转移焦点使用远程培训共享决策和激励面试:一个定量评估.
Mary E Northridge1,2,3, Matthew Allen4, Etienne Franck2,3
1Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of Medicine, New York, New York, USA.
在共享决策 (SDM) 和激励面试 (MI) 中远程培训的牙医报告说,他们对这些技术的信心和使用增加了. 这种培训使患者成为他们自己的行为改变的代理人.
科学领域:
- 口腔健康 口腔健康
- 医学教育 医学教育
- 行为科学是一种行为科学.
背景情况:
- 有效的牙医-病人沟通对于改变行为至关重要.
- 共享决策 (SDM) 和激励面试 (MI) 是关键的沟通策略.
- 远程培训为传播这些技能提供了一个可扩展的解决方案.
研究的目的:
- 评估牙医SDM和MI远程培训的有效性.
- 为了比较干预前后的发现,牙医对SDM/MI的使用和信心.
- 评估培训对培养以患者为中心的护理的影响.
主要方法:
- 进行了远程客观结构化的临床炼培训课程.
- 开发了三种专业间护理方案,重点关注健康的社会决定因素,HPV疫苗接种和青少年健康.
- 牙医参与了模拟的患者互动.
- 韦尔奇t测试用于分析干预前和干预后调查数据的重要性和信心.
主要成果:
- 37%的牙医回答了干预前和后的调查.
- 牙医报告说,在培训后,IM的使用率和感知效用更高.
- 牙医在干预后对应用SDM和MI技术的信心增加了 (平均差异 [95%CI] = 1.12 [-0.16, 2.41]).
结论:
- 远程参与式培训可以有效地提高牙医的SDM和MI技能.
- 培训的重点从提供者权威转移到以患者为中心的行为改变.
- 这些沟通策略使患者成为口腔健康的积极参与者.
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