Walsh Sarah E, Singleton Jacqueline A, Worth Celeste T, Krugler Jacqueline, Moore Regan, Wesley Gina C, Mitchell Charlene K
Kentucky Cancer Program, James Graham Brown Cancer Center, University of Louisville, 529 S. Jackson Street, Louisville, KY 40202, USA.
J Dent Educ. 2007 Sep;71(9):1171-8.
A pilot study was conducted to assess clinician receptivity to tobacco cessation counseling training methods using standardized patients. Additionally, the study assessed changes in clinician knowledge and behavioral intentions following the training. Medical and dental residents and dental hygiene students from the University of Louisville attended a one- to two-hour lecture addressing the counseling strategies (the Five As/the Five Rs) and pharmacotherapy recommended in the U.S. Public Health Service Clinical Practice Guideline: Treating Tobacco Use and Dependence. Participants subsequently had three training encounters with standardized patients representing various stages of change including a patient ready to quit, a patient contemplating quitting, and a patient resistant to quitting. Thirty-six participants completed a preprogram survey prior to the lecture and a postprogram evaluation that included questions about their attitudes and beliefs about tobacco, their comfort level with various aspects of tobacco intervention, and eight knowledge questions. Participants demonstrated a statistically significant increase in objective knowledge about the practices recommended in the Clinical Practice Guideline following intervention. Results also indicate a significant increase in subjective measures of participant receptivity, self-reported comfort, and perceived skill with various aspects of tobacco intervention. Overall, participants were found to be very receptive to training sessions on tobacco cessation counseling with standardized patients. In light of the educational gains and positive response from participants, the use of standardized patients is a promising strategy for training on tobacco cessation counseling.
开展了一项试点研究，以评估临床医生对使用标准化病人进行戒烟咨询培训方法的接受程度。此外，该研究还评估了培训后临床医生知识和行为意向的变化。路易斯维尔大学的医学和牙科住院医师以及牙科保健专业学生参加了一场时长一到两小时的讲座，内容涉及美国公共卫生服务临床实践指南《治疗烟草使用和依赖》中推荐的咨询策略（五个A/五个R）和药物治疗。参与者随后与代表不同改变阶段的标准化病人进行了三次培训接触，这些病人包括准备戒烟的、考虑戒烟的以及抗拒戒烟的。三十六名参与者在讲座前完成了项目前调查，并在项目后评估中回答了有关他们对烟草的态度和信念、他们在烟草干预各方面的舒适度以及八个知识问题。干预后，参与者在关于临床实践指南中推荐做法的客观知识方面有统计学意义的显著增加。结果还表明，参与者在接受度、自我报告的舒适度以及在烟草干预各方面的感知技能等主观指标上有显著提高。总体而言，发现参与者对使用标准化病人进行戒烟咨询培训课程非常接受。鉴于所取得的教育成果以及参与者的积极反馈，使用标准化病人是戒烟咨询培训的一种有前景的策略。
