title: Benefits of off-campus education for students in the health sciences: a text-mining analysis.
abstract: BACKGROUND
  In Japan, few community-based approaches have been adopted in health-care professional education, and the appropriate content for such approaches has not been clarified. In establishing community-based education for health-care professionals, clarification of its learning effects is required. A community-based educational program was started in 2009 in the health sciences course at Gunma University, and one of the main elements in this program is conducting classes outside school. The purpose of this study was to investigate using text-analysis methods how the off-campus program affects students.
  
  
  METHODS
  In all, 116 self-assessment worksheets submitted by students after participating in the off-campus classes were decomposed into words. The extracted words were carefully selected from the perspective of contained meaning or content. With the selected terms, the relations to each word were analyzed by means of cluster analysis.
  
  
  RESULTS
  Cluster analysis was used to select and divide 32 extracted words into four clusters: cluster 1-"actually/direct," "learn/watch/hear," "how," "experience/participation," "local residents," "atmosphere in community-based clinical care settings," "favorable," "communication/conversation," and "study"; cluster 2-"work of staff member" and "role"; cluster 3-"interaction/communication," "understanding," "feel," "significant/important/necessity," and "think"; and cluster 4-"community," "confusing," "enjoyable," "proactive," "knowledge," "academic knowledge," and "class."
  
  
  CONCLUSIONS
  The students who participated in the program achieved different types of learning through the off-campus classes. They also had a positive impression of the community-based experience and interaction with the local residents, which is considered a favorable outcome. Off-campus programs could be a useful educational approach for students in health sciences.
authors.affiliation: Faculty of Health Care, Takasaki University of Health and Welfare, Takasaki City, Gunma, Japan. nakagawa-ka@takasaki-u.ac.jp
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Nakagawa
authors.forename: Yasuyoshi
authors.initials: Y
authors.lastname: Asakawa
authors.forename: Keiko
authors.initials: K
authors.lastname: Yamada
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Ushikubo
authors.forename: Tohru
authors.initials: T
authors.lastname: Yoshida
authors.forename: Haruyasu
authors.initials: H
authors.lastname: Yamaguchi
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003154:Community Medicine / Q000193:education*; D003159:Community-Institutional Relations; D003479:Curriculum; D057225:Data Mining; D006233:Persons with Disabilities; D006266:Health Education; D006282:Health Personnel / Q000193:education*; D006293:Health Promotion; D006801:Humans; D007564:Japan; D008875:Middle Aged; D017145:Models, Educational; D011369:Professional-Patient Relations; D015397:Program Evaluation; D012647:Self-Assessment; D012931:Social Environment