临床医生在"模拟"和"现实"咨询中的激励面试技巧不同,并且在不同的完整性值下显示"现实"客户更改谈话的预测有效性
Alison Bard1, Lars Forsberg2, Hans Wickström3
1Bristol Veterinary School, The University of Bristol, Bristol, United Kingdom.
PeerJ
|October 9, 2023
概括
模拟 (SI) 和现实生活 (RL) 咨询显示在评估临床医师诚信的动机面试 (MI) 中存在差异. 虽然临床医生排名相似,但RL数据显示MI技能较低,这表明SI和RL数据不能互换有效的培训.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 心理学 心理学 心理学
- 临床研究 临床研究
背景情况:
- 评估临床医师在提供基于证据的治疗中的诚信对于研究和培训至关重要.
- 模拟 (SI) 和现实 (RL) 咨询用于完整性评估,但它们的数据等价性研究不足.
- 这项研究调查了SI和RL数据之间的差异和预测有效性,用于动机面试 (MI) 咨询.
研究的目的:
- 为了比较SI和RL咨询之间的动机面试治疗完整性 (MITI) 评估.
- 检查SI和RLMI技能对RL客户端响应语言的预测有效性.
主要方法:
- 通过使用多层模型,对36名兽医临床医生的SI和RL咨询进行了MITI编码的比较.
- 通过使用多变量回归模型,研究了SI和RLMI技能对RL客户端"改变谈话"和"保持谈话"的影响.
主要成果:
- 兽医临床医生在RL咨询中表现出明显较低的MI一致性,用于培养变革谈话,伙伴关系和同情心.
- 尽管RL的客观MI技能较低,但临床医生的MI技能排名在SI和RL环境中仍然相似.
- SI和RLMI的技能分组都有效地预测了RL客户端的"改变谈话",在两种情况下,更高的MI技能与客户端的"改变谈话"增加有关.
结论:
- 模拟和现实生活咨询数据可能无法互换,以评估临床医生的诚信.
- 特定于环境的MI技能值可能会在现实生活中对临床医生的诚信进行更公平的评估.
- 建议进行进一步的研究,以探索这些发现在各种医疗保健环境中的适用性.
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