在小儿科医生培训后,青少年报告了提供者行为的变化,以预防刺激性转移:来自集群随机对照试验的结果
Brooke S G Molina1, Heather M Joseph1, Heidi L Kipp2
1University of Pittsburgh, PA, USA.
Journal of attention disorders
|October 15, 2024
概括
儿科医生对兴奋剂转移预防策略的培训显著增加了提供者利用率和关于ADHD青少年安全兴奋剂使用的亲子沟通. 这个简短的研讨会对相关的提供商来说是有效的.
科学领域:
- 儿科医学 儿科医学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 刺激药物经常被处方用于青少年的注意力缺陷/多动障碍 (ADHD).
- 有关转移和滥用这些处方兴奋剂存在担忧.
- 有效的预防策略对于确保患者安全和负责任的药物管理至关重要.
研究的目的:
- 评估简短的儿科医生培训计划对采用兴奋剂转移预防策略的影响.
- 评估是否有ADHD的青少年在培训后报告他们的医疗保健提供者增加了这些策略的使用.
- 检查培训对有关兴奋剂转移的家长-患者沟通的影响.
主要方法:
- 进行了一项集群随机对照试验,涉及儿科实践.
- 实践被分配到兴奋剂转移预防 (SDP) 研讨会或常规治疗 (TAU) 中.
- 在基线和三个随访点对341名受刺激剂治疗的青少年患者进行了调查.
主要成果:
- 与TAU组相比,SDP组的青少年报告说,与TAU组相比,提供者使用转移预防策略的比例显著更高.
- 接受SDP培训的患者还报告说,与家长的沟通增加了关于转移兴奋剂的沟通.
- 提供者对1小时培训干预的满意度特别高.
结论:
- 短暂的1小时培训使儿科医生能够实施有效的兴奋剂转移预防策略.
- 基于机密患者报告的研究结果为培训的有效性提供了可靠的证据.
- 这项干预不仅增强了提供者的实践,而且还鼓励在家庭中就安全使用兴奋剂进行重要讨论.
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