Willis Aimee, Deane Frank P, Coombs Tim
Illawarra Institute for Mental Health, University of Wollongong, Wollongong, NSW 2522, Australia.
Int J Ment Health Nurs. 2009 Jun;18(3):211-5. doi: 10.1111/j.1447-0349.2009.00596.x.
Clinicians have been found to hold predominantly negative attitudes toward routine outcome assessments (ROA). This study aims to assess changes in clinicians' attitudes to ROA, and in particular, the provision of feedback from such assessments following a training workshop. Ninety-six mental health workers attended a training workshop on ROA, which was supported by the use of a CD-ROM video resource. Participants completed a questionnaire before and after training that assessed their attitudes toward ROA and the provision of feedback from these assessments. Attitudes toward feedback were predominantly positive at baseline. Significantly more positive attitudes on general attitudes and specific attitudes related to the provision of feedback were found following training. Generating positive clinician attitudes is the first step toward improving the processes and effectiveness of ROA. Controlled trials with a follow up of clinicians' behaviour are needed to determine whether the changes found are maintained and reflected in practice.
研究发现，临床医生对常规结果评估（ROA）大多持消极态度。本研究旨在评估临床医生对ROA态度的变化，特别是在参加培训研讨会后，此类评估所提供反馈的情况。96名心理健康工作者参加了一次关于ROA的培训研讨会，该研讨会借助一张CD-ROM视频资源进行辅助。参与者在培训前后完成了一份问卷，评估他们对ROA的态度以及这些评估所提供反馈的情况。在基线时，对反馈的态度大多为积极。培训后，在对反馈的总体态度和具体态度方面，发现有显著更多的积极态度。培养临床医生的积极态度是改善ROA流程和效果的第一步。需要进行有临床医生行为随访的对照试验，以确定所发现的变化是否得以维持并在实践中得到体现。
