临床指南的随机对照试验与交互式决策支持,以提高医疗学员对潜在结核病护理的信心
Samuel J Starke1, Marina B Martinez Rivera2, Sonya Krishnan2
1Department of Medicine, Johns Hopkins University, Baltimore, MD, USA. sstarke3@jhmi.edu.
Journal of general internal medicine
|December 7, 2023
概括
使用LTBI-ASSIST工具的医疗学员在管理潜在结核病感染 (LTBI) 方面表现出更好的知识和信心. 这种教育辅助工具有效地补充了改善患者护理的临床指南.
科学领域:
- 医疗教育 医学教育
- 传染病管理 传染病管理
- 公共卫生 公共卫生
背景情况:
- 初级保健提供者在美国消除结核病 (TB) 方面发挥着至关重要的作用.
- 潜在结核病感染 (LTBI) 的有效管理需要医疗学员加强知识.
- 现有的临床指南需要创新的工具来提高对基于证据的LTBI实践的理解.
研究的目的:
- 评估LTBI-ASSIST的有效性,这是一个免费的在线决策支持工具.
- 评估LTBI-ASSIST作为提供临床实践指南的新型教育方法.
- 测量LTBI-ASSIST对医疗学员对LTBI护理的知识和信心的影响.
主要方法:
- 一个单一的随机对照试验,涉及医学学生和内科医生.
- 参与者被随机分配,接受美国标准临床实践指南或指南加LTBI-ASSIST工具.
- 测量结果包括基于案例的知识评估的表现和对LTBI护理领域的自我报告信心的变化.
主要成果:
- 与对照组 (57.4%) 相比,LTBI-ASSIST组在知识评估 (75.9%) 中获得了明显更高的分数 (p <0.001).
- 使用LTBI-ASSIST的参与者报告说,在七个LTBI护理领域中的六个领域,信心得到了更大的改善.
- 该研究涉及130名参与者,他们完成了知识评估.
结论:
- LTBI-ASSIST作为一个有效的补充教育资源为医疗学员.
- 该工具有助于提供者获得指南支持的答案,以应对与LTBI相关的临床实践挑战.
- 实施像LTBI-ASSIST这样的创新教育工具可以增强潜在结核病感染的管理.
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