培训和维持:在早期自闭症诊断的全州网络中培训和学习的合作成果
Rebecca McNally Keehn1, Angela Paxton, Mary Delaney
1Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN.
Journal of developmental and behavioral pediatrics : JDBP
|August 27, 2024
概括
初级保健专业人员 (PCP) 可以通过初级保健培训加速自闭症诊断 (ADAPT) 模型接受培训,以诊断自闭症. 该计划为PCP提供了独立自闭症评估的技能,并鼓励他们持续参与学习协作.
科学领域:
- 发育儿科 发育儿科
- 初级医疗保健医学 一级医疗保健医学
- 自闭症谱系障碍 诊断 诊断 诊断
背景情况:
- 获得及时的自闭症评估对幼儿来说是一个重大挑战.
- 初级保健专业人员 (PCP) 能够改善早期自闭症检测.
- 在PCP中诊断自闭症的现有培训模型需要进一步开发和评估.
研究的目的:
- 描述PCP诊断自闭症的新型培训模型的开发.
- 评估PCP培训成果,包括诊断能力和持续参与.
- 评估用于自闭症诊断的纵向学习协作的可行性.
主要方法:
- 发展加速自闭症诊断与初级保健培训 (ADAPT) 计划,结合教学,基于案例和辅导组件.
- 培训专注于14~48个月的儿童,遵守基于能力的医学教育标准.
- 在培训后,每月参加一个纵向学习协作项目.
主要成果:
- 13名PCP在完成ADAPT后获得了自闭症评估的独立能力.
- 观察到自闭症知识 (p = 0.02) 和诊断能力的显著改善.
- 临床医生通过专家诊断师的评级从"先进的初学者"发展到"合格的表演者".
- PCP保持了参与度,参加了57%的月度学习协作会议.
结论:
- ADAPT模型有效地培训PCP,以实现自闭症评估的独立能力.
- PCP培训提供了一种有前途的策略,以解决自闭症诊断访问和等待列表问题.
- 需要进一步进行有效性实施研究,以确保这种培训方法的可扩展性和可持续性.
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