S. Kim et al., A longitudinal evaluation of an educational software program: A case studyof Urinalysis-Tutor (TM), ACAD MED, 76(11), 2001, pp. 1136-1143
Purpose. To examine students' learning before and after revising an educati
onal software program and to explore students' patterns of use of an intera
ctive feature that compares images.
Method. Study participants were 466 University of Washington School of Medi
cine students. Two cohorts of students (one in 1996 and one in 1997) used t
he original version of the software. Following analysis of the students' le
arning, the software program was modified based on instructional design pri
nciples pertaining to visual learning and concept acquisition. A 1998 cohor
t of students used the revised program and their performance was compared w
ith that of the 1996 cohort. Analyses were based on pre- and post-test scor
es, data collected from the observation of students, and navigational pathw
ays tracked by the program.
Results. There was very little difference in the overall performances of th
e students who used the original program and those who used the revised pro
gram. Error analysis focusing on 11 conceptual areas showed that reductions
in errors occurred for six of 11 concepts, with statistically significant
reductions of errors for two concepts. Additional navigational data collect
ed in 1998 showed that students used an interactive feature for comparing i
mages in different patterns. The data showed a positive association between
performance and the anchored viewing mode of image display.
Conclusions. While this study cannot point to specific design components th
at facilitated or hindered learning, it demonstrated a potential benefit of
linking usage-pattern data and performance. Future studies should evaluate
design factors that affect usage patterns and performances based on naviga
tional data collected while students interact with software programs.