A Pilot Randomized Controlled Trial of Anatomy Coloring Books for First-Year Medical Students: Impact on Anxiety and Anatomical Knowledge Retention

Authors

  • Salomon Fotsing Francophone Affairs, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
  • Lisa Xuan Francophone Affairs, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
  • Michel Khoury Francophone Affairs, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
  • Hsin Yun Yang Francophone Affairs, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
  • Manon Denis-LeBlanc Department of Family Medicine, University of Ottawa, Ottawa, ON, Canada
  • Sarvesh Jaunky Francophone Affairs, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
  • Alireza Jalali University of Ottawa

DOI:

https://doi.org/10.18192/uojm.v15i2.7422

Keywords:

Anatomy, Education, colouring book, Medical education, Stress

Abstract

Objective: Recent pedagogical shifts and limited resources have led many medical schools to adopt alternatives to cadaveric dissection and didactic anatomy lectures. Although some studies have focused on art/drawing as an alternative learning modality, no previous studies have explored coloring books as an accessible way of consolidating anatomy knowledge. We aimed to investigate whether anatomy coloring books could enhance knowledge retention and reduce anxiety in medical students compared to traditional methods.

Methods: First-year medical students (n = 17) at the University of Ottawa were randomly assigned to either an intervention group or a control group. The intervention group received an anatomy coloring page, and the control group received an annotated anatomy diagram with corresponding structures to learn from. Both groups completed questionnaires prior to and after their learning activity to gauge anxiety, and they took serial knowledge tests one week apart to evaluate retention.

Results: Although there were no statistically significant differences in retention test scores between the two groups, the coloring group reported significantly lower levels of anxiety after their learning activity, whereas the control group experienced a significant increase. In addition, the majority of the intervention group (78%) agreed or strongly agreed that coloring helped them consolidate knowledge. Further, students reported that the anatomy coloring book was a good supportive learning tool (67%) and they would recommend it to their friends (78%).

Conclusion; Anatomy coloring books appear beneficial in anatomy education, offering stress reduction and improved knowledge consolidation. However, results should be interpreted cautiously due to the limited sample size.

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Objectif : Des changements pédagogiques récents et des ressources limitées ont conduit de nombreuses écoles de médecine à adopter des alternatives à la dissection cadavérique et aux cours d’anatomie didactiques. Bien que certaines études se soient concentrées sur l’art/le dessin en tant que modalité d’apprentissage alternative, aucune étude antérieure n’a exploré les livres de coloriage en tant que moyen accessible de consolider les connaissances en anatomie. Nous avons cherché à savoir si les livres de coloriage d’anatomie pouvaient améliorer la rétention des connaissances et réduire l’anxiété chez les étudiants en médecine par rapport aux méthodes traditionnelles.

Méthodes : Des étudiants en première année de médecine (n = 17) de l’Université d’Ottawa ont été assignés au hasard à un groupe d’intervention ou à un groupe de contrôle. Le groupe d’intervention a reçu une page de coloriage d’anatomie, et le groupe de contrôle a reçu un diagramme d’anatomie annoté avec les structures correspondantes à apprendre. Les deux groupes ont rempli des questionnaires avant et après l’activité d’apprentissage pour évaluer l’anxiété, et ils ont passé des tests de connaissances en série à une semaine d’intervalle pour évaluer la rétention.

Résultats : Bien qu’il n’y ait pas eu de différences statistiquement significatives dans les résultats des tests de rétention entre les deux groupes, le groupe de coloriage a rapporté des niveaux d’anxiété significativement plus bas après leur activité d’apprentissage, alors que le groupe de contrôle a connu une augmentation significative. En outre, la majorité des membres du groupe d’intervention (78 %) étaient d’accord ou tout à fait d’accord pour dire que le coloriage les avait aidés à consolider leurs connaissances et que le livre de coloriage sur l’anatomie était un bon outil d’apprentissage (67 %) qu’ils recommanderaient à leurs amis (78 %).

Conclusion : Les livres de coloriage d’anatomie semblent bénéfiques pour l’enseignement de l’anatomie, car ils permettent de réduire le stress et d’améliorer la consolidation des connaissances. Toutefois, les résultats doivent être interprétés avec prudence en raison de la petite taille de l’échantillon.

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Published

2025-12-09

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Original Research