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A Design Project to Teach About Smokeless Tobacco and Oral Cancer

 

IT 500 Course Design Project

 

 

Rhonda Schalk

4/10/2012

 

rschalk@siue.edu

 

 

 

For

Dr. Dave Knowlton

IT 500—Major Concept of IT


 

Introduction

The design I have planned through the course of this class has been a slide show on oral cancer with an emphasis on how smokeless tobacco can cause it. The reader will find four parts in this paper. The first part describes the initial ideas for the design including objectives and the background upon which I based the design. The second part shows how the design developed and changed throughout the semester. The reader will also see some of the theories and micro theories that influenced my plan. I include a consideration of creativity for the learner as well as how the learner will be assessed. The third part is a metaphor for the design process I have gone through. The final part is a reflection. Functions to set up the paper

 

Part 1: Initial Ideas for Design

At the beginning of this course, I planned on doing a lesson about health, specifically oral health, dealing with oral cancers. The focus of this lesson would be how tobacco use can cause oral cancer. The target audience would be high school aged students.

Objectives:

·         The students will demonstrate understanding about the consequences of tobacco use by listing 5 of these consequences.

·         The students will be able to list the signs and symptoms of oral cancer.

·         The students will explain why the dentist performs the intraoral and extra oral exam.

After collecting research about tobacco use and oral cancer and many non-copyrighted photographs I planned on creating a slide show to present information. Expert opinions and guidance should be obtained to help with the editing of the slide show. After thorough editing, the slideshow will be published in order for it to be used in a classroom setting or on the web for use without lecture.

Basis of Design Approach

Having gone through the elementary education undergraduate program at SIUE, whenever I need to present a formal lesson, I fall back on what I learned there. I think about what I would like my learners to learn, what equipment/supplies are necessary, and how I’m going to present the material in order for the objectives to be met. Although I don’t remember the exact formula we used, I believe I still understand the basics.

I wanted to try to apply some of Montessori’s philosophies as I am a trained instructor in Montessori Elementary Education. Montessori believed in letting the child guide their own learning with prompting from the directress (her word because we help direct the child appropriately). With this in mind, I hoped to give the child the chance to explore the slide show some on his own by making internal hyperlinks within the slide show.

I planned to include many pictures. The background for this comes from how I get interested in a subject just because of the pictures. In dental hygiene school, we were presented with many pictures. I can still identify conditions and syndromes because I became interested in what cause such a thing to happen. I also saw this in my children when looking at photos. If they are spectacular in some way, they always want to know more.

Part 2: the Development of the Design

Foreshadow the metaphor through this part using words like cutting the fat, adding nutrients

In this part, I describe how my design has changed throughout the semester. In part 1, I show that I have a basic idea. Here I show how learning about media, theories, creativity, and assessment helped me flesh out the design so that it could be sued in a learning situation.

Media

The media chosen for this presentation is a slide show presentation. When thinking of the best way to present the material, I chose the slideshow because there will be many photographs of lesions. I believe that by having many photos, the presentation is much more interesting to the student. Clark (2001) said that the media didn’t matter for the presentation that one could use any type of media and still be effective. He also said that it was “certain attributes of media” that can help the learner in the ‘cognitive processes’ (2001). With this in mind, I believe that using a slideshow presentation would be the best choice at this point in time. Literature synthesis by pulling something out of Kozma Of course, as media changes, hopefully the design will still be solid and can change with the times.

This choice has not changed since the beginning of the semester. I did consider creating a website, but felt that he slideshow would be just as effective and probably be easier to access in a classroom than something on-line. I also felt that a simple lecture about oral cancer accompanied by a textbook would not have as much appeal to today’s students. Literature synthesis by pulling something out of Kozma

Theory and Micro-theory

At first I didn’t think of any particular theories to apply toward my project. After looking at constructivist, cognitivist, and behaviorist theories of learning, I chose to concentrate mainly on cognitivist theory even though I do have some elements of constructivism. Initially after studying these theories, I thought that the constructivist theory would be best, but I was worried about finding an “authentic task” even though I agree with the concept and find it compelling to have something that the student feels is real. Within the cognitivist theory, it is mentioned that the learner should be lead or encouraged to think metacognitively about the topic. Where did this come from? This was a very hard point for me to come to grips with. Not that I didn’t understand it and its significance but that I didn’t know how to incorporate it. Did we read anything to incorporate metacognition, how did it work for me?

In presenting my information to the high school age students, I feel that it should be presented simply but without soft-peddling the effects of smokeless tobacco use. In thinking about the learner’s age and stage of learning according to Piaget (Blessing, 2011), what exactly does Blessing say? I would like to honor their logical mind that is able to think abstractly by making stopping points in the slideshow where there would be guiding questions. The guiding questions help create rehearsal at maintenance level (Knowlton, 2009). Give examples of maintenance questions and then more than maintenance They would encourage active participation among the students (“learning theories knowledgebase”, 2011). By using the guided questions, students, should come up with questions on their own about what they are thinking about tobacco use and oral cancer. In creating their own questions, the students are engaging in creativity by using the connect, reason, and absorb brainsets (Carson, 2010). More examples In doing so, the learner is then creating a better connection to what s/he already knows. This would be considered more elaborative/generative rehearsal (Knowlton, 2009). More examples Through this questioning, s/he is leading towards metacognition (Livingston, 1997). More examples

By the time students are in high school, they know that smoking can cause lung cancer. They have been presented with the fact that tobacco contains carcinogens that cause cancer but may not have connected what they know about smoke tobacco and smokeless tobacco. To help the students make this connection, I will start off using a KWL chart (Jones, 2007). Create synthesis between Jones and Carson This will encourage the learners to think more cognitively and metacognitively about tobacco use. The learners will be asked to write down

1.       (K) What they know about tobacco

2.       (W) What they want to know about tobacco, its use, and in particular smokeless tobacco

a.       Chew

b.      Snuff

c.       Snus

3.       (L) And after the show is complete: What they learned

This KWL chart can also be accompanied with a brainstorming session where the students help create the section on what they already know together to help facilitate thinking. This helps create a culture of current knowledge and help the teacher see what attitudes already exist. This comes from the situated Cognition micro-learning theory (Brown, Collins & Duguid, 1989)

The teacher should be willing to veer off a linear track in the lecture if the students so lead. In this, the students have some control of how they are learning if they come up with questions that may be relevant “later” in the lecture. To facilitate this style, hyperlinks will be included in the slideshow. In order to do so, the format of the slideshow will be PowerPoint. Kozma?

I also liked the idea of including “real world” applications to the lesson from the constructivist learning theory and the “authentic task” from the situated cognition micro-learning theory needs citations for several things in this sentence By creating real world applications and authentic tasks, I feel that it makes a greater connection for this age student. With this in mind, I would like to introduce a case study…a real person’s story (no names) of his/her oral cancer which would include pertinent facts such as tobacco use, photos of the lesions, prognosis. After the presentation, the students would have a chance to write a reflection paper on how they would feel if this was their story. The paper would be simple in that it would be like a journal where grammar, syntax and spelling would not count. Cite writing to learn? At the beginning of this semester would I have thought to have them write a reflection paper where grammar, etc. would not count? Bring in how this method changed by thinking.

By writing a reflective paper, the students might also be entering into the stream brainset from Carson’s CREATES Brainsets (Carson, 2010).

Another micro-theory that I would like to touch on in this presentation is Adult Learning Theory. Although the learners are still children, in a sense, they are also practicing to become adults. Many of the principles of learning apply to these students as well. According to Collins, the learner needs to be respected—we need to allow “for opinions to be voiced freely” (Collins, 2004, p. whatever). Within the slideshow there will be guiding questions, I believe that these will help the students feel as if they may voice opinions, The biggest thing, I think, that applies to high school students is showing them how the learning will benefit them (What’s in it for me?) (Collins, 2004). By having the students relate to the patient in the case study as if it were them, they hopefully, will connect to that person so they feel as if they have learned about something that could affect their lives personally. Go back to the discussion board for other adult learning papers. Synthesize with Carson. Synthesize with situated cognition how it fits nicely, circling back to that. Seems like an isolated moment in the paper.

Creativity maybe synthesize this into the micro-theory section because it’s redundant to tighten the structure of the paper and create stronger synthesis of the literature

At the beginning, I didn’t have any plan for allowing creativity within this presentation. I didn’t even consider it. Now, I understand that even with something as straightforward as oral cancer there needs to be some creativity allowed to help the learner integrate the information into his/her being.

The reflection paper mentioned above helps the student enter into the envision, as well as, the stream brainsets by playing a “what if” game (Strainchamps, 2011). After having viewed the slideshow they will be given a picture of a lesion in the mouth as well as a case study explaining the lesion. Their job is to pretend they are the patient. “What if this person was you?” might integrate above in the reflection Another activity under the envision brainset is to create a role play situation where the students can counsel each other: “What if your friend was addicted to tobacco and you were concerned about their health?”

In conjunction with the envision brainset, the role play activity could also work with reason, connect and evaluate. On Carson’s site she says about the reason brainset, “This is the state of purposeful planning…” (Carson). By planning how one would talk to a peer about quitting tobacco use, the students are activating their reasoning brain. They need to come up with ideas to help the person “see the light” about the evils of all tobacco use. By doing so, they are using metacognition and reasoning out what needs to be done.

To help the students enter the evaluate brainset, there will be a session after the role play where they discuss what worked or didn’t work in their persuasive arguments for quitting nicotine use. They will need to be able to discuss with their partner how they did in the arguments and evaluate themselves to see if they were indeed persuasive. They should write a short paper with this that also reflects what things they might do differently if they were placed into this situation in real life.

Assessment this might be better under micro-theory section with all that was said under creativity

In my objectives at the beginning of this course, I said that the students “will list” and will explain. (See top of paper) So for assessment, I need to continue to follow these objectives. Why? This is a more behaviorist approach. Needs to be defined if I feel that I need to do this. I feel that the objectives are solid and should remain.  Confusing because the rest in the assessment doesn’t hold onto the objectives. I said I would go toward more cognitivist or constructivist. In the real world our behavior isn’t guided by objectives.

For the task assigned on assessment, I would like to use the case study and students presenting their feelings on how they would feel if that case study were actually them. For assessment, I would follow my objectives by clearly having a rubric that states that during the role play, the students need to clearly state the signs and symptoms of oral cancer (they may use the photograph if it helps). They will also need to verbalize why it was important that the dentist who found this lesion performed the extraoral and intraoral exams. This follows Gulikers, et al, assessment results as well as their criteria and standards (Gulikers, Bastiaens, Kirschner, 2004).

Gulikers, et al mention the first part of assessment is an authentic task (Gulikers, Bastiaens, Kirschner, 2004). Opposite of objectives By having the students role play, they are given a task within a context approximating one that is performed in many different areas of life: in the dental office, in the doctor’s office a counseling session, in the home (Gulikers, Bastiaens, Kirschner, 2004). Getting away from objective

To help with social context in the assessment phase, the students will work together to create the role plays (Gulikers, Bastiaens, Kirschner, 2004). Do I mean that they will create the role plays or I will give them scenarios to role play? This helps lend authenticity to the task because in the dental office, the dentist, hygienist, assistants and patient all work together in identifying oral lesions and treating them.

The teacher will assess the role play using a specified rubric (although she will have control to change it as the situation deems). The students should also be involved in reviewing their peers whom they worked with on the task (Gulikers, Bastiaens, Kirschner, 2004).

As one will notice from the initial idea in part 1 tot eh creation of part 2, my design has morphed from a small idea with no principles guiding it to a larger scale plan led by the cognitivist theory and several pieces of micro-theories. Implementing ways for creativity within the learning environment was something that I have strived to do in the past, but now I have a concrete way using Carson’s brainsets to incorporate it into my design.

Part 3: The Nature of Design

Design is like cooking a casserole that I have no recipe for. I know how to cook and what types of things go well together, what he expects to see in part 2 is putting things together well: synthesis. Taking the CREATES stuff and integrating it into the micro-theory stuff. but cooking without a recipe means using knowledge I have and creating something new. I know the basic elements that I want to put in it, but I also have to know what I have in my pantry and refrigerator. For designing instruction, I know that I need to have a topic, need to know my audience, and I need to know about learning theories these are all of my basic ingredients.

So I know that I need to have something that is going to be the bulk of the casserole, like pasta…this is the theory behind the design. It has to have substance. It needs to be something that is going to fill my family (the audience) up. Having a strong learning theory behind a design gives it substance/weight. It helps create a valuable learning tool for the audience. Without a strong theory, the design might be weakened. To be able to use the best products from my pantry (the best theories) for my casserole (design) will help make it more palatable to the person digesting it and hopefully more nutritious. With more substance behind the theory the design will more likely be proven to be a quality learning experience.

There might be micro-theories to go with this that also lend substance? Was weight, but Dave said it waters it down…like maybe I want some cheese in it. As with adding cheese to a casserole to make it that much tastier, adding micro-theories to a design gives it that much more substance when it comes to the usability of the design. Now the design is more able to target the audience specifically so that, hopefully, the learning desired will happen. He said, is that what we are doing when cooking? Targeting things?

Then there are the vegetables. Gotta have the vitamins. It doesn’t matter which vegetables they are kind of like which media is going to be used. I know that some media are better for my design than others, but in the long run, I just need something. In creating a casserole, I know that I need to add as many vitamins as possible to help my family grown strong and stay healthy. In design, I must choose the vest media available to help facilitate learning. I believe that Clark was right in that the media doesn’t make learning happen, but I also feel that Kozma was right in that the right media can help speed learning along more efficiently (Clark, 2001; Kozma, 2001). Opportunities to add substance to this in a sense of engagement by thinking more carefully of the parallel structure of the two parts (2 & 3).

Then there are the spices. The spices are foundation of flavor to the casserole. The spices are like the concepts taught. Of course I need to have the concepts, otherwise what’s the point of the design? Although this is my last point, in cooking, I always add the spices first. This way they have time to seep into the dish giving it full flavor. In designing instruction, one of the first things I know I need is what concepts are going to be taught in the design. Did I address the content in part 2? Foreshadow the metaphor in part 2.

Not sure he sees the structure of how one prepares a meal being analogous to the structure of how one designs.

Reynolds said, “learn all the ‘rules’ and know when and why to break them” (2009). With my cooking analogy, I said that I know how to cook and what types of things go well together. By creating my own recipes as I am cooking, I’m applying the “rules” of cooking but also know that they don’t always apply. This is the same in design, I need to know that certain theories should be followed but I can mix it up a little if it works better for my design. Are there places in part 2 where breaking the rules are pointed out? Needs discussion of breaking rules in part 2.

Maybe take this part out of this section and just talk about how good cooks have someone taste test the dish along the way…As I create a new casserole, I find that I need to test it along the way. I need to make sure that it tastes good. Throughout this class, I have found that in creating a design, there has to be places to test it to make sure that it is viable. Norman mentioned the need to test out the new products before going to market (Norman, 1998). In creating the casserole, I could also follow Norman’s design steps:

1.       What should the product be? (What type of casserole?)

2.       Determine how it is to be used. (Is it a main dish or is it a side dish?)

3.       Test it out (do some tasting along the way to be sure there is nothing that needs to be added…more garlic anyone?) (Norman, 1998) Is this in part 2? Where is there a discussion of this? If not in part 4 can be put there, and say, I didn’t do this but should have.

I do realize that this analogy is not terribly creative. In following the design process, one is following a recipe of sorts. This sentence may need to be taken out. Do not trash this metaphor. Even in creating something new in the kitchen, there is a basic recipe in the back of my mind. There are always certain steps that need to be taken in both designing as well as cooking. That makes this a strong analogy if not an obvious one. The biggest limitation of this depiction is that it didn’t allow for other cooks in the kitchen. I have found through this class that I really need my peers to review my steps in the design process and keep me on the correct path.

Part 4: What I Have Learned and Personal Reflection

This section of the paper deals with what I have learned about design. It talks about how my thoughts have changed, or not. I also reflect on how the design experiences shows who I am.

At first I viewed designing as looking at the “problem”—what is it that I want to teach—and coming up with objectives then a strategy of achieving those objectives. I don’t know that this has changed so much. I still feel that in the design process, I need to find out what the problem does this go along with the metaphor, or is it just taking advantage of a situation. Feels a disconnect from earlier is and make a solution through use of clear objectives and a strategy to achieve them. Moor and Knowlton described basic model as similar to Instructional Systems Design (Moore & Knowlton, 2006). What I think that I have added to this is that it is a process of trial and error put this in terms of the metaphor as the design is being created as Edelson (2002) said, “design is a sequence of decisions made to balance goals and constraints” (p. 108). I know that I also need to test out the design in some fashion as described by Norman (1998) by taking it to my target audience before it’s a finished product. Could bring in the fact that I didn’t let enough people taste test the design before putting it out there or maybe that was what the discussion boards were for? This will save time in the long run by not thinking it’s complete and then having someone use it and find errors. By creating a prototype of the design and having members of the target audience complete the instruction (Norman, 1998), it gives me the opportunity to learn better ways to create learning opportunities (Edelson, 2002).

My part 1 of my design said that I would apply what I learned in elementary education courses as well as my Montessori training. Some of the theories that we have explored in this class were also introduced in the elementary education classes I took at SIUE in the early 1990’s such as the behaviorist theory. If we had learned cognitivist and constructivist theory, I don’t remember. What I learned and this can be seen in my part 2, about those two theories is that they are more based on getting the learner to think on a higher plane (Jonassen, 2001; Cobb & Bowers, 1999; Brown, Collins & Duguid, 1989). Don’t remember there was anything in part 2 about thinking on a higher plane. In taking the learner into a higher plane of thinking, they are able to assimilate the lesson into their being and therefore have learned more from it than just data dump/regurgitation method of the past. Destroys metaphor, chefs think on spiciness or sweetness. Can include the metaphor here. Don’t want the learner to throw up our meal?

I feel that by creating a way for the students to connect to the people who have contracted oral cancer through the use of smokeless tobacco, they are able to internalize the information better than if I had simply given them that information. As seen in my part 2, using a case study and a reflection paper, gives them the chance to use their logical minds that are capable of abstraction (Blessing, 2011). Lost the connection of what Edelson says we should learn when designing. Can I connect this back to Edelson? Which type of theory from Edelson? Although I did know that I needed to present the information in a manner that is consistent with this level, I didn’t think in terms of how they were going to internalize the information in a way that it would stick with them and, hopefully, help them lead healthy lives.

I also learned that, although the choice of media to facilitate the instruction is important, the specific media does not need to be constant with this design (Clark, 2001; Kozma, 2001). With all the fancy and fun media out there, it’s easy to get sucked into using the latest and greatest without consideration of what it is that we want our learners to learn. By keeping in mind Clark’s (2001) arguments “That any necessary teaching method could be designed into a variety of media presentations” (p. 206) I know that my basic design needs to be solid so that others may take it and use it with whatever media they have that can present the ides. The idea of using a slideshow has not changed over the course of the semester. With the media that is available currently, I feel that this is the best way to present it to the most people. Feels like part 2 material no personal reflection I could go with a Flash program, but that might not be something that all schools who I wish to market to could use. I believe that most schools have the capabilities to at least have a PowerPoint viewer. If this is not the case, they can simply print it out and use it in that manner.

For part 3, I learned that designing is a creative process just as cooking is. As different elements ingredients are added or subtracted it enhances the design so that what is served up is exactly what the learner has been craving…whether they knew it or not.

Because I am a Registered Dental Hygienist, I am very concerned with the health and well-being of people. I am most interested in the lives of children and young adults and how I can help them lead healthy happy lives. By creating a design where these young people learn about oral cancer and how it affects their whole being, I feel that I am able to be a strong influence in their lives. It is my hope that they internalize the consequences of poor choices and therefore choose to be healthy. The journey journey? I thought your metaphor was about cooking? that I have taken this semester has led me to understand how I can better help these people, and maybe even their parents through a solid design on oral health.

References are in the final draft

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