.com/2071-1050/14/13/7522/htm https://doi.org/10.3390/su14137522
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
English
topic R735-854 Medical education. Medical schools. Research
spellingShingle R735-854 Medical education. Medical schools. Research
Pang, Nicholas Tze Ping
Eugene Koh
Mohd Amiruddin Mohd Kassim
Shoesmith, Wendy Diana
Assis Kamu
Ho, Chong Mun
Jun, Rong Ng
Walton Wider
Enhancing Final-Year Medical Students’ Clinical Examinations Performance via a Transdiagnostic ACT-Based Intervention
description Introduction: Performance anxiety is a transdiagnostic construct similar in both sports and clinical medical examinations. Given that acceptance and commitment therapy (ACT) and other similar therapies have transdiagnostic evidence in improving the performance of athletes, the same approach can be adopted for medical students in improving their performance during clinical examinations. This pilot study aimed to assess the efficacy of a brief ACT-based intervention in improving transdiagnostic performance anxiety in clinical medical students through assessing changes in psychopathology scores (depression, anxiety, and stress) and psychological process variables (psychological flexibility, cognitive fusion, and mindfulness). Methods: Final-year medical students were randomized into intervention and control groups. A one-day ACT-based intervention was delivered to an intervention group, with the control group crossing over one month post intervention. Both groups filled in sociodemographic questionnaires and questionnaires measuring psychological flexibility, cognitive fusion, mindfulness, depression, anxiety, and stress at three time points: T1 (before intervention), T2 (immediately after intervention), and T3 (one month post intervention). Repeated measures ANOVA was employed to assess the change between the intervention and control groups over time. Results and Conclusions: There was a significant change in anxiety scores from T1 to T3. In addition, there were significant improvements in mindfulness, cognitive fusion, and psychological flexibility scores over time in the intervention group compared with the control group. This pilot study builds on small single-sample evidence bases for the efficacy of an ACT-based intervention in non-sports performance enhancement, suggesting that larger-scale randomized trials of similar interventions in clinical medical students may prove equally efficacious.
format Article
author Pang, Nicholas Tze Ping
Eugene Koh
Mohd Amiruddin Mohd Kassim
Shoesmith, Wendy Diana
Assis Kamu
Ho, Chong Mun
Jun, Rong Ng
Walton Wider
author_facet Pang, Nicholas Tze Ping
Eugene Koh
Mohd Amiruddin Mohd Kassim
Shoesmith, Wendy Diana
Assis Kamu
Ho, Chong Mun
Jun, Rong Ng
Walton Wider
author_sort Pang, Nicholas Tze Ping
title Enhancing Final-Year Medical Students’ Clinical Examinations Performance via a Transdiagnostic ACT-Based Intervention
title_short Enhancing Final-Year Medical Students’ Clinical Examinations Performance via a Transdiagnostic ACT-Based Intervention
title_full Enhancing Final-Year Medical Students’ Clinical Examinations Performance via a Transdiagnostic ACT-Based Intervention
title_fullStr Enhancing Final-Year Medical Students’ Clinical Examinations Performance via a Transdiagnostic ACT-Based Intervention
title_full_unstemmed Enhancing Final-Year Medical Students’ Clinical Examinations Performance via a Transdiagnostic ACT-Based Intervention
title_sort enhancing final-year medical students’ clinical examinations performance via a transdiagnostic act-based intervention
publisher Multidisciplinary Digital Publishing Institute (MDPI)
publishDate 2022
url https://eprints.ums.edu.my/id/eprint/33787/1/Enhancing%20Final-Year%20Medical%20Students%E2%80%99%20Clinical%20Examinations%20Performance%20via%20a%20Transdiagnostic%20ACT-Based%20Intervention.pdf
https://eprints.ums.edu.my/id/eprint/33787/2/Enhancing%20Final-Year%20Medical%20Students%E2%80%99%20Clinical%20Examinations%20Performance%20via%20a%20Transdiagnostic%20ACT-Based%20Intervention%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/33787/
https://www.mdpi.com/2071-1050/14/13/7522/htm
https://doi.org/10.3390/su14137522
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