Scores for the Screening Scenario Skills
| SIMmersion Items | Control | Experimental | t Statistic | P | ||
|---|---|---|---|---|---|---|
| Pretest (mean [SD]) | Posttest (mean [SD]) | Pretest (mean [SD]) | Posttest (mean [SD]) | |||
| Alcohol use | ||||||
| Clinician asked about drinking frequency | 4.12 (1.93) | 4.17 (1.88) | 3.92 (2.08) | 5.00 (0.00) | 2.900 | .005 |
| Clinician asked about drinking amount | 4.90 (0.70) | 3.75 (2.19) | 4.80 (0.98) | 4.77 (1.07) | 2.770 | .007 |
| Clinician asked about 5 drinks in a row | 0.98 (2.00) | 0.73 (1.78) | 0.49 (1.50) | 3.14 (2.45) | 5.410 | <.001 |
| Family history | ||||||
| Clinician asked about drinking in the family | 3.73 (2.20) | 4.17 (1.88) | 3.92 (2.08) | 4.19 (1.87) | 0.050 | .961 |
| Consequences | ||||||
| Clinician asked about legal problem due to alcohol | 2.06 (2.49) | 3.02 (2.47) | 1.67 (2.38) | 3.72 (2.21) | 1.420 | .160 |
| Clinician asked about alcohol-related injury | 0.39 (1.36) | 1.35 (2.25) | 0.69 (1.74) | 2.79 (2.51) | 2.880 | .005 |
| Clinician asked about alcohol-related work problems | 3.53 (2.30) | 2.81 (2.51) | 3.53 (2.30) | 3.37 (2.37) | 1.090 | .278 |
| Clinician asked about alcohol-related relationship problems | 3.53 (2.30) | 4.38 (1.67) | 3.14 (2.44) | 4.53 (1.47) | 0.480 | .631 |
| Clinician asked about alcohol treatment history | 2.45 (2.52) | 2.60 (2.52) | 2.84 (2.50) | 2.56 (2.53) | 0.090 | .931 |
| Health issues | ||||||
| Clinician asked about alcohol-related medical problems | 1.08 (2.08) | 1.56 (2.34) | 1.08 (2.08) | 1.16 (2.14) | 0.850 | .399 |
| Clinician asked about medication | 3.33 (2.38) | 3.96 (2.05) | 3.53 (2.30) | 3.37 (2.37) | 1.260 | .209 |
| CAGE questions | ||||||
| Clinician asked about attempts to reduce drinking | 2.94 (2.49) | 2.60 (2.52) | 2.45 (2.52) | 3.60 (2.27) | 1.980 | .051 |
| Clinician asked about being annoyed when confronted about drinking | 1.67 (2.38) | 2.40 (2.52) | 1.96 (2.47) | 2.33 (2.52) | 0.130 | .895 |
| Clinician asked about drinking in the morning | 2.35 (2.52) | 2.29 (2.52) | 1.76 (2.41) | 3.02 (2.47) | 1.400 | .166 |
| Communication skills | ||||||
| Clinician gives reason for alcohol questions | 4.41 (1.63) | 4.17 (1.88) | 4.22 (1.84) | 4.07 (1.97) | 0.240 | .811 |
| Clinician was not sidetracked | 4.12 (1.93) | 4.90 (0.72) | 4.12 (1.93) | 5.00 (0.00) | 0.950 | .347 |
| Clinician was nonjudgmental | 4.41 (1.63) | 4.38 (1.67) | 4.51 (1.50) | 4.53 (1.47) | 0.480 | .631 |
| Overall clinician performance | 4.41 (4.08) | 4.90 (2.63) | 4.61 (3.98) | 6.51 (3.37) | 2.560 | .012 |
The 17 clinical skills received a score of 5 points if the learner successfully demonstrated skill. The remaining 15 points were based on the learners “overall clinical performance.”