Assessment of Instructor Information Technology Self-efficacy on Online Course Delivery Modes and Design Methods in the Radiologic Sciences A Thesis Presented in Partial Fulfillment of the Requirements for the Degree Master of Science in the Graduate School of The Ohio State University By Stacey Copley, BSNM Graduate Program in the School of Allied Medical Professions The Ohio State University 2012 Thesis Committee: Nina Kowalczyk, PhD, Advisor Susan White, PhD Georgianna Sergakis, PhD ii Introduction Abstract The purpose of this study was to determine the current status of online education in the radiologic sciences, as well as the use of online educational tools, methods of delivery, and the instructor IT self-efficacy. This study provides information about the tools currently utilized in online education in the radiologic sciences as well as to provide information regarding information self-efficacy from the instructors’ perspectives. Methods An electronic survey instrument was created using Survey Monkey®, and invitations were sent to a random stratified sample of 365 educators, including instructors from Joint Review Committee accredited programs in radiography, radiation therapy, and nuclear medicine. Of these 365 invitees, 102 participants responded to the survey resulting in a 27.95% response rate. Of the 102 respondents to this survey, only 38 educators indicated they offer on-line courses. The survey results were then analyzed descriptive statistics, frequency values, and Spearman Rho correlation. Results Approximately two-thirds of the programs responding to the survey did not offer online core courses. However the institutions that do provide online core iii radiologic courses, most commonly reported using PowerPoint® and Flash® online tools for course delivery and BlackBoard® was reported as the most commonly used learning management system. Results from the survey demonstrated a significant relationship between the type of institution and the use of synchronous technologies suggesting that university-based programs were more likely to utilize this technology. Significant relationships were not identified for the remaining variables: IT self-efficacy and the instructors, age, years of teaching in higher education, years of teaching online, the use of asynchronous technologies or the use of synchronous technologies. Additionally, no significant relationship exists between the type of institution and the use of asynchronous technologies. Conclusion The utilization of the online education in the radiologic sciences has increased, but the traditional classroom setting is still the primary class style offering. PowerPoint remains the primary content delivery tool of choice, suggesting a need for educators to incorporate tools that promote student interactions and interactive learning. The results from the survey did not reveal a significant relationship between IT self efficacy and age, years of teaching, years of teaching online course and the use of synchronous and asynchronous technologies, but the small correlations identified suggests that the younger instructors have a higher IT self-efficacy. Additionally, no significant relationship exists between the type of institution and the use of asynchronous technologies. However, there is a significant relationship between the type of institution and the use of synchronous iv technologies. According to the literature, the demonstrated small negative correlations may indicate that a relationship exists if studies in a larger sample. v Acknowledgements I would like to give special, sincere thanks to my advisor, Professor Nina Kowalczyk, PhD, for without her expertise, guidance and patience this thesis would not have been completed. I would also like to give a special thanks to my committee members, Dr. Susan White and Dr. Georgianna Sergakis for their assistance and willingness to help and offer expertise. Additionally I would like to thank my manager, Robert Reid for his insistence that I attend graduate school. I would like to thank Christopher Scurlock for his support and computer assistance. Lastly, I would like to thank my parents, Charles and Leisa Copley for their continued support and always believing in me. vi Vita 2001…………………….. B.S. Nuclear Medicine Technology, Wheeling Jesuit University 2001-2005…………… Staff Nuclear Medicine Technologist, The Ohio State University Medical Center 2005-Present……….. Program Director, Nuclear Medicine Technology Education Program, Wexner Medical Center, The Ohio State University Fields of Study Major Field: Allied Medical Professions vii TABLE OF CONTENTS Abstract…………………………………………………………………………………………………………………… Acknowledgements………………………………………………………………………………………………….. Vita………………………………………………………………………………………………………………………….. List of Tables……………………………………………………………………………………………………………. List of Figures………………………………………………………………………………………………………….. iii vi vii ix x Discussion…………………………………………………………………………………………………… Limitations………………………………………………………………………………………………….. Conclusion…………………………………………………………………………………………………... Implications and Suggestions for Further Research………………………………………. 50 57 58 60 Bibliography…………………………………………………………………………………………………. Appendix A………………………………………………………………………………………………….. Appendix B………………………………………………………………………………………………….. Appendix C………………………………………………………………………………………………….. Appendix D………………………………………………………………………………………………….. 63 68 73 74 75 Chapter 1: Introduction………………………………………………………………........................... Background of the Problem………………………………………………………………. Significance of the Problem…………………………………………………………………. Research Questions…………………………………………………………………………… Definition of Terms………………………………………………………................................ Limitations……………………………………………………………………………………….... Chapter 2: Review of Literature……………………..……………………………………………… Introduction……………………………………………………………………………………... Theoretical Framework………………………………………………………………..……. Distance Education in the Radiologic Sciences…………………………..………… Instructional Technologies………………………………………………………………….. Course Structure and Content Delivery………………………………………………... Chapter 3: Methodology………………………………………………………………………………. Research Design…………………………………………………………………………………. Sample Selection………………………………………………………………………………… Instrumentation………………………………………………………………………………… Reliability and Validity……………………………………………………………………….. Data Collection…………………………………………………………………………………… Data Analysis……………………………………………………………………………………… Chapter 4: Results of Data Analysis……………………………………………………………………… Results ……………………………………………………………………………………………………… 1 1 2 3 3 5 7 7 12 14 16 21 26 26 27 28 29 30 30 32 32 Sample Demographic…………………………………………………………………………………... 32 Research Questions..……………………………………………………………………………………. 33 Chapter 5: Discussion, Conclusions, Implications………………………………………………… 50 viii List of Tables Table 1: Report of the number of online courses taught……………………………………………... Table 2: Learning Management systems……………………………………………………………………. Table 3: Method on online course development………………………………………………………… Table 4: Number of training hours before course implementation……………………………… Table 5: Number of training hours after course implementation………………………………… Table 6: Location of online course training………………………………………………………………... Table 7: The percent time used for different online technologies……………………………….. Table 8: Online tools utilized…………………………………………………………………………………….. Table 9: Assessment of Instructor IT self Efficacy……………………………………………………... Table 10: Relationship, correlation & p-value……………………………………………………………. ix 36 37 38 39 40 40 41 43 44 49 List of Figures Figure 1: Survey question- In the past five years, has your institution offered any online courses for the core curriculum in your radiologic sciences program……………. Figure 2: Survey Question – Do you offer fully online courses in your radiologic curriculum without face to face classroom session…………………………………………………. Figure 3: Survey Question – Do you offer hybrid or blended courses in your core radiologic sciences program………………………………………………………………………………….. Figure 4: Survey question – are the online courses also offered as face-to-face……….. x 34 34 35 36 Chapter 1 Introduction Background of the Problem Distance education is not a new phenomenon. It began in the 1700s utilizing U.S. mail as the method of delivery (Walker & Fraser, 2005). As the Internet has become more accessible, online education is a growing trend in higher education. Students can obtain access to a course at home, a work, at the library, as well as other areas offering online access (Johnston, Killion, & Oomen, 2005). According to the Sloan Consortium survey, in the autumn 2009 term, approximately 5.6 million students were taking at least one online course (Allen & Seaman, 2010). This is an increase from 2.35 million students taking online courses reported in 2004 (Kim, & Bonk, 2006). Although student success and satisfaction is a key factor in distance education, how are instructors adapting to this shift in instruction methods and designs? What are common course design resources and methods/modes of content delivery? A report from the Joint Review Committee on Education in Radiologic Technology (2009) indicated that approximately 7% of the accredited programs are providing online learning courses. Given the increase in the use of Learning Management Systems (LMS) and educational technology such as podcasts (Boulos, Maramba, & Wheeler, 2006) in medical education, should the radiologic sciences 1 consider adding more online courses for their students? For accreditation requirements with online learning, the same requirements for a physical classroom apply to the online classroom according to the JRCNMT. Some of the requirements include a safe learning environment, didactic assessment that is specific to the learning goals for nuclear medicine technology, as well as the course load should be representative of the credit hours required. The JRCERT requires in section1.15 of the Standards for radiography programs, that online courses provide methods of assessment to determine that the student who registered for an online class is the same student who completes that course work. Some examples of how to assess the methods include secure logins, pass codes or proctored exams. Significance of the Problem In the health sciences, medicine has taken the lead in utilizing educational technology. Furthermore, the use of online learning is gaining popularity within institutions of higher education, but radiologic science programs have not followed this trend, as it appears that traditional face-to-face learning is still the status quo in the radiologic sciences. The literature review indicates a growing number of educational technologies available for programs to adopt in order to serve a diverse group of students. In addition, it appears that the expectation of using technology in post-secondary education is on the rise. The use of on-line resources, as a primary source of learning or in conjunction with traditional educational methods, has been 2 shown to enhance student learning and encourage self-directed learning. Therefore, this study seeks to explore the types of learning management systems and course design methods currently utilized in the radiologic sciences; and to identify possible relationships between instructor information technology self-efficacy and demographic information. Research Questions This exploratory, survey research study will attempt to answer the following questions: 1. What is the status of distance education in the radiologic sciences? 2. What learning management systems are commonly used for on-line course delivery? 3. What are the common course design methods of content delivery? 4. Is there a relationship between the instructors' self-efficacy regarding information technology and: a. age? b. years of teaching experience? c. number of years of online teaching experience? d. extent of use with asynchronous technology? e. Extent of use with synchronous technology 5. Is there a relationship between the type of academic institution and the extent of use of: 3 a. asynchronous technology? b. synchronous technology? Definition of Terms Asynchronous course delivery The transmission and receipt of information do not occur simultaneously and learners are responsible for pacing their own self instruction and learning (Ruiz, Mintzer, Leipzig, 2006) Blackboard A learning Management System that is proprietary Blog or Weblog two types of Blog the Journal and filter style: the Journal style is an online journal or diary containing personal thoughts and opinions where as the Filter style posts links to websites followed by commentary (Weller, Pegler, Mason, 2005) Core Courses Professional educational content that reflects the disciplinespecific courses required by the professional community to supports clinical practice within a specific area of practice within the radiologic sciences. IT competency To breakdown IT Competency: IT referencing Information Technology and Competent defined by Dictionary.com as having suitable or sufficient skill, experience, properly qualified Learning Management Systems (LMS) - AKA course Management Systems a program used to create and manage online course (Vai, Sosulski, 2011) Moodle an Open Learning Management System – non proprietary Web based delivery 4 Online Course A course where most or all of the content is delivered online. Typically have no face-to-face meetings (Allen, Seaman, 2010, pp 5) Online Learning Also known as ELearning; refers to the use of internet technologies to deliver solutions to enhance knowledge and performance (Ruiz, Mintzer, Leipzig, 2006) Podcast audio of video delivered via RSS to a media player so that a person can listen and or watch the audio content or video at a time independent of when it was recorded (Boulos, Maramba, Wheeler, 2006) Rich Site Summary (RSS) is a format for delivering regularly changing web content. Many news-related sites, weblogs and other online publishers syndicate their content as an RSS Feed to whoever wants it (http://www.whatisrss.com/ retrieved on August 21, 2011) Self-efficacy is a self appraisal of one’s ability to master a task. Self –efficacy includes judgments about one’s ability to accomplish a task as well as one’s confidence in one’s skills to perform that task (Pintrich, P, Smith, D, Garcia, T, and McKeachie, W, 1991). Skype a program that allows video conferencing with both audio and video to provide an interactive meeting with two or more locations (Adams, 2011) Synchronous course delivery refers to real time instructor led online learning, where learners receive information simultaneously and communicate directly with other learners (Ruiz, Mintzer, Leipzig, 2006). 5 Traditional course delivery a course with no online technology used- content is usually delivered in writing or orally (Allen, Seaman, 2010, pp 5) WebCT A learning Management System that is proprietary Wiki from Dictionary.com: a web site that allows anyone to add, delete, or revise content by using a web browser Limitations Limitations of this survey include a possible low response rate due to e-mail spam filters and undeliverable e-mail invitations. The responses will be selfreported and will be based on the respondents’ perceptions of self- efficacy. Additionally, since the survey sample will include only a random sample of instructors from institutions that are programmatically accredited by the JRCERT and JRCNMT, the results of the survey may only be generalized to programmatically accredited radiologic science programs. 6 Chapter 2 Review of Literature When designing an online course the key concepts to consider are adult learning models, maximizing the use of technology provided, and maintaining an open mindedness about the change in instructor role. Selim (2007) identified three instructor factors that greatly affect the success of on-line learning: information technology (IT) competency, teaching style and attitude. IT competency and attitude seem to share a relationship in that competency sometimes begets attitude toward the use of technology for online courses. Teaching style also has a relationship to attitude, as the educator may need to change or alter one’s teaching style in order present content and facilitate learning in an online course. An individual’s behavior, attitude and social values can be shaped by the social environment in which they live, including the attitude and use of technical media (Schimitz & Fulk, 1991). Technology barriers are frustrating to those who are technologically insightful and even more so to those instructors who may be somewhat technophobic (Ezziane, 2007). Online courses pose possible disruptions with technical problems, therefore the instructor’s IT competency, such as the ability to perform basic troubleshooting tasks including adding a student to the class, password maintenance, and course modifications, play a crucial role in the student’s success 7 with online courses (Volery & Lord, 2000). IT competency also plays a role in instructor attitude as indicated by Tabata and Johnsrud (2008), who state that “faculty who have skills and technical support are motivated to participate in distance education, or conversely the lack of such support is a deterrent to participation in distance education” (pp. 636). They suggest that if an instructor should not feel adequately prepared to engage in distance education instruction, perhaps the instructor could begin by using a less technical option such as interactive television with audio – video capabilities and then move on to webbased delivery (Tabata & Johnsrud, 2008). An instructor’s attitude toward distance education activities and the use of technology can either have a positive or negative effect on student learning and success (Sun, et al, 2008). This research suggests that professional expertise should not be the only measures for selecting instructors for online teaching. Sun (2008) also determined that student performance was affected by the instructor’s attitude toward using network and computer technology for online course delivery. Students enrolled in an online class may experience feelings of isolation; therefore instructors can help the student to overcome these feelings by promoting the technology and offering different forms of office hours and contact methods (Volery & Lord, 2000). Instructors may also present motivational and attitudinal barriers towards the use of technology such as computer anxiety, technophobia and lack of IT 8 confidence (Childs, et al, 2005). With proper technical support, instructors may be able to overcome the above-mentioned barriers. Perhaps if IT confidence can be improved, then the attitude towards using different IT software for online education may also improve. Faculty may have concerns unrelated to technology that may also result in a negative attitude towards teaching an online course. Maguire (2005) suggests that faculty may be concerned about a lack of standards for distance education. Additionally many are concerned about the impact of on-line education on employment opportunities such as fewer jobs, a decrease in the need for full time faculty, and a decrease in the quality of the faculty. Additionally, Maguire (2005) reports that educators are concerned about the lack of time and institutional support required to develop and implement on-line courses. The lack of online course training and reduction in promotion or tenure may also affect faculty’s attitude toward teaching an online course. In contrast to the aforementioned barriers, Maguire (2005) also points out that the intrinsic motivator of personal motivation to use technology and intellectual challenge may have a positive impact on the attitude towards online teaching, since faculty also reported that online teaching had added to their overall job satisfaction. Motivators such as monetary incentives, credits toward tenure and promotion, technical support, and on-line course development training and management were also identified (Maguire, 2005). In addition, peer pressure, student pressure and community pressure may also 9 motivate educators to become more knowledgeable about distance education and increase their willingness to engage in this educational method. Peer pressure for educators may come from within the department, the employing academic institution, or a competing institution (Maguire, 2005). Educators may experience student pressure which has been noted not only by students’ preference for electronic communication, but also in their expectation of the availability of online libraries. Community pressure is stimulated from the expectation that local institutions of higher education participate in “cutting-edge” educational methods, as well as providing course access to all members within the community regardless of geographic location (Maguire, 2005). Perhaps if the administrative support is able to address these concerns, then teaching on-line courses may be a source of motivation for educators, therefore leading to a more positive outcome. Although the above-mentioned barriers and motivators may differ from one institution to the next based on the culture and mission of that institution, it is important to identify those areas of concern in the radiologic educational community. Many factors play a key role in course design. In order to make a successful transformation to the online learning environment, emphasis must be placed on the use of appropriate adult learning models, instructor competency and information literacy regarding the chosen content delivery technology. Teaching style and the willingness to adapt a teaching style becomes important in online learning environments. Educators often use an approach to instructing which he or she feels 10 is best for content covered and the student population, but educators are also often uninformed of current literature questioning traditional educational methods (Ezziane, 2007). Volery and Lord (2000) emphasize that instructors need to present an interactive teaching style as well as encouraging communication and interaction between fellow students and the instructor, regardless of the delivery method. Although attitude and technology are important to online education, the assessment of effective strategies is also important when determining what is best for online education. Gaytan and McEwen (2007) assessed faculty characteristics and maintenance of instructional quality; strategies used to asses online courses as well what types of assessments are perceived as effective with a questionnaire survey instrument. Some findings from the survey on effective online strategies include that more females are teaching online courses, as well as more females are taking online courses. The faculty is well experienced with more than five years of teaching experiences and at least three years of online teaching experience (Gaytan, McEwen, 2007). Additionally, the primary reason for enrolling in an online class was the distance from campus (37%) followed by working full time (26%), where as the preference to take online classes represented a much lower percentage at 8 percent (Gaytan, McEwen, 2007). As for effective online assessment of course work, feedback was a critical component in addition to the assignments being clearly defined and explained (Gaytan, McEwen, 2007). As online teaching continues, continued assessment of effective assessment strategies should be considered. 11 Theoretical Framework Bandura (1986) describes social cognitive theory as not being controlled by a singular force, but rather a “Model of triadic reciprocality in which behavior, cognitive and other personal factors, and environmental events all operate as interacting determinants of each other” (Bandura, 1986, pp 18). Social cognitive theory postulates that “If actions were determined solely by external rewards and punishments, people would behave like weathervanes, constantly shifting direction to conform to whatever momentary influence happened to impinge upon them” (Bandura, 1986, pp. 335), however he explains that self-motivation and self-efficacy results in individuals setting their own goals without the need for encouragement and the perception of the ability to achieve a task. In regards to self-efficacy and the age of instructors that may choose to teach online courses come into question in that it is often believed that “older people are uncomfortable with new forms of technology than younger people” (Czaja & Sharit, 1998, p 329). Czaja and Sharit (1998) reported that older people are often overlook for technology training and retraining. Often times the users acceptance of using a technology, whether is be a personal computer (PC), or even an ATM, is based on the users awareness of the technology’s purpose, features, if the technology meets the needs of the user, and availability and support (Czaja & Sharit, 1998). So the negative attitude towards using technology by older adults may be generally improved by having more experience and training (Czaja & Sharit, 1998). Perhaps if 12 an older instructor has negative attitude towards converting to an online course structure, the attitude can be improved by appropriate training and support. An online learning environment offers instructors the ability to create a learner-centered environment because on-line instructional models are designed to be student-centered learning experiences (Moallem, 2001). Collaborative learning theory postulates that the student is responsible for his or her own building of knowledge and the role of the teacher is to facilitate to the learning processes instead of serving as the a primary focus of learning (Nachmias, Mioduser, Oren, & Ram, 2000). Student involvement is essential to the learning activity and a collaborative learning model can be used in either a synchronous or asynchronous method of delivery. Web-technology can support collaborative learning processes; processes that are student centered in which the learners interact with one another to accomplish a task (Nachmias, Mioduser, Oren, & Ram, 2000). In the asynchronous online learning environment, the instructor can adopt the role as facilitator, allowing the students to create meaning from the assignment rather than the instructor telling the student what he/she should remember. These learning strategies are only effective if the instructor has a positive attitude and demonstrates a willingness to adapt to an on-line environment. Sandars and Haythornthwaite (2007) raise the concept of ecology, described as the “dynamic inter-relationships between organisms and their environment” (Sandars & Haythornthwaite, 2007, pp. 307), when considering the learning 13 environment. These authors relate education to the idea of evolution, but in this case evolution is referring to the evolution of technology and teaching styles rather than the evolution of an animal species. This concept of evolution references how learning has become more of a dynamic and active social development of knowledge formation that is “tacit and codified” (Sandars & Haythornthwaite, 2007, pp. 308). Tacit refers to knowledge gained by experience, whereas codified knowledge is knowledge gained by transmission, such as using a textbook for learning. Tacit knowledge is not easily found in a book or document, but tacit knowledge can be shared socially by methods of Wikis and blogs (Sandars & Haythornthwaite, 2007). Distance Education in the Radiologic Sciences Online education has become quite ubiquitous throughout the United States as well as many other countries throughout the world. Research often focuses on the educational technology; student needs and perceptions; and theoretical guides for consideration when designing online classes. But little is known about the current use of on-line learning in the radiation sciences and how instructors are adapting to this new teaching environment. According to a 2009 Joint Review Committee on Education in Radiologic Technology (JRCERT) report, of the 729 accredited programs in radiography, radiation therapy, medical dosimetry and magnetic resonance imaging, only 53 programs (7.2%) offer distance education. What types of technology can be used to help instructors adapt to this new teaching environment to increase the use of on-line learning? 14 Cauble and Chernow (1996) examined distance learning in the radiologic sciences. The results of this study suggested improvement in communication between faculty members and between students and faculty. Concerns were also raised about the appropriate use technology (Cauble & Chernow, 1996). Although the technology has changed over the past 15 years and the findings of this study may be outdated and irrelevant to the current academic environment, the use of appropriate educational technology must be managed for program success. A survey of radiologic technology students, nursing students and the faculty of these programs indicated the similar patterns of advantages and disadvantages of online learning course (Britt, 2006). An educational opportunity is provided for online classroom in that instructors can ask experts to be online guests to interact with students, where as the guest speaker may not be able to attend a traditional classroom meeting (Britt, 2006). A disadvantage for many instructors is that they were traditional face –to-face students before becoming professors, therefore technology may pose as a major stressor when engaging in online instruction (Britt, 2006). Another disadvantage posed to instructors, is that they lose the ability read facial expressions and body language when not engaging in a traditional face-to-face classroom, therefore an instructor may only be able to tell if a student has any struggles by comments on discussion boards or email. As for the student the primary advantage is that an online course provides a freedom not constrained by physical place and time. On the other hand a disadvantage to an online class is that 15 the pace can cause students to fall behind being that the student is now in charge ensuring that the work is completed. The survey results indicated that additional research is needed to evaluate student and faculty perceptions as individuals become more accustomed to online learning (Britt, 2006). After an online course in healthcare is created, it is must be periodically evaluated and updated. The Quality Matters Rubric (Donathan & Hanks, 2009) was developed to help redesign and address the issues of the number of emails received and time to respond to emails, student-to-student interaction and a reduction in time grading assignment. The course evaluations indicated that improvement is a progressive achievement. Collaboration with an instructional designer was suggested for improved course design and delivery (Donathan, Hanks, 2009). Johnston (2008) conducted a comparison of radiography student outcomes when participating in a traditional, face-to-face course to student performance in an online course in patient care and radiation protection. Student outcomes were evaluated using a t-test and ANOVA to determine if the variance in GPA and ARRT exam scores between the student populations was significant. The results indicated that the GPA difference was not statistically significant, but the ARRT exam scores indicated that the face-to-face class performed significantly better (Johnston, 2008). Instructional Technologies During the design of the course the instructor may choose to use a variety of instructional technologies. These include text, audio, animation, webcasts, audio 16 conferencing, instant messaging, and web-blogging, as well as podcasts, and other multimedia formats (Weller, Pegler, & Mason, 2005). Learning management systems (LMS) are programs or software that are utilized in creating and/or managing an online course (Vai & Solulski, 2011). They have the ability to create virtual learning environments for online courses, are also used in the development online universities, and may be used to track student progression within an on-line course (Coates, James, & Baldwin, 2005; Simonson, 2007). LMSs are ubiquitous at universities around the globe, adding a virtual aspect to traditional campus-based institutions (Coates, James, & Baldwin, 2005). Examples of learning management systems include technologies such as WebCT ®, Moodle™ and Blackboard ® (Dalsgaard, 2006). Two types of LMS are currently available: proprietary and open source. A proprietary learning management system is supplied by a single vendor purchased by the institution and requires a license from that vendor; Blackboard ® is an example of a proprietary LMS. An open source LMS is free and they are maintained by the users; Moodle™ is an example of an open source LMS (Simonson, 2007). When utilized to the fullest potential, many learning management systems provide a platform on which to build richly collaborative communities of learning around a particular subject matter. Conversely, some argue that the learning management systems are only an administrative aide and the instructor is responsible for building the content upon the constructivist theoretical principles 17 (Dalsgaard, 2006). Ideally the correct technology should effectively deliver the content and help to achieve the learning goals without distraction from the technology software. In addition to a learning management system, the instructor may also use learning tools such as podcasts, weblogs, instant messaging, wikis, go-to-meetings, webinars, rotisserie, and second life. Some instructors may even find a use for communicating with students via social media platforms such as Facebook (Mazer, Murphy, & Simonds, 2007). Weblogs are popular methods of communication and community building in an on-line environment. Weblog and Wikis although asynchronous in nature, still offer a more immediate form of communicating. The weblog can be either an online journal/diary or a post of links that allows a community to comment (Weller, et al 2005). There are three major categories of weblogs: grouped blogs, academic keeping blogs, and students using blogs. Students may use blogs for expressing thoughts, journaling, reflection or discussion on a subject; whereas the academic blog offers a fast approach to publication allowing other academics to instantly comment on the content. Lastly, the group blog can be set up for a set of students and allows the community to publish the blog and be recognized (Weller, et al, 2005). Weblogs are utilized in education as a means for sharing and discussion that allows for students to share to other students or the educator to share resources with students (Weller, et al, 2005). 18 Instructors may also choose to utilize Wiki as part of a collaborative online community. A Wiki is a website which allows all members to of a community to add and edit information to a particular website via a web browser. The Wiki may be student or instructor managed and provides a collection of web pages linked to each other (Beldarrain, 2006). In contrast to weblog, Wikis are organized more loosely and allow the students and instructors to be more collaborative (Beldarrain, 2006). Depending on the design, the online course can allow an instructor to choose between using Wiki’s and weblogs. Although Wikis have been noted to create a collaborative learning experience, some students adding content to the Wiki may feel disinclined to edit the posts by other classmates in order not to offend peers (Wheeler, 2010). Wikis and weblogs may only hold interest for a short period of time, therefore tailing off as the course session continues (Wheeler, 2010). The fivestage approach to developing wikis was intended to reduce the chaos and lack of structure a wiki can present, allowing students to remain engaged throughout the course (Wheeler, 2010). The Five Stage approach includes the following steps and associated activities:(1) exploration that includes orientation, basic principles, and making initial contact; (2) exhibition that includes show and tell, sharing of ideas and posting links to significant resources; (3) explanation which includes simple posting and editing, informing and describing details; (4) elaboration which includes collaborative posting complex editing and dialogue; and (5) evaluation which includes assessing value, accuracy and significance of content included 19 (Wheeler, 2010). While wikis pose a more collaborative place, they share a bond with using blogs that are more reflective in nature. Podcasts can be used in both online and blended classrooms. They do not require the use of an IPod, as they may also be viewed on any computer or handheld device that can play MP3 files and RSS feeds (Beldarrain, 2006). Podcasts allow users to sign up for their favorite or required feeds and notify the users when a new feed is available (Beldarrain, 2006). Podcast when used as video is referred to as a vodcast (Boulos, et al, 2006). One option for using podcasting in an on-line course is to have students create their own podcasts and upload them for group viewing (Beldarrain, 2006) or have groups provide a presentation in the form of a podcast/vodcast for other students and instructors to view. Podcasts are commonly used in medical school curricula to record lectures for review (Boulos, et al, 2006). Harvard Medical School introduced podcasts to enhance their student’s education in December 2005. In addition to using the podcast for lecture review; the student can also use word recognition software to search the archived lectures for pertinent information regarding a particular topic (Tinkelman, 2006). Some reasons to consider using podcasts in medical education as well as other education areas include the number of students who already use the technology, the ability to selectively replay certain parts for review, besides technology supports podcasts not only on the IPod, but many other devices such as laptop, tablet computers, and other handhelds (Sandars, 2009). Podcast usage for education utilizes the hearing 20 sensory for learning and retention. Additionally podcasts appeal to students with different learning styles, learning disabilities, English as a second language, and students who prefer to multitask (Sandars, 2009). With the flexibility and potential gains, podcasting is a technology for educators to adapt into online and or blended courses. Another interactive tool that can be used during instruction is Skype™. Skype™ provides people with a product that allows two or more people to text, voice and/ or video as a form of communication when they are at a distance, or down the hallway (http://about.Skype.com, 2011). Adams (2011) describes the use of this technology to allow the clinical coordinator to communicate with her/his students. Often times the clinical instructor cannot frequently visit an off campus clinical site due to travel budget restraints. Therefore, video conferencing, such as Skype can be used so that the clinical coordinator and the students can interact and review assignments (Adams, 2011). Tablet technology and recording/playback software such as Lecture123 allow students to record audio content as well as PowerPoint slides and download this information to a personal or tablet computers. The tablet computer offers an advantage over traditional methods because it allows the student to mark and post questions on the slides (Radosevich & Kahn, 2006). Student is also able to upload this content from the tablet to the Blackboard management system allowing peers to read, discuss and provide collaborative comments and peer feedback. These 21 activities promote a student-centered environment allowing students to take a control of their learning process (Radosevich & Kahn, 2006). Course Structure and Content Delivery Although a “plug and play” course design program would be efficient for the busy instructor, online course design must have instructor input. The instructor needs to keep in mind the medium of the course, the instructor’s role and the student’s role, and keep an open minded when reviewing course evaluation in order to make improvements to the course. Course design for distance education needs to consider course structure in addition to learning models. Course structure has two main elements, course goals /objectives and infrastructure (Eom, Wen, & Ashill, 2006). Course objectives are similar to that in a traditional classroom setting and the objectives should be included in the course syllabus. The syllabus may also include the type of expected student participation as related to the technology used for a particular online course (Eom, Wen, & Ashill, 2006). Infrastructure according to dictionary.com is the support or underlying basis or framework of a system, therefore online course infrastructure, is referencing the basics to how the course is structured and what technology is used to provide that structure. Course infrastructure reflects the user friendliness of the website and organization of course material (Eom, Wen, & Ashill, 2006). Technology user friendliness has an impact on both student and instructor satisfaction perceptions. LMSs provide a medium for instructors to create a course infrastructure (Debourgh, 22 2002). Instructional strategies for an excellent infrastructure are multimode instruction, for example: visual, aural, and text learning prompts; as well as interactive online discussion, coaching, collaboration, and lastly reflection and selfregulated learning (Debourgh, 2002). Course Infrastructure should include an LMS such as Blackboard ® or Moodle, in conjunction with alternate technologies such as podcasts, Wikis, and weblogs. With the Web 2.0 emergence allowing for more interactive sharing, RSS feeds allows Wikis and blogs to become easily editable, consequently social software is becoming part of the course Infrastructure (Martino & Odle, 2008). Designing an online syllabus is also important. An online syllabus should be similar to a traditional syllabus including basics such as course description, objectives, evaluation methods, and assignment of grades, required and recommended readings. Furthermore, the online syllabus should also include a communication plan; a clear explanation of course time frame and format; guidelines for class participation; technical requirements and support; and a course outline with start and end dates (Vai & Sosulski, 2011). Vai and Sosulski (2011) provide information on the unit structure for designing online courses breaking it down course into subsections, starting with the unit, then lessons, then sections, then segments. The authors also give insight to posting lecture notes in smaller subsections versus long notes or videos (Vai & Sosulski, 2011). The following concepts need to be given time and consideration during 23 course design: “(a) presentation of content, (b) instructor-student and studentstudent interaction, (c) individual and group activities, and (d) assessment of student performance” (Rovai, A., 2004, pp. 84). As discussed above, the instructor first must assess the goals or purpose of the class. After assessing the goals/purpose of the class and keeping in mind an appropriate learning model, the method of content delivery must be determined. Childs, et al (2005) discuss barriers and solutions for online education suggesting that online learning may be more effective utilizing a blended design of both traditional and online learning. The online component of a course may also be synchronous and asynchronous. A synchronous class presentation means that thing is happening at the same time where as an asynchronous class presentation means that things are happening at different times (Vai, Sosulski, 2011). Branon and Essex (2001), suggest the following uses of synchronous course content delivery: holding virtual office hours, brainstorming activities, community building opportunities, team decision making, or possible technical issues. In contrast, asynchronous activities are excellent when communicating with diverse students, to facilitate ongoing discussion with archival requirement, and when asking students to reflect on a topic prior to responding, thus allowing more thoughtful in-depth discussions (Branon & Essex, 2001). If the goal of the course is not to be blended with a traditional classroom setting, then a blending between both synchronous and asynchronous methods will allow the instructor to offer multi modes of content delivery as well as consider different 24 learning styles. Learning goals is key to using technology is education. Martino and Odle (2008) provide student-centered teaching strategies when using technology focusing on active learning. In this learning environment, students are confronted with a problem and must apply knowledge onsite. For example, a radiologic science student can better learn the applied math by calculating the doses in the clinic al environment versus completing math problem from a workbook (Martino & Odle, 2008). 25 Chapter 3 Methodology Research Design This exploratory, survey research study is a descriptive analysis of the status of on-line education in the radiologic sciences in reference to course delivery, design, and resources. It evaluates relationships between instructors’ perceptions of information technology self-efficacy and instructor age, years of experience teaching in higher education, years of experience teaching online courses and the extent of use with asynchronous and synchronous technologies. It also assesses if a relationship exists between the type of educational institution and the extent of use of asynchronous and synchronous technologies. This study was determined to be exempt by the The Ohio State University Institutional Review Board. A web based survey to radiologic science educators provided data in reference to the following research questions: 1. What is the status of distance education in the radiologic sciences? 2. What learning management systems are commonly used for on-line course delivery? 3. What are the common course design methods of content delivery? 4. Is there a relationship between the instructors' self-efficacy regarding 26 information technology and: a. age? b. years of teaching experience? c. number of years of online teaching experience? d. extent of use of asynchronous technology? e. extent of use of synchronous technology 5. Is there a relationship between the type of academic institution and the extent of use with use of: a. asynchronous technology? b. synchronous technology? Sample Selection Participants of the survey consist of a random stratified sample of 373 educators, including instructors from Joint Review Committee accredited programs in radiography, radiation therapy and nuclear medicine. This population was chosen because they are the major decision makers regarding the adoption of online education in the radiologic sciences. The educational institutions solicited for this study represent programs at the baccalaureate degree, associate degree, and certificate level. The names and email addresses of radiologic science program directors were obtained from the JRCERT and JRCNMT and the list of educator’s names and addresses were reviewed to assure duplicates were purged and selection 27 error was controlled. A goodness of fit Test will be performed to assess the observed and expected values. After the list of all JRC programs was obtained, a power analysis to determine the effect size was determined using RatStats. Of the 813 programs 150 programs were randomly selected to participate in the survey. Information regarding the current projected number of online radiologic science programs for the power analysis was determined by comparison with online nursing programs in the United States. An online search of accredited nursing programs (American Association of Colleges of Nurses, 2012; All Nursing Schools, 2012) offering online courses was conducted to determine the appropriate number of programs required for this study. Based on this analysis, a stratified random selection of programs was selected using the Microsoft Excel randomization function based on the discipline (radiography, nuclear medicine and radiation therapy) and type of institution (baccalaureate degree, associate degree, and certificate level). Individual instructor e-mail contact information from the randomly selected programs was obtained from the specific institutional websites. Instrumentation The survey instrument used is adapted from the U.S. Department of Education National Center for Education Statistics Distance Education at Postsecondary Institutions Survey (2007); research conducted by Gaytan and 28 McEwen (2007) regarding effective online instructional and assessment strategies; and the Motivated Strategies for Learning Questionnaire (MSLQ) (Pintrich, et al, 1991). Demographic information was adapted from the Gaytan and McEwen (2007) survey to correspond to radiologic science educators. The survey instrument is comprised of four sections (Appendix A). The first section determines the status of on-line education in the radiologic sciences. It consists of 4 questions to be evaluated by responding “yes” or “no” and one question to report frequency. Section two determines the percentage of time the instructor utilizes various course delivery technologies as well as well as identify the on-line Learning Management Systems and delivery tools used in their on-line courses. This section is designed using a continuous scale of time from 0%-100%, multiple choice, frequency and open-ended questions. Section three uses 7 questions adapted from the MSLQ to identify the instructors’ self-identified information technology selfefficacy scores. This section is evaluated by “yes”, “No”, “Part of the time”. The fourth section solicits demographic information, which includes age, type of institution, IT support, professional discipline, campus structure, and years of experience in higher education, years of experience teaching on-line courses, and training in on-line technologies. Reliability and Validity Gaytan and McEwen’s (2007) instrument revealed an internal consistency of 29 0.86. The calculation of a Cronbach’s alpha greater than 0 .7 demonstrates a strong correlation between the research questions items (Ary, Jacobs, Razavieh, 2002). Content and face validity was also previously established through a pilot study conducted by Gaytan and McEwen (2007) prior to the large survey administration. Data Collection The survey was developed and implemented on Survey Monkey ™, providing the educators with an easy mechanism of completing the survey. An email announcement was mailed to the stratified random sample of educators from accredited radiologic science programs in the United States describing the research study and providing a link to the Survey Monkey ™ site for the survey (Appendix B). One reminder emails was sent two weeks after the initial invitation and included the website address to access the survey (Appendix C). All data was collected through Survey Monke™ and transferred to an Excel® spreadsheet and statistically analyzed using SPSS.19®. Data Analysis The reliability of the survey instrument was analyzed for reliability at the completion of the web based survey. Section 2 of the instrument, Technologies & Design Resources/Methods of Delivery demonstrated acceptable internal consistency with a Cronbach’s alpha α= 0.672. Section 3: IT Self-efficacy 30 demonstrated high internal consistency with a Cronbach’s alpha α= 0.767. The calculation of a Cronbach’s alpha greater than 0 .7 demonstrates a strong correlation between the research questions items (Ary, Jacobs, Razavieh, 2002). A field test of the instrument was conducted for content validity and face validity by a panel of four experts in radiography education. The frequencies were reported (Yes/No) for Section 1 to answer research question 1 regarding the current status of on-line education in the radiologic sciences. In terms of the LMS currently in the use, research question 2, frequencies were reported from Section 3, question 1, based on the five most common platforms currently available. Research question 3 is addressed by reporting means, standard deviations, and distribution spreads using the continuous scale of time percentages captured in Section 2 and the course delivery tools used as listed in section 3, question 2. The relationships between the dependent variable and independent variables in research question 4 were analyzed using Spearman rho correlation coefficient. Any item with a p level less than .05 is considered to be statistically significant. Relationships between academic institution type (certificate, AS, BS) and the methods of on-line course delivery, research question 5, were evaluated using Spearman rho correlation. The Spearman rho calculation was chosen because of the non-parametric measure of dependence between variables (Archambault, 2000). 31 Chapter 4 Results of Data Analysis The electronic survey questionnaire was emailed to 373 educators, including instructors from Joint Review Committee accredited programs in radiography, radiation therapy and nuclear medicine. Of the 373 invitations sent, one was returned as undeliverable and seven were rejected by the recipient, thus the final sample size was 365 individuals. The survey was open for four weeks, with one reminder email sent two week following the initial invitation. Of these 365 invitees, 102 participants responded to the survey resulting in a 27.95% response rate. Of the 102 respondents to this survey, only 38 educators indicated they offer on-line courses. Of those 38 respondents, 12 surveys included incomplete data so the results reported in some areas of this study are only based on a sample size of 26 educators. Sample Demographics The age of respondents ranged from 21- 70 years of age with the majority of respondents between the ages of 40 – 60 years. In terms of the area of primary discipline, the majority of the respondents are educators in radiography (90.0%), followed by nuclear medicine (7.8%), and radiation therapy (2.2%). The majority of the respondents are employed at a two year community or Junior college setting 32 (58.9%), followed by educators at a four year university (17.8%), and employment in a hospital based program (16.7%). In reference to the campus structure, the majority of respondents (83.3%) are employed on-site at a main college or university campus. A goodness of fit test was run on the observed and expected values between discipline and institutional type. The goodness of fit test resulted in a p-value of 3.6E-05 and a chi-square value of 25.7473. The results suggest that the institutional type for 4- year (BS) programs are over represented with the observed value of 17 and the expected value of 11.4. Whereas the institutional type for hospital based (certificate) programs was slightly under represented with the observed value of 16 and an expected value of 26.4. The years of teaching experience in higher education ranged from 1- 40 years with the majority of respondents having less than 20 years of experience. Additionally, the majority of respondents (52.8%) have also never taught an on-line course. Of those respondents who have taught on-line courses, the majority (76.7%) have been teaching on-line courses for 5 years or less. Please see Appendix D for a summary of demographic information. Research Questions What is the status of distance education in the radiologic sciences? Approximately one third of the respondents (38 respondents) had offered online courses in the past five years. 33 Figure 1: Survey question- In the past five years, has your institution offered any online courses for the core curriculum in your radiologic sciences program Of these educators who reported experience teaching on-line courses, only 36.4% stated that they offer fully online courses, whereas the majority of programs (78.8%) offer hybrid or blended courses. Figure 2: Survey Question – Do you offer fully online courses in your radiologic curriculum without face-to-face classroom session. 34 Figure 3: Survey Question – Do you offer hybrid or blended courses in your core radiologic sciences program The respondents were asked to report the number of fully online core courses and the number of hybrid or blended core courses. As for the fully online core courses, more than half of the educators responding to the survey (54.5%) have not taught a fully online core course, although 6.1% have taught more than 5 fully online core courses. In reference to hybrid and blended core courses, more than a quarter of the educators responding to the survey (27.3%) have not taught a hybrid or blended course, where as 30.3% of the educators responding have taught only 1 course. None of the educators responding to the survey have taught more than 5 online core courses. 35 Assessment of Online Education in the Radiologic Sciences Please report the number of on-line core radiologic science courses that you teach within your curriculum. Answer Options 0 1 2 3 4 5 More Respon than 5 se Count Fully on-line courses without face-to-face 18 9 3 1 0 0 2 33 classroom time. Hybrid or blended core courses. (combination 9 10 5 7 1 1 0 33 of online and face to face classes) answered question 33 skipped question 69 Table 1: Report of the number of online courses taught The final question regarding the Status of Online Education in the Radiologic Sciences inquired to whether the online core course also had an equivalent traditional face-to-face course. A majority of the educators programs (81.8%) do not offer an equivalent traditional face-to-face course. Figure 4: Survey question – are the online courses also offered as face-to-face 36 What learning management systems are commonly used for on-line course delivery? In regards to Learning Management Systems (LMS), Blackboard® was the most frequently used system with 53.8% of the respondents reporting the use of this LMS. This was followed by 19.2% of the respondents reporting use of Desire to Learn. WebCT and Moodle both had a response of 7.1%, with no respondents choosing to use Learning Space. Those respondents who chose the “other” option wrote in the following learning management systems: Angel, Google Docs and CE6. Assessment of Online Education in the Radiologic Sciences What Learning Management System(s) does your program use? (Choose all that apply) Answer Options WebCT BlackBoard Learning Space Moodle Desire to Learn Other (please specify) Response Percent Response Count 7.7% 53.8% 0.0% 7.7% 19.2% 23.1% 2 14 0 2 5 6 answered question skipped question 26 76 Table 2: Learning Management systems What are the common course design methods of content delivery? Results of this survey indicate that the majority (96.2%) of on-line courses are developed by the instructor for the specific course. 37 Assessment of Online Education in the Radiologic Sciences How did your program acquire and/or develop the online course content? (Choose all that apply) Answer Options Response Response Percent Count Developed by faculty within your institution Developed in collaboration with other postsecondary institutions Acquired from textbook on-line resources Acquired from licensed commercial vendors of on-line programs Other (please specify) 96.2% 3.8% 25 1 26.9% 3.8% 7 1 3.8% 1 answered question skipped question 26 76 Table 3: Method on online course development Textbook online resources were the second most frequent method with 26.9% of the respondents using this method of content delivery. Very few educators report collaboration with other postsecondary institutions or the use of a licensed commercial vendor in the development of the course content and delivery. Only one respondent indicated institutional support in the course delivery design stating that his/her institution has a “Center of Teaching Excellence (CTE) that research and collaborate to set up the system for the facility”. Educators report that although they may be required to design the on-line course, the majority (80.8%) did receive training prior to course implementation. 38 Assessment of Online Education in the Radiologic Sciences How much initial training did you receive regarding on-line technologies prior course implementation? Answer Options Response Response Count Percent 0 1-4 hours 5-10 hours 11-20 hours 21-40 hours Greater than 40 hours 19.2% 34.6% 19.2% 11.5% 0.0% 15.4% answered question skipped question 5 9 5 3 0 4 26 76 Table 4: Number of training hours before course implementation Approximately one third of the respondents indicate he/she attended 1-4 hours of training prior to the course implementation. Approximately 20% of the respondents received 5-10 hours of training, followed by 15.4% of the respondents attending greater than 40 hours of training prior to course implementation. Interestingly, however, almost half the respondents did not receive additional training regarding online technologies after the online course was implemented. 39 Assessment of Online Education in the Radiologic Sciences How much training did you receive regarding on-line technologies after course implementation? Answer Options 0 1-4 hours 5-10 hours 11-20 hours 21-40 hours greater than 40 hours Response Percent Response Count 42.3% 26.9% 11.5% 3.8% 11.5% 3.8% 11 7 3 1 3 1 answered question skipped question 26 76 Table 5: Number of training hours after course implementation Those that did receive post-implementation training reported attending 1-4 hours of training after the online course was implemented. Only one respondent received greater than 40 hours of training after the online course was implemented. The actual location of the online technologies training was most often an on-site workshop. Assessment of Online Education in the Radiologic Sciences Where did the on-line technology training occur? Answer Options On-site workshop Vendor site workshop CE conference Formal educational course Other (please specify) Response Percent Response Count 50.0% 7.7% 11.5% 7.7% 34.6% 13 2 3 2 9 answered question skipped question Table 6: Location of online course training 40 26 76 Lastly, in terms of information technology support for on-line technologies, all of the respondents report the presence of “institutional IT support”, with 23.1% indicated IT support at the departmental level. In reference to course design resources/ methods of delivery, the respondents were asked to indicate the amount of time they use each of the different technologies in their online courses. Assessment of Online Education in the Radiologic Sciences What percentage of time do you use the following technologies in your courses? Answer Options Asynchronous internet based technologies where transmission and receipt of information does not occur simultaneously; students responsible for self pacing. Synchronous internet based technologies where learners receive information simultaneously and communicate with other learners; real time instructor led online learning. Two way interactive video/ audio (example: Skype or compressed video) One-way prerecorded audio/video (example: Interactive TV, podcasts, or webcasts) Wikis (a website that allows students and instructors to add, delete or revise content while using a web browser) Blogs(student led or Instructor led) Discussion/message boards Chat 0% 125% 2650% 5175% 76100% Response Count 9 5 4 3 5 26 16 5 2 0 3 26 20 3 2 0 1 26 11 12 1 1 1 26 21 3 1 0 1 26 19 5 18 5 7 5 1 6 3 0 6 0 1 2 0 26 26 26 answered question skipped question Table 7: The percent time used for different online technologies 41 26 76 From the choices provided, the most frequently used technology was “Discussion and Message Boards”. Approximately 80% of the respondents report utilization of discussion boards in their online courses; however this technology is not heavily used as a means of student interaction. Approximately 62% of the respondents report use of this technology less than 50% of the time allotted in the online course From the choices provided, the second most frequently used method of content delivery was “Asynchronous technologies”. The majority of educators (65.4%) responding to the survey do use asynchronous technologies in their on-line learning programs. However, only 30.8% of the respondents report using asynchronous technologies greater than 50% of the time in the online course. “Synchronous” internet technologies were utilized less frequently with only 38.5% of the respondents reporting use of synchronous internet technologies in online courses. “One-way Pre Recorded Video-Audio” technologies such as interactive TV, podcasts and webcasts were used by approximately 58% of the educators responding to the survey. However, the majority of those responding use of one-way pre recorded technologies only used the technology for 25% of the time allotted for the online course. “Two-way Interactive Video-Audio” content delivery systems such as Skype or compressed video are not common methods of content delivery. The technology was only used by 23% of the educators responding to the survey, with 83% of those reporting use of the technology less than 50% if the time 42 allocated for the on-line course. Additionally “wikis” and “blogs” were rarely utilized in on-line learning courses. Blogs are only used by 7.7% of the respondents and Wikis are used by less than 4% the educators responding to this survey (Appendices O). The use of chat rooms also ranked low with 69.2% of the respondents choosing not to utilize chat rooms in their online courses. The delivery tool used most frequently in the online programs is Microsoft PowerPoint with 92.3% with of the respondents reporting use of this software program. Assessment of Online Education in the Radiologic Sciences What delivery tools do you use in your on-line programs? (select all that apply) Answer Options Power point Student response systems Wiki Blog Prezi Adobe Flash Soft Chalk interactive whiteboards Second life Elluminate Other (please specify) Response Percent Response Count 92.3% 30.8% 3.8% 7.7% 15.4% 34.6% 7.7% 7.7% 0.0% 7.7% 15.4% 24 8 1 2 4 9 2 2 0 2 4 answered question skipped question Table 8: Online tools utilized 43 26 76 Approximately one third of the respondents report use of Adobe Flash (34.6%) and student responses systems (30.8%). Prezi was used by 15.4% of the respondents followed by “Soft chalk” and “Elluminate” which are used by 7.7% of the respondents. “Second Life” was not used by any of the educators responding to this survey. Other delivery tools mentioned by educators include the use of “Panopto”, “Camtasia” and “Wimba”. Assessment of Online Education in the Radiologic Sciences Rate your level of confidence for each of the following: Answer Options I am confident in my IT literacy needed to teach online course content I am confident in my ability to utilize a learning management system to create an online courses I am confident that I will do an excellent job in delivering on-line course content to my students I am confident in my ability to create and monitor wikis in the online course for my students I am confident in my ability to create and monitor discussion boards in the online courses I am confident in my ability to create and monitor blogs in the online course for my students I have greater than or equal the confidence teaching an online course as compared to teaching a traditional face-to-face course Yes No N/A Response Count 2 Part of the time 8 16 0 26 19 2 5 0 26 16 1 9 0 26 5 10 3 8 26 19 1 5 1 26 7 8 3 8 26 11 9 6 0 26 answered question skipped question Table 9: Assessment of Instructor IT self Efficacy 44 26 76 Is there a relationship between the instructors' self-efficacy regarding information technology and age, years of teaching experience, number of years of online teaching experience, use of asynchronous technology, and use of synchronous technology? In terms of educator confidence in learning and using a learning management system (LMS), 73% of the respondents in this survey reported they were comfortable utilizing the LMS. In addition, 73.1% of the educators also felt confident in his/her ability to create and monitor discussion boards in the online course for students. The majority of the respondents (61.5%) reported feeling confident in IT literacy necessary for teaching an on-line course and feeling confident in his/her ability to excellently deliver online course content to students. In terms of confidence teaching an online course in comparison to teaching a traditional face-to-face course, respondents were almost equal with a small majority of the respondents (42.3%) always feeling equally confident, 23.1% feeling equally confident part of the time and 34.6% not feeling equally confident. Additionally, only 26.9 % of the respondents felt confident creating and monitoring blogs and only 19.2% of the respondents felt confident in monitoring wiki’s. For statistical analysis, a self-efficacy score was calculated for each respondent by calculating the average of responses to question 15. Is there a relationship between the instructors' self-efficacy regarding information technology and age? 45 A relationship between respondent perceived self-efficacy and age was evaluated using a Spearman rho correlation coefficient (r=- 0.151, p=0.462). No significant relationship was identified between IT self-efficacy and age, however, the small negative correlation suggests that IT self-efficacy is higher in younger educators. Is there a relationship between the instructors' self-efficacy regarding information technology and years of teaching experience? A relationship between respondent perceived self-efficacy and age was evaluated using a Spearman rho correlation coefficient (r= - 0.041, p=0.840). No significant relationship identified between IT self-efficacy and years of teaching higher education. However, the weak negative correlation may suggest that IT self-efficacy is higher in educators that have been teaching fewer than ten years. Is there a relationship between the instructors' self-efficacy regarding information technology and years of teaching online courses? A relationship between respondent perceived self-efficacy and years of teaching an on-line course was evaluated using a Spearman rho correlation coefficient (r= 0.046, p=0.823). No significant relationship was identified between IT selfefficacy and years of teaching online courses. However, the weak negative correlation may suggest that IT self-efficacy is higher in educators that have been teaching online courses for fewer than 10 years. Is there a relationship between the instructors' self-efficacy regarding information technology and the extent of use of asynchronous technologies? 46 A relationship between respondent perceived self-efficacy and use of asynchronous technologies was evaluated using a Spearman rho correlation coefficient (r= 0.197, p=0.334). No significant relationship was identified between IT self-efficacy and the extent use of synchronous technologies However, the small positive correlation suggests that those educators that use asynchronous technologies also have higher IT self-efficacy. Is there a relationship between the instructors' self-efficacy regarding information technology and the extent of use of synchronous technologies? A relationship between respondent perceived self-efficacy and the use of asynchronous technologies was evaluated using a Spearman rho correlation coefficient (r= - 0.073, p=0.724). No significant relationship was identified between IT self-efficacy and the extent of use of synchronous technologies (Appendix R). However, the weak negative correlation may suggest that those educators that use synchronous technologies do not have higher IT self-efficacy. Is there a relationship between the type of academic institution and the extent of use with asynchronous technology? A relationship between the type of academic institution and the use of asynchronous technology was evaluated using a Spearman rho correlation coefficient (r= -0.259, p=0.201). No significant correlation was identified between the type of academic institution and the extent of use of asynchronous technology. However a small negative correlation was identified suggesting that asynchronous 47 technologies are used more frequently by hospital-based and community college programs, than by four year University programs. Is there a relationship between the type of academic institution and the extent of use of synchronous technology? A relationship between the type of academic institution and the use of synchronous technology was evaluated using a Spearman rho correlation coefficient (r= 0.454, p=0.020). A significant correlation was identified between the type of academic institution and the extent of use of synchronous technologies. This finding suggests the use of synchronous technology is utilized more frequently by institutions offering a baccalaureate degree in the radiologic sciences than programs offered through a hospital system or community/Junior college. 48 Relationship between Instructor’s IT self efficacy: Age Years of Teaching Experience in higher Education Years of Experience teaching online courses The extent of use with Asynchronous technologies The extent of use with Asynchronous technologies Correlation Coefficient P-Value -0.151 -0.041 0.462 0.840 -0.046 0.823 0.197 0.334 -0.073 0.724 Relationship between Correlation Coefficient Type of Academic Institution: The extent of use with -0.259 Asynchronous technologies The extent of use with 0.454 Asynchronous technologies Table 10: Relationship, correlation & p-value 49 P-Value 0.201 0.020 Chapter 5 Discussion, Limitations, Conclusions and Implications Discussion The use of online education has increased in colleges and universities across the United States; however most of the research conducted regarding online education seeks information from the perspective of the students. This survey and research focused on the instructors’ perspective of online education. One goal of the research study was to determine the current status of online education provided in the radiologic sciences. The survey instrument requested radiologic technology instructors to identify online teaching activities, mode of instruction, design tools, as well as his/her IT self-efficacy related to instructional technology used in online course. According to the Sloan Consortium survey, in the autumn 2009 term, approximately 5.6 million students were taking at least one online course (Allen & Seaman, 2010). An increase in the use of Learning Management Systems (LMS) and educational technology such as podcasts in medical education was also reported by Boulos, Maramba, and Wheeler (2006). The majority of educational institutions responding to this survey reported Blackboard® as the most frequently used learning management system. Since Blackboard® is a well established LMS with a 50 strong presence in post-secondary institutions and has recently acquired both Angel and WebCT learning management systems, this is not a surprise. In most instances, the LMS resides with the institution, not the specific educational program. This may change over time as institutions update the LMS programs across the entire enterprise to more robust systems in the future. A 2009 report from the Joint Review Committee on Education in Radiologic Technology indicated that approximately 7% of the accredited programs are providing online learning courses. Although, the current survey results suggest that the use of online distance education is still not prevalent in radiologic science education, it does suggest an increase in online course activity in the past three years. Of those responding to this survey, thirty-eight educators representing 28 radiography programs, stated that that his/her institution offered online courses. In 2009 Approximately 7% (48 programs) of JRCERT accredited radiography and radiation therapy programs offer online courses. From this survey, the 28 programs represent approximately 19% of the 150 programs randomly selected offering online course, resulting in an increase of approximately12%. However, only a minority indicated they offered fully online courses, as over 75% of the educators reporting use of online activities stated the activities were incorporated in a hybrid format within the radiologic sciences. Therefore, one may conclude that radiologic science educators are neither early nor late adopters of online educational technology, but perhaps fall in the middle of this continuum. 51 According to Debourgh (2002), instructional strategies for online courses should include visual, aural, and text learning prompts. These consist of interactive online discussion, coaching, collaboration, reflection and activities that promote self-regulated learning. Results from this survey suggest that radiologic science educators have not fully made a transition to interactive technologies, as 92.3% with of the respondents identified Microsoft PowerPoint as the delivery tool used most frequently in the online programs. Although this method helps to depart important information, it does not promote interactive learning. According to Weller, Pegler, and Mason (2005) online course instructors should use a variety of instructional technologies such as text, audio, animation, webcasts/podcasts, audio conferencing, instant messaging, and web-blogging. On the bright side, results of this survey also indicate that radiologic educators are slowly making a transition to incorporating alternative interactive online learning strategies. Approximately one third of the respondents report use of Adobe Flash (34.6%) and a few respondents report the use of other delivery tools such as Prezi, Soft Chalk, Elluminate, Panopto, Camtasia and Wimba, which do promote student interactivity. In addition, one of the most frequently used instructional strategies in the radiologic sciences is discussion boards with 80% of the respondents reporting utilization of this strategy in their online courses at least 50% of the time. However, live discussions via synchronous communication were rarely reported to be used in online radiologic science courses. Asynchronous discussions were used by the majority of educators 52 (65.4%) responding to the survey. The use of wikis and blogs in on-line learning courses was also quite low, perhaps due to the facts that they may only hold interest for a short period of time as stated by Wheeler (2010). Podcasts are commonly used in medical school curricula to record lectures for review (Boulos, et al, 2006). They are flexible so they can be used in both online and blended classrooms (Weller, Pegler, & Mason, 2005). Podcasts may be used in a variety of ways, for instance Belderrain (2006) suggests requiring individual students or groups of students to create podcasts to upload for group viewing. They appeal to students with different learning styles, learning disabilities, English as a second language, and students who prefer to multitask (Sandars, 2009). One-way pre recorded video-audio technologies such as interactive TV, podcasts and webcasts were used by approximately 58% of the educators responding to the survey, but less than one quarter of the educators reported the use of two-way interactive video-audio systems such as Skype or compressed video. The second goal was to assess instructor IT self-efficacy. In the review of literature, instructor IT self-efficacy may play an important role in online education. According to Bandura (1986) self-efficacy is the individual’s perception of the ability to achieve a task. Additionally, Selim (2007) identified three instructor factors that greatly affect the success of on-line learning: information technology (IT) competency, teaching style and attitude. The review of literature did not include current information on the relationship between the instructor IT self-efficacy and 53 the instructor’s age, but a study conducted by Czaja and Sharit (1998) suggested that age may be a factor in the acceptance of online education. The survey results of this research identified no significant relationship between instructor IT selfefficacy and the instructor’s age, but the slight negative correlation suggests that higher IT self efficacy is present in younger instructors. The small sample size is a limitation to this study, so more research is needed in this area. However, one may conclude that although IT self-efficacy of older individuals has increased over the past ten years, a generation gap may still exist. A longitudinal study observing the instructors’ age and IT self-efficacy maybe useful in further evaluating this weak relationship suggesting that younger instructors have higher IT self-efficacy. Gaytan and McEwen (2007) assessed faculty characteristics in order to address effective strategies for online education. Their research suggested faculty with more than five years of teaching experiences and at least three years of online teaching experience were more likely to be successful in teaching online courses (Gaytan, McEwen, 2007). An analysis of the results of this current study did not identify a significant relationship between instructors IT self-efficacy and the number of years the instructors have taught in higher education. Additionally, there was no significant relationship identified between instructors IT self-efficacy and the number of years the instructors have taught an online course. Moreover, the weak negative correlation identified in the current study may not fully support the findings of Gaytan and McEwen’s research (2007), as an analysis of the current 54 survey data suggests that educators that have been teaching for fewer than 10 years may have a higher IT self-efficacy than more experienced educators. Although this is greater than the five years of teaching experiences suggested by Gaytan and McEwen (2007), it also suggests that those educators with greater than 10 years of teaching experience may not feel as confident as younger educators in managing an online course. Technology barriers are frustrating to those who are technologically insightful and even more so to those instructors who may be somewhat technophobic (Ezziane, 2007). Online courses pose possible disruptions with technical problems, therefore the instructor’s IT competency, such as the ability to perform basic troubleshooting tasks play a crucial role in the success of online courses (Tabata & Johnsrud, 2008; Volery & Lord, 2000). An instructor must feel adequately prepared to engage in distance education instruction. The majority of educators responding to the current survey report that although they may be required to design their own on-line course, they did receive at least one to four hours of training prior to course implementation. This may help in the initial design and implementation, but additional training post-implementation, may be necessary to improve the success of the online delivery (Donathan & Hanks, 2009). After an online course in healthcare is created, it is must be periodically evaluated and updated. Collaboration with an instructional designer was suggested for improved course design and delivery (Donathan, Hanks, 2009). Only approximately half the 55 respondents to this survey reported completion of this critical post-implementation training regarding online technologies. In terms of the relationship between the instructor IT self-efficacy and the use of synchronous or asynchronous technologies, literature suggests that instructors need to present an interactive teaching style as well as encouraging communication and interaction between fellow students and the instructor, regardless of the delivery method (Volery & Lord, 2000). The instructor must adopt the role as facilitator in the asynchronous online learning environment, allowing the students to create meaning from the assignment rather than the instructor telling the student what he or she should remember. These learning strategies are only effective if the instructor has a positive attitude and demonstrates a willingness to adapt to an on-line environment (Nachmias, Mioduser, Oren, & Ram, 2000). Use of synchronous and asynchronous activities can support collaborative learning processes, but the instructor’s IT self efficacy will have an impact on the use of synchronous or asynchronous technologies in online course. In analyzing the results of this current study, neither the relationship of IT self-efficacy and the use of synchronous technologies, or the relationship between IT self-efficacy and the use of asynchronous technologies presented a significant correlation. Interestingly, however, the relationship between IT self-efficacy and the use of asynchronous technologies did demonstrate a slight positive correlation suggesting that the educators who have a high IT self efficacy also effectively use asynchronous 56 technologies in their online courses. Again, a larger sample size may result in more statistical power suggesting that a stronger relationship may exist. A significant relationship was identified between the type of institution and the use of synchronous technologies. This significant positive correlation suggests that 4 year institutions are more likely to use synchronous technologies, perhaps because the universities offer the infrastructure to allow interactive synchronous learning. Limitations The primary limitation to this study relates to the low number of respondents actually using on-line instructional technologies. Of the 102 surveys completed, only 38 (37.3%) educators reported to have offered an online course at his/her institution. Of those 38 respondents, only 26 respondents completed all survey questions. This low number of responses limits the statistical power for analysis. Therefore, although only one significant statistical relationship was identified, the small correlational relationships identified between many of the variables may have been deemed statistically significant with a larger sample size. A second limitation was the overall response rate (27.95%). The survey was emailed to 365 instructors and only 102 instructors submitted the survey in either full or partial completion. This may be due to use of the electronic format, as some survey invitations may have been trapped in spam filters or blocked by institutional firewalls. 57 A goodness of fit test was performed on the sample population for the survey. One limitation determined from this test, was the the BS programs were over represented with the observed values from the survey as to what the expected values should be. Lastly, the results of this survey may only be generalized to JRCERT and JRCNMT accredited programs in radiography, radiation therapy, and nuclear medicine technology since this was the population studied. Conclusion Results from the survey demonstrated a significant relationship between the type of institution and the use of synchronous technologies suggesting that university-based programs were more likely to utilize this technology. Significant relationships were not identified for the remaining variables: IT self-efficacy and the instructors, age, years of teaching in higher education, years of teaching online, the use of asynchronous technologies or the use of synchronous technologies. Additionally, no significant relationship exists between the type of institution and the use of asynchronous technologies. The radiologic science programs are slowly adopting the use of online education in their curriculum and continued development of online education will reach a larger student population. As noted in the literature, online educational programs are able to reach students in rural areas and those who have personal responsibilities such as a job and/or family, which prohibit them from attending 58 college as a traditional full time student. The most common learning management system is Blackboard®, that most likely was the choice of the institution and not the specific program. PowerPoint remains the most utilized online tool suggesting that instructors are merely taking a face-to-face course and posting it online. PowerPoint provides an excellent platform to display and describe information, but does not encourage student interaction alone. This is an important issue as discussed by Ezziane (2007) and Volery and Lord (2000) emphasizing that educators must demonstrate a willingness to adapt a teaching style conducive to online learning environments and must present an interactive teaching style as well as encouraging communication and interaction between fellow students and the instructor. Although a few instructors reported the use of Adobe Flash, Soft chalk, and Prezzi, radiologic science educators appear to be slow to adapting to interactive teaching methods. When designing an online course, student to student and student to instructor interaction is crucial for success of the course. As we see the change in adding more interactive programs to online courses, the use of programs that encourage interaction is still lacking. Also noted from the survey is that most of the educators were teaching in blended or hybrid course and not fully online courses. Additionally, the survey suggested amount of training pre and post implementation of online courses the instructor’s received was low. Radiologic instructors may not have a choice in reference to the learning management system utilized by the university or college, but could request additional training on how to 59 integrate interactive online tools into his/her course. Instructor training may improve IT self-efficacy since self efficacy is one’s perception. Instructor training may improve the design of the online course to better meet student’s needs. The instructor needs to be prepared to create an interactive, student centered course utilizing online tools. If the instructor lacks the self-efficacy to create the course or the environment, he/she can try different types of training, including how to use the tools, but how to design the course. Although there were no significant relationships among the instructor IT self-efficacy correlations, the negative correlations may suggest that IT self-efficacy is greater in younger instructors. To improve one’s perception of his/her ability to create and conduct an online course, the instructor could attend training on how to implement, utilize and customize interactive online tools. The instructor may also consider collaboration and the use of instructor discussion boards to keep updated and share best practices or other advice for online course design and security. After reviewing the literature and the analysis of the survey, there is a growth in the utilization of online courses in the radiologic sciences. However most of the online course are hybrid and blended. The radiologic science instructors may continue to increase the number of online courses providing the student interest is also supportive. Implications and Suggestions for Further Research Online education has been progressing in concert with the improvement of 60 technology. This research was aimed at the instructor’s perception of online education. The limiting factor of statistical power due to a low response rate suggests that this research should be repeated with a larger sample to improve statistical power. It was apparent that there was an increase in the use of online course in the radiologic sciences during the three year period from the JRCERT report and this survey. A longitudinal study over 5 year period with a tool scaled to only evaluate instructor IT efficacy may be useful to increase the response rate in order to demonstrate continued trends educators’ comfort and use of online courses in radiologic sciences. It would also helpful and interesting to investigate in the longitudinal study the adoption and the use of new educational content delivery technologies. From the survey analysis, the instructors did not receive an overwhelming amount of training regarding the use of online education tools and learning management systems. It may interesting to investigate if there is a relationship between the amount training an instructor receives on the use of online technologies and their willingness to accept and/or adopt the use of online courses. Programmatically accredited radiologic science programs are required to report student performance on national certification examinations. Literature suggests that students learn just as well in online courses as those students who take a traditional course. It may be helpful to determine if a difference student performance on certification examinations exists for content delivered in online courses versus 61 traditional courses. 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(2005).development and validation of an instrument for assessing distance education learning environments in higher education: the distance education learning environments survey (DELES). Learning Environments Research, 8, 289-308. Whatisrss.com/. Retrieved from http://www.whatisrss.com/ on 8/21/2011. Weller, M., and Pegler, C., and Mason, R. (2005).use of innovative technologies on an e-learning course. Internet and Higher Education, 8, 61-71. Wheeler, S. (2010). Changing Cultures in Higher Education.doi: 10.1008/978-3-64203582-1_9. 67 Appendix A: Survey Instrument 68 Section 1: Status of On-line Education in Radiologic Sciences 1 In the past five years, has your institution offered any online courses for the core curriculum in your radiologic science program? Yes__________ No ___________ 2 Do you offer fully on-line courses in your core radiologic sciences curriculum without faceto-face classroom sessions? Do not include hybrid or blended course Yes__________ No ___________ 3 Do you offer hybrid or blended courses in your core radiologic sciences curriculum? Yes__________ No ___________ 4 Please report the number of on-line core radiologic science courses that you teach within your curriculum. Fully on-line courses without face-to-face classroom 1 2 3 4 5 More than time 5 Hybrid or blended core courses. (combination of online 1 2 3 4 5 More than and face to face classes) 5 5 Are your online courses also offered as traditional face-to face, in-class courses? Yes _______ No ___________ Section 2: Course Delivery Technologies & Design Resources/Methods of Delivery 6 What percentage of time you use the following technologies in your courses: Technology 0% Asynchronous internet based technologies where transmission and receipt of information does not occur simultaneously; students responsible for self pacing. Synchronous internet based technologies where learners receive information simultaneously and communicate with other learners; real time instructor led online learning. Two way interactive video/ audio (example: Skype or compressed video) One-way prerecorded audio/video (example: Interactive TV, podcasts, or webcasts) 69 a one-way transmission such as podcasting, pre recorded audiotapes provided to students 1-25% 26-50% 51-75% 76100% Wikis (a website that allows students and instructors to add, delete or revise content while using a web browser) Blogs(student led or Instructor led) Discussion/message boards Chat 7 What Learning Management System does your program use? WebCT Blackboard Learning Space Moodle Desire to Learn Other _______________________________________ 8 What delivery tools do you use in your on-line programs? Power point, Student response systems, Wiki, Blog, Prezi, adobe flash, soft chalk, interactive whiteboards, Second life, Elluminate, Other 9 In what method did your program acquire and/or develop the online courses: Developed by Developed in Acquired from Acquired from Other institution collaboration textbook or other licensed with other online resources commercial postsecondary vendors of oninstitution line programs 10 During the development and or delivery of your online courses, identify the top 3 barriers you encountered. 1 Barrier 2 Barrier 3 Barrier Lack of administrative support Lack of financial support Lack of self confidence in using IT Lack of IT design support Lack of IT troubleshooting support Lack of IT online security support Lack of IT infrastructure (hardware) Lack of student interest Resistance of Peers to adapt to online format Other (please specify) 11 What best practices relative to on-line learning did you identify that should be shared with other educators? 12 0 How much initial training did you receive regarding on-line technologies prior course implementation? 1-4 5-10 11-20 21-40 >40 13 How much training did you receive regarding on-line technologies after course 70 implementation 0 1-4 5-10 11-20 14 Where did the on-line technology training occur? On-site workshop Vendor site workshop CE conference other 21-40 >40 formal educational course Section 3: IT Self-Efficacy 15 Rate your level of confidence for each of the following I am confident in my IT literacy needed to teach online yes course content. I am confident in my ability to utilize the Learning yes Management System to create an online course for my students. I am confident that I will do an excellent job in yes delivering on-line course content to my students. I am confident in my ability to create and monitor yes wikis in the online course for my students. I am confident in my ability to create and monitor yes discussion boards in the online course for my students. I am confident in my ability to create and monitor yes blogs in the online course for my students. I have greater than or equal the confidence teaching yes an online course as compared to teaching a traditional face-to-face course. No No No No No No No Part of the time Part of the time N/A Part of the time Part of the time Part of the time N/A Part of the time Part of the time N/A N/A N/A N/A N/A 16 Does your institution provide department specific IT support? Yes__________ No_______________ 17 Do you have institutional IT support? Yes __________ No _______________ Section 4: Demographic Information. 18 What is your age? 21-30 31-40 41-50 51-60 6170 19 For the courses that you teach, what is your primary radiology concentration? Radiography Radiation Therapy Nuclear Medicine 20 In what type of educational institution is your radiologic sciences program offered Hospital Based(certificate) Community or Junior College (2 year) University (4 Othe year) r 21 What is your campus structure? Main Campus – on-site Satellite campus – on-site 71 Distance- Online only 22 1-5 Years of teaching experience in higher education. 6-10 11-20 21-30 31-40 Other 23 0 Years of experience teaching online courses 1-5 6-10 11-20 21-30 Other 72 Appendix B: E-mail Invitation to Participants To: Radiologic Technology, Radiation Therapy and Nuclear Medicine Program Directors From: Stacey Copley, BSNM, CNMT, RT(N) Subject: Online Education In the Radiologic Sciences: Common Course Delivery Modes and Course Design Methods Dear Colleague, I am requesting your assistance in completing a survey study I am conducting regarding the status of online instructor in the radiologic science education and common course delivery methods. I have been given your name from a program director list for either the Joint Review Committee on Educational Programs in Nuclear Medicine (JRCNMT) or the Joint Review Committee on Education in Radiologic Technology (JRCERT). The survey is intended to help identify current status of online instruction and common course delivery methods and should only take about 10 minutes to complete. The survey is available at: http://www.surveymonkey.com/ ** This link is uniquely tied to this survey and your email address, so please do not forward this message. The survey will be open for input until April 23, 2012. If you have additional questions, I can be reached by email at Copley.21@osu.edu . If you do not wish to receive survey reminders, please click the link below, and you will be automatically removed from the mailing list. http://www.surveymonkey.com/optout.aspx For questions about your rights as a participant in this study or to discuss other studyrelated concerns or complaints with someone who is not part of the research team, you may contact Ms. Sandra Meadows in the Office of Responsible Research Practices at 1-800-6786251. Your participation in this research project is completely voluntary. You can choose to participate or not. Your decision to participate or not participate in the research project will not affect in any way your job or position, or any relationship with The Ohio State University. This study poses no more than minimal risks to potential subjects, and does not offer any direct benefit of participation. The primary risk is a breach of confidentiality. Although the questions asked are not personally sensitive in nature, it is possible that a breach of confidentiality of participants could occur given the association with selected institutions. This potential is minimized by training of the investigator in human subject’s protection and by following IRB-approved procedures for protecting confidentiality and maintaining data security. I consider survey information obtained from this study to be confidential in the sense that individual names will not be used in any reports or articles. Thank you very much for your assistance. I look forward to your reply. 73 Appendix C: E-mail Follow-up to Participants To: Radiologic Technology, Radiation Therapy and Nuclear Medicine Program Directors From: Stacey Copley, BSNM, CNMT, RT(N) Subject: Online Education In the Radiologic Sciences: Common Course Delivery Modes and Course Design Methods Dear Colleague, I recently sent an e-mail requesting your participation in completing a survey study I am conducting regarding the status of online instructor in the radiologic science education and common course delivery methods. The survey is intended to help identify current status of online instruction and common course delivery methods in the radiologic sciences and should only take about 10 minutes to complete. Please understand that your participation in this research project is completely voluntary. You can choose to participate or not. If you do not wish to receive survey reminders, please click the link below, and you will be automatically removed from the mailing list. http://www.surveymonkey.com/optout.aspx The survey is available at: http://www.surveymonkey.com/ ** This link is uniquely tied to this survey and your email address, so please do not forward this message. The survey will be open for input until April 23, 2012. If you have additional questions, I can be reached by email at Copley.21@osu.edu . For questions about your rights as a participant in this study or to discuss other study-related concerns or complaints with someone who is not part of the research team, you may contact Ms. Sandra Meadows in the Office of Responsible Research Practices at 1-800678-6251. Thank you very much for your assistance. I look forward to your reply. 74 Appendix D: Demographic Information 1. What is your age in years? Answer Options Response Percent 1.1% 24.4% 38.9% 31.1% 4.4% 21-30 31-40 41-50 51-60 61-70 Response Count 1 22 35 28 4 answered question skipped question 2. 90 12 For the courses that you teach, what is your primary radiology concentration? Answer Options Radiography Radiation Therapy Nuclear Medicine Technology Response Percent Response Count 90.0% 2.2% 7.8% 81 2 7 answered question skipped question 90 12 3. In what type of educational institution is your radiologic sciences program offered ? Answer Options Hospital-based (certificate) Community or Junior College (2 year) University (4 year) Other (please specify) Response Percent Response Count 16.7% 58.9% 17.8% 6.7% 15 53 16 6 answered question skipped question 4. Assessment of Online Education in the Radiologic Sciences What is your campus structure? 75 90 12 Answer Options Main campus - on-site Satellite campus - on-site Distance (on-line only) Response Percent Response Count 83.3% 16.7% 0.0% 75 15 0 answered question skipped question 90 12 5. Years of teaching experience in higher education. Answer Options 1-5 6-10 11-20 21-30 31-40 Other (please specify) Response Percent Response Count 15.7% 32.6% 20.2% 23.6% 6.7% 1.1% 14 29 18 21 6 1 answered question skipped question 89 13 6. Years of experience teaching online courses Answer Options 0 1-5 6-10 11-20 21-30 Other (please specify) Response Percent Response Count 52.8% 37.1% 7.9% 0.0% 2.2% 0.0% 47 33 7 0 2 0 answered question skipped question 76 89 13