比较两种培训方法来扩大每个孩子的安全环境 (SEEK) 方法
Howard Dubowitz1, Rose Belanger1, Laurence Magder2
1Department of Pediatrics (H Dubowitz, R Belanger, and H Kim), University of Maryland School of Medicine, Baltimore, Md.
Academic pediatrics
|July 18, 2025
概括
独立在线 (IND) 培训方法更简单,更有效地扩大了每一个孩子的安全环境 (SEEK) 计划. 实践承诺和有效性是成功实施和持续使用基于证据的实践的关键.
科学领域:
- 继续医学教育 继续医学教育
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
背景情况:
- 在初级保健中扩大基于证据的实践对于提高儿童安全至关重要.
- 持续医学教育 (CME) 模式在实践变革方面的有效性各不相同.
- 每个孩子的安全环境 (SEEK) 方法旨在提高初级保健机构内的儿童安全.
研究的目的:
- 为了比较独立在线 (IND) 和维护认证-4 (MOC) 培训对采用,实施和维持SEEK方法的影响.
- 评估初级保健实践特征在扩大SEEK方法中的作用.
主要方法:
- 这是一项纵向的多站点研究,涉及美国44家初级保健机构.
- 实践被随机分配到IND或MOC培训模式.
- 在两年内收集了关于培训完成,实践特征和SEEK实施 (启动,忠诚,持续) 的数据.
主要成果:
- 在IND和MOC培训模式之间,在SEEK采用和维持方面观察到的差异很少.
- 更高的培训完成率 (剂量) 与更高的忠诚度有关,特别是在IND实践中.
- 具有更高基准承诺和自我有效性的实践更有可能以忠实的方式启动和实施SEEK.
结论:
- 更简单的IND培训模式似乎有效扩大基于证据的实践,如SEEK.
- 通过准备加强PCP承诺和自我有效性,对于成功实施至关重要.
- 需要进一步的战略来提高PCP参与率和CME培训的完成率.
更多相关视频
14:05Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
29.2K
09:16Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers
Published on: March 14, 2018
10.4K
相关概念视频
Behavior Modification
236
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
236
Operant Conditioning Intervention
117
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
117
Role of Shaping in Operant Conditioning
494
Shaping is a technique used in operant conditioning to train complex behaviors by rewarding successive approximations toward the target behavior. This method is necessary because organisms are unlikely to perform complex behaviors spontaneously. Instead, shaping breaks down the desired behavior into small, manageable steps.
The steps involved in shaping begin with reinforcing any response that resembles the desired behavior. For example, parents might praise a child for picking up one toy. As...
The steps involved in shaping begin with reinforcing any response that resembles the desired behavior. For example, parents might praise a child for picking up one toy. As...
494
Modeling in Therapy
149
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
149
Community Based Intervention
95
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
95
