培训医疗保健专业人员为患有严重肥胖的人提供群体干预:从PROGROUP可行性试验中吸取教训
Shokraneh Moghadam1, Mark Tarrant2, Lily Hawkins1
1University of Exeter, Exeter, UK.
概括
优化医疗保健专业人员对群体体重管理干预措施的培训对于有效的交付至关重要. 调整培训以灵活和自我指导的方式提高了基于团体的护理的可行性和忠实性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 行为医学是一种行为医学.
- 肥胖管理 肥胖管理
背景情况:
- 基于小组的计划越来越多地用于肥胖管理,提供潜在的成本节约和增强患者的动机.
- 这些计划可以促进社会联系,但需要医疗保健专业人员 (HCP) 接受适当的培训.
- 培训必须是可访问的,可行的,并为医疗保健工作人员提供成功进行小组干预的技能.
研究的目的:
- 评估和优化PROGROUP的培训计划 (一种针对严重肥胖症的基于小组的体重管理干预).
- 使用混合方法,从可行性试验中获得的过程评估数据,以告知培训改进.
- 为了提高提供小组干预的医疗保健工作者培训的可访问性,可行性和忠实性.
主要方法:
- 一个为期四天的远程培训计划被交付给了英国的五名辅导员.
- 培训包括心理理论,沟通,团体促进,体育活动和饮食教育.
- 数据收集包括调解员采访,忠实性检查清单,干预记录和观察笔记;采访被主题分析.
主要成果:
- 辅导员对教育组成部分表现出信心,主要是提供预期的干预内容 (平均忠实度为68%).
- 在整个队列中,在交付灵活性和遵守原则方面注意到了变化.
- 辅导员更喜欢自我指导的学习,并且面临着参加全日培训的挑战.
结论:
- 该研究介绍了一种优化医疗保健工作者培训的过程,适用于各种基于群体的医疗保健环境.
- 培养忠诚的技能对于最大限度地提高小组干预的有效性至关重要.
- 灵活的,自我指导的培训格式提高了可行性和可接受性,为群体护理提供者提供了宝贵的资源.
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