Effectiveness of E-Learning among Hospitalized Elementary Students with Chronic Diseases

Document Type : Original Article

Authors

1 Department of Educational Technology, Faculty of Education and Psychology, Allameh Tabataba’i University, Tehran, Iran

2 Department of Instructional Technology, Allameh Tabataba’i University, Tehran, Iran

3 Pediatric Department, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Hospitalization of elementary students with chronic illnesses could limit their engagement in school activities and result in academic failure. The purpose of the present study was to determine the effectiveness of e-learning on these students’ academic performance in mathematics. Methods: This was a pretest-posttest semi-experimental study with control group. The population included all the fifth or sixth-grade elementary school students hospitalized at least once in the school year 2019-2020 in Imam Hussain Pediatric Hospital of Isfahan, Iran. The sample size consisted of 60 students (26 in 5th grade and 34 in 6th grade) who were selected by convenience sampling and divided equally into experimental and control groups. Data gathering tools included two researcher-made mathematical quizzes designed to assess the students’ academic achievement in mathematics. Each quiz was about Decimal Numbers as covered in the corresponding grade level. Data were analyzed through an analysis of covariance using SPSS 21 software. Results: In terms of academic achievement, the mean and standard deviation of post-test scores in the experimental groups (8.26±1.22) were higher than in the control group (6.60±1.47). In addition, ANCOVA test results revealed that after the elimination of the pretest effect, the F of the independent variable (59.461) was significant at the confidence level of 99% (p <0.001). Thus, posttest scores of experimental and control groups were significantly different. Conclusion: Given the significant impact of e-learning on the mathematical performance of hospitalized elementary school students, it is recommended to use this approach for hospitalized learners.

Keywords


González C, Toledo P, Alayón S, Muñoz V, Meneses Fernández M. Using Information and Communication Technologies in Hospital Classrooms: SAVEH Project. Knowledge Management & E-Learning : an International Journal. 2011;3. https://doi.org/10.34105/j.kmel.2011.03.008
Hopkins L, Moss J, Green J, Strong G. Embedding learning in a paediatric hospital: Changing practice and keeping connected. International Journal of Inclusive Education. 2014;18. https://doi.org/10.1080/13603116.2012.752877.
Bell MF, Bayliss DM, Glauert R, et al. Chronic Illness and Developmental Vulnerability at School Entry. Pediatrics. 2016;137(5): https://doi.org/10.1542/peds.2015-2475 PMID: 27244787 
Fuengfoo A, Leelathanaporn S, Mekrungcharas T. Effectiveness of the Hospital Learning Center (Queen Sirikit National Institute of Child Health): Satisfaction with service and parents’  F1000Research. 2019; 8:1616· https://doi.org/10.12688/f1000research.18846.1
Wijlaars LP, Gilbert R, Hardelid P: Chronic conditions in children and young people: learning from administrative data. Arch Dis Child. 2016; 101(10): 881–5. https://doi.org/10.1136/archdischild-2016-310716
Lum A, Wakefield CE, Donnan B, et al.: Understanding the school experiences of children and adolescents with serious chronic illness: a systematic metareview. Child Care Health Dev. 2017; 43(5):645–62. https://doi.org/10.1111/cch.12475
Pour Mar, Goharvi Sab, Nasrabadi Hab. Pathology of the educational system with emphasis on learned helplessness, factors and strategies. Knowledge Monthly. 2009; 17 (12): 83.
Nisselle A, Hanns S, Green J, Jones T. Accessing flexible learning opportunities: children’s and young people’s use of laptops in a paediatric hospital. Technology, Pedagogy and Education. 2012;21(1):3-20.  https://doi.org/10.1080/1475939x.2012.659883
Chen DF, Tsai T-C, Su Y-T, Lin C-W. Hospital-based school for children with chronic illness in Taiwan. Journal of the Formosan Medical Association Taiwan yi zhi. 2014;114. https://doi.org/10.1016/j.jfma.2013.12.006.
Hopkins LJ. Hospital-based education support for students with chronic health conditions. Australian health review : a publication of the Australian Hospital Association. 2016;40(2):213-8. https://doi.org/10.1071/ah15032 
González-González C, Toledo-Delgado P, Collazos-Ordoñez C, González-Sánchez JL. Design and analysis of collaborative interactions in social educational videogames. Computers in Human Behavior. 2014; 31: 602-11. https://doi.org/10.1016/j.chb.2013.06.039 
Aldiss S, Baggott C, Gibson F, Mobbs S, Taylor RM. A critical review of the use of technology to provide psychosocial support for children and young people with long-term conditions. Journal of pediatric nursing. 2015;30(1):87-101. https://doi.org/10.1016/j.pedn.2014.09.014.
Amer K. Innovations in Pediatric Health Care Technology: A Multidisciplinary Conceptual Framework for Using and Evaluating Information Systems. Children's Health Care. 2006; 35:5-10. https://doi.org/10.1207/s15326888chc3501_2.
Reyhani T, Pourghaznain T, Mousavi Z, Ghorbani M. The effects of presence and guidance of a teacher on the anxiety of hospitalized children. Evidence Based Care. 2014;4(3):15-22. https://doi.org/10.4103/1735-9066.185610
Dargahi H, Ghazi Saidi M, Ghasemi M. The role of e-learning in Medical Sciences Universities. Payavard Salamat. 2008;1(2):20-9.
Badrul K, editor. Managing E-Learning Strategies: Design, Delivery, Implementation and Evaluation. Hershey, PA, USA: IGI Global; 2005. https://doi.org/ 10.4018/978-1-59140-634-1
Aslan, S.,&Reigeluth C.M. Examining the challenges of learner-centered education.Phi Delta Kappan. 2016; 97(4): 63-68. https://doi.org/10.1177/0031721715619922.
Schott, F., Seel, N.M.,. Instructional Design. In: James D. Wright (editor-in-chief ), International Encyclopedia of the Social & Behavioral Sciences, 2015; 2nd edition, Vol 12. Oxford: Elsevier. pp. 196–200. https://doi.org/ 10.1016/B978-0-08-097086-8.92032-4 .
Yarmohammadi Vasel, M. Rashid, K. Bahrami, F. The Effectiveness Of Instruction Through The Play In Improving Mathematics Attitude Of Primary Girl Students. Journal Of School Psychology. 2014 ; 3(3): 122-135.
Massoud K,. Alireza K, Dr. Elahe H. The role of personal variables in mathematical develop.ment according to socio-cognitive theory. Contemporary Psychology. 2006; 1 (1): 11-.
Qingsong L. The Application of Multimedia Technology in Web Education. Physics Procedia. 2012;33:1553-7. https://doi.org/10.1016/.
Wiener, L., Kazak, A. E., Noll, R. B., Patenaude, A. F., & Kupst, M. J. Standards for the psychosocial care of children with cancer and their families: An introduction to the special issue. Pediatric Blood & Cancer, 2015;62(5), 419-424. http://dx.doi.org/10.1002/pbc.25675