Development and Validation of a Mental Practice Tool for Total Abdominal Hysterectomy

Said S. Saab, Jamie Bastek, Sandra Dayaratna, Ellyn Hutton, Catherine R. Salva

Research output: Contribution to journalArticle

Abstract

Objective Total abdominal hysterectomy (TAH) is a common operation performed by obstetrician-gynecologists. Training opportunities for this procedure are declining. Mental practice (MP), the use of mental imagery to rehearse a task symbolically before performance, has been used successfully in sports and music to enhance skill. This strategy demonstrates benefit in existing surgical education literature. We aimed to develop and validate a MP tool (MPT) for resident training in TAH. Design A prospective survey study was performed in a large, urban, academic medical center in Philadelphia, Pennsylvania, USA. A MPT was developed by guiding expert surgeons through a cognitive walk-through of TAH to identify key procedural cues. For validation, a convenience sample of 22 residents and attendings (N = 11 per group) mentally rehearsed TAH. Motivation, confidence, quality of imagery, and utility of the activity were assessed with a previously validated Mental Imagery Questionnaire (MIQ) before and after exposure to the MPT. Results Residents, but not attendings, found MP to be useful in preparation for surgery (residents, p = 0.01; attendings, p = 0.34) and had increased confidence following this exercise (residents, p = 0.01; attendings, p = 0.08). Significant improvement in global imagery score after use of the tool was shown by residents (p = 0.01) but not by the attendings (p = 0.08), with residents having lower imagery skills than attendings both pre-MP and post-MP. Reliability testing of the MIQ indicated internal consistency (pre-MPT, 0.91; post-MPT, 0.90). Conclusions MP may serve as a potentially effective, portable, and inexpensive resident surgical training tool in preparation for TAH. Attendings may benefit from certain aspects of MP. The MIQ may serve as a measure of imagery skills in future experiments of MP in preparation for surgery.

Original languageEnglish (US)
Pages (from-to)216-221
Number of pages6
JournalJournal of Surgical Education
Volume74
Issue number2
DOIs
StatePublished - Mar 1 2017
Externally publishedYes

Fingerprint

Imagery (Psychotherapy)
Hysterectomy
resident
surgery
questionnaire
confidence
training opportunities
Practice (Psychology)
Music
Sports
Cues
Motivation
music
Prospective Studies
Exercise
expert
Education
Surveys and Questionnaires
experiment

Keywords

  • abdominal hysterectomy
  • gynecology
  • imagery
  • Medical Knowledge
  • mental practice
  • Patient Care
  • Practice-Based Learning and Improvement
  • surgical education

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Development and Validation of a Mental Practice Tool for Total Abdominal Hysterectomy. / Saab, Said S.; Bastek, Jamie; Dayaratna, Sandra; Hutton, Ellyn; Salva, Catherine R.

In: Journal of Surgical Education, Vol. 74, No. 2, 01.03.2017, p. 216-221.

Research output: Contribution to journalArticle

Saab, Said S. ; Bastek, Jamie ; Dayaratna, Sandra ; Hutton, Ellyn ; Salva, Catherine R. / Development and Validation of a Mental Practice Tool for Total Abdominal Hysterectomy. In: Journal of Surgical Education. 2017 ; Vol. 74, No. 2. pp. 216-221.
@article{134bc8651b454d7c944fcd9a96e99b89,
title = "Development and Validation of a Mental Practice Tool for Total Abdominal Hysterectomy",
abstract = "Objective Total abdominal hysterectomy (TAH) is a common operation performed by obstetrician-gynecologists. Training opportunities for this procedure are declining. Mental practice (MP), the use of mental imagery to rehearse a task symbolically before performance, has been used successfully in sports and music to enhance skill. This strategy demonstrates benefit in existing surgical education literature. We aimed to develop and validate a MP tool (MPT) for resident training in TAH. Design A prospective survey study was performed in a large, urban, academic medical center in Philadelphia, Pennsylvania, USA. A MPT was developed by guiding expert surgeons through a cognitive walk-through of TAH to identify key procedural cues. For validation, a convenience sample of 22 residents and attendings (N = 11 per group) mentally rehearsed TAH. Motivation, confidence, quality of imagery, and utility of the activity were assessed with a previously validated Mental Imagery Questionnaire (MIQ) before and after exposure to the MPT. Results Residents, but not attendings, found MP to be useful in preparation for surgery (residents, p = 0.01; attendings, p = 0.34) and had increased confidence following this exercise (residents, p = 0.01; attendings, p = 0.08). Significant improvement in global imagery score after use of the tool was shown by residents (p = 0.01) but not by the attendings (p = 0.08), with residents having lower imagery skills than attendings both pre-MP and post-MP. Reliability testing of the MIQ indicated internal consistency (pre-MPT, 0.91; post-MPT, 0.90). Conclusions MP may serve as a potentially effective, portable, and inexpensive resident surgical training tool in preparation for TAH. Attendings may benefit from certain aspects of MP. The MIQ may serve as a measure of imagery skills in future experiments of MP in preparation for surgery.",
keywords = "abdominal hysterectomy, gynecology, imagery, Medical Knowledge, mental practice, Patient Care, Practice-Based Learning and Improvement, surgical education",
author = "Saab, {Said S.} and Jamie Bastek and Sandra Dayaratna and Ellyn Hutton and Salva, {Catherine R.}",
year = "2017",
month = "3",
day = "1",
doi = "10.1016/j.jsurg.2016.10.005",
language = "English (US)",
volume = "74",
pages = "216--221",
journal = "Journal of Surgical Education",
issn = "1931-7204",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Development and Validation of a Mental Practice Tool for Total Abdominal Hysterectomy

AU - Saab, Said S.

AU - Bastek, Jamie

AU - Dayaratna, Sandra

AU - Hutton, Ellyn

AU - Salva, Catherine R.

PY - 2017/3/1

Y1 - 2017/3/1

N2 - Objective Total abdominal hysterectomy (TAH) is a common operation performed by obstetrician-gynecologists. Training opportunities for this procedure are declining. Mental practice (MP), the use of mental imagery to rehearse a task symbolically before performance, has been used successfully in sports and music to enhance skill. This strategy demonstrates benefit in existing surgical education literature. We aimed to develop and validate a MP tool (MPT) for resident training in TAH. Design A prospective survey study was performed in a large, urban, academic medical center in Philadelphia, Pennsylvania, USA. A MPT was developed by guiding expert surgeons through a cognitive walk-through of TAH to identify key procedural cues. For validation, a convenience sample of 22 residents and attendings (N = 11 per group) mentally rehearsed TAH. Motivation, confidence, quality of imagery, and utility of the activity were assessed with a previously validated Mental Imagery Questionnaire (MIQ) before and after exposure to the MPT. Results Residents, but not attendings, found MP to be useful in preparation for surgery (residents, p = 0.01; attendings, p = 0.34) and had increased confidence following this exercise (residents, p = 0.01; attendings, p = 0.08). Significant improvement in global imagery score after use of the tool was shown by residents (p = 0.01) but not by the attendings (p = 0.08), with residents having lower imagery skills than attendings both pre-MP and post-MP. Reliability testing of the MIQ indicated internal consistency (pre-MPT, 0.91; post-MPT, 0.90). Conclusions MP may serve as a potentially effective, portable, and inexpensive resident surgical training tool in preparation for TAH. Attendings may benefit from certain aspects of MP. The MIQ may serve as a measure of imagery skills in future experiments of MP in preparation for surgery.

AB - Objective Total abdominal hysterectomy (TAH) is a common operation performed by obstetrician-gynecologists. Training opportunities for this procedure are declining. Mental practice (MP), the use of mental imagery to rehearse a task symbolically before performance, has been used successfully in sports and music to enhance skill. This strategy demonstrates benefit in existing surgical education literature. We aimed to develop and validate a MP tool (MPT) for resident training in TAH. Design A prospective survey study was performed in a large, urban, academic medical center in Philadelphia, Pennsylvania, USA. A MPT was developed by guiding expert surgeons through a cognitive walk-through of TAH to identify key procedural cues. For validation, a convenience sample of 22 residents and attendings (N = 11 per group) mentally rehearsed TAH. Motivation, confidence, quality of imagery, and utility of the activity were assessed with a previously validated Mental Imagery Questionnaire (MIQ) before and after exposure to the MPT. Results Residents, but not attendings, found MP to be useful in preparation for surgery (residents, p = 0.01; attendings, p = 0.34) and had increased confidence following this exercise (residents, p = 0.01; attendings, p = 0.08). Significant improvement in global imagery score after use of the tool was shown by residents (p = 0.01) but not by the attendings (p = 0.08), with residents having lower imagery skills than attendings both pre-MP and post-MP. Reliability testing of the MIQ indicated internal consistency (pre-MPT, 0.91; post-MPT, 0.90). Conclusions MP may serve as a potentially effective, portable, and inexpensive resident surgical training tool in preparation for TAH. Attendings may benefit from certain aspects of MP. The MIQ may serve as a measure of imagery skills in future experiments of MP in preparation for surgery.

KW - abdominal hysterectomy

KW - gynecology

KW - imagery

KW - Medical Knowledge

KW - mental practice

KW - Patient Care

KW - Practice-Based Learning and Improvement

KW - surgical education

UR - http://www.scopus.com/inward/record.url?scp=85006173501&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85006173501&partnerID=8YFLogxK

U2 - 10.1016/j.jsurg.2016.10.005

DO - 10.1016/j.jsurg.2016.10.005

M3 - Article

C2 - 27825661

AN - SCOPUS:85006173501

VL - 74

SP - 216

EP - 221

JO - Journal of Surgical Education

JF - Journal of Surgical Education

SN - 1931-7204

IS - 2

ER -