When Contact Is Not Enough: Affecting First Year Medical Students' Image towards Older Persons

Research output: Contribution to journalJournal articleResearchpeer-review

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When Contact Is Not Enough : Affecting First Year Medical Students' Image towards Older Persons. / Kusumastuti, Sasmita; van Fenema, Esther; Stratum, Eugenie C. F. Polman-van; Achterberg, Wilco; Lindenberg, Jolanda; Westendorp, Rudi G. J.

In: PLOS ONE, Vol. 12, No. 1, e0169977, 20.01.2017, p. 1-15.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Kusumastuti, S, van Fenema, E, Stratum, ECFP, Achterberg, W, Lindenberg, J & Westendorp, RGJ 2017, 'When Contact Is Not Enough: Affecting First Year Medical Students' Image towards Older Persons', PLOS ONE, vol. 12, no. 1, e0169977, pp. 1-15. https://doi.org/10.1371/journal.pone.0169977

APA

Kusumastuti, S., van Fenema, E., Stratum, E. C. F. P., Achterberg, W., Lindenberg, J., & Westendorp, R. G. J. (2017). When Contact Is Not Enough: Affecting First Year Medical Students' Image towards Older Persons. PLOS ONE, 12(1), 1-15. [e0169977]. https://doi.org/10.1371/journal.pone.0169977

Vancouver

Kusumastuti S, van Fenema E, Stratum ECFP, Achterberg W, Lindenberg J, Westendorp RGJ. When Contact Is Not Enough: Affecting First Year Medical Students' Image towards Older Persons. PLOS ONE. 2017 Jan 20;12(1):1-15. e0169977. https://doi.org/10.1371/journal.pone.0169977

Author

Kusumastuti, Sasmita ; van Fenema, Esther ; Stratum, Eugenie C. F. Polman-van ; Achterberg, Wilco ; Lindenberg, Jolanda ; Westendorp, Rudi G. J. / When Contact Is Not Enough : Affecting First Year Medical Students' Image towards Older Persons. In: PLOS ONE. 2017 ; Vol. 12, No. 1. pp. 1-15.

Bibtex

@article{4ce7737d35d944358460df474c21df9c,
title = "When Contact Is Not Enough: Affecting First Year Medical Students' Image towards Older Persons",
abstract = "Context: Many medical schools have initiated care internships to familiarize their students with older persons and to instil a professional attitude.Objective: To examine the impact of care internships on the image that first-year medical students have of older persons and to explore the underlying concepts that may play a role in shaping this image.Design: Survey before and after a two-week compulsory care internship using the Aging Semantic Differential (ASD; 32 adjectives) and the Attitudes toward Old People (AOP; 34 positions) questionnaires.Participants: Before and after a care internship involving interpersonal contact, 252 and 244 first-year medical students at the Leiden University Medical Centre (LUMC) in the academic year 2012–2013 participated.Method: Descriptive statistics, analyses of variance, and principal component analysis were used; clusters of adjectives and positions were reduced into concepts to examine dominant patterns of views. Changes in image were investigated as mean differences of the total and concept scores.Results: Both the ASD and the AOP questionnaires showed a poor general image of older persons that significantly worsened after the care internship (p < 0.01). The percentage of students considering over 75 years as being old increased from 17.2{\%} to 31.2{\%} (p < 0.01) and those who thought they would find as much satisfaction in care for older as for younger patients decreased from 78.5{\%} to 62.1{\%} (p < 0.001). Exploratory principal component analysis showed particularly low scores on ‘comportment’ and ‘pleasurable interaction’ whereas the scores on ‘personality traits’ and ‘habitual behaviour’ significantly deteriorated (both p < 0.001). These patterns were irrespective of the student’s gender and previous contact experience.Conclusion: Medical schools should carefully consider care internships to ensure that students do not worsen their views on older patients, which may occur due to inadequate contact depth and quality within a rather unsupportive context.",
author = "Sasmita Kusumastuti and {van Fenema}, Esther and Stratum, {Eugenie C. F. Polman-van} and Wilco Achterberg and Jolanda Lindenberg and Westendorp, {Rudi G. J.}",
year = "2017",
month = "1",
day = "20",
doi = "10.1371/journal.pone.0169977",
language = "English",
volume = "12",
pages = "1--15",
journal = "P L o S One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "1",

}

RIS

TY - JOUR

T1 - When Contact Is Not Enough

T2 - Affecting First Year Medical Students' Image towards Older Persons

AU - Kusumastuti, Sasmita

AU - van Fenema, Esther

AU - Stratum, Eugenie C. F. Polman-van

AU - Achterberg, Wilco

AU - Lindenberg, Jolanda

AU - Westendorp, Rudi G. J.

PY - 2017/1/20

Y1 - 2017/1/20

N2 - Context: Many medical schools have initiated care internships to familiarize their students with older persons and to instil a professional attitude.Objective: To examine the impact of care internships on the image that first-year medical students have of older persons and to explore the underlying concepts that may play a role in shaping this image.Design: Survey before and after a two-week compulsory care internship using the Aging Semantic Differential (ASD; 32 adjectives) and the Attitudes toward Old People (AOP; 34 positions) questionnaires.Participants: Before and after a care internship involving interpersonal contact, 252 and 244 first-year medical students at the Leiden University Medical Centre (LUMC) in the academic year 2012–2013 participated.Method: Descriptive statistics, analyses of variance, and principal component analysis were used; clusters of adjectives and positions were reduced into concepts to examine dominant patterns of views. Changes in image were investigated as mean differences of the total and concept scores.Results: Both the ASD and the AOP questionnaires showed a poor general image of older persons that significantly worsened after the care internship (p < 0.01). The percentage of students considering over 75 years as being old increased from 17.2% to 31.2% (p < 0.01) and those who thought they would find as much satisfaction in care for older as for younger patients decreased from 78.5% to 62.1% (p < 0.001). Exploratory principal component analysis showed particularly low scores on ‘comportment’ and ‘pleasurable interaction’ whereas the scores on ‘personality traits’ and ‘habitual behaviour’ significantly deteriorated (both p < 0.001). These patterns were irrespective of the student’s gender and previous contact experience.Conclusion: Medical schools should carefully consider care internships to ensure that students do not worsen their views on older patients, which may occur due to inadequate contact depth and quality within a rather unsupportive context.

AB - Context: Many medical schools have initiated care internships to familiarize their students with older persons and to instil a professional attitude.Objective: To examine the impact of care internships on the image that first-year medical students have of older persons and to explore the underlying concepts that may play a role in shaping this image.Design: Survey before and after a two-week compulsory care internship using the Aging Semantic Differential (ASD; 32 adjectives) and the Attitudes toward Old People (AOP; 34 positions) questionnaires.Participants: Before and after a care internship involving interpersonal contact, 252 and 244 first-year medical students at the Leiden University Medical Centre (LUMC) in the academic year 2012–2013 participated.Method: Descriptive statistics, analyses of variance, and principal component analysis were used; clusters of adjectives and positions were reduced into concepts to examine dominant patterns of views. Changes in image were investigated as mean differences of the total and concept scores.Results: Both the ASD and the AOP questionnaires showed a poor general image of older persons that significantly worsened after the care internship (p < 0.01). The percentage of students considering over 75 years as being old increased from 17.2% to 31.2% (p < 0.01) and those who thought they would find as much satisfaction in care for older as for younger patients decreased from 78.5% to 62.1% (p < 0.001). Exploratory principal component analysis showed particularly low scores on ‘comportment’ and ‘pleasurable interaction’ whereas the scores on ‘personality traits’ and ‘habitual behaviour’ significantly deteriorated (both p < 0.001). These patterns were irrespective of the student’s gender and previous contact experience.Conclusion: Medical schools should carefully consider care internships to ensure that students do not worsen their views on older patients, which may occur due to inadequate contact depth and quality within a rather unsupportive context.

U2 - 10.1371/journal.pone.0169977

DO - 10.1371/journal.pone.0169977

M3 - Journal article

VL - 12

SP - 1

EP - 15

JO - P L o S One

JF - P L o S One

SN - 1932-6203

IS - 1

M1 - e0169977

ER -

ID: 173585654