Department of Medicine, New York University School of Medicine, New York, NY 10016, USA.
J Subst Abuse Treat. 2011 Mar;40(2):203-13. doi: 10.1016/j.jsat.2010.09.002. Epub 2010 Nov 20.
The authors developed and evaluated an interactive, Web-based module to train medical students in screening and brief intervention (SBI) for unhealthy alcohol use.
First-year students were randomized to module versus lecture. Change in knowledge, attitudes, and confidence were compared. Performance was assessed by objective structured clinical examination (OSCE) and analyzed by intention to treat and treatment received.
Of 141 consenting students, 64% (n = 90) completed an intervention (54% lecture vs. 70% Web assigned). Knowledge, confidence, and attitudes improved in both groups, with more improvement in Advise-Assist knowledge for Web students (14% vs. -3%, p = .003). Web students outperformed their lecture peers in both general communication (65% vs. 51% items well done, p = .004) and alcohol-specific tasks (54% vs. 41%, p = .021) on OSCE. Analysis by treatment received enhanced between-group differences.
Use of a Web-based module to teach SBI is associated with greater knowledge gain and skills performance compared with a lecture covering similar content. The module provides an efficient means for training in this area.
作者开发并评估了一个互动式网络模块，以培训医学生进行不健康饮酒的筛查和简短干预（SBI）。
将一年级学生随机分配到模块组或讲座组。比较知识、态度和信心的变化。通过客观结构化临床考试（OSCE）评估表现，并通过意向治疗和治疗接受进行分析。
在 141 名同意参与的学生中，64%（n=90）完成了干预（54%的讲座组与 70%的网络组）。两组的知识、信心和态度都有所提高，网络组的咨询辅助知识有更大的提高（14%比-3%，p=0.003）。网络组学生在 OSCE 中的一般沟通（65%比 51%，做得好的项目，p=0.004）和酒精相关任务（54%比 41%，p=0.021）方面的表现均优于讲座组。按治疗接受情况进行的分析增强了组间差异。
与涵盖类似内容的讲座相比，使用基于网络的模块教授 SBI 与更大的知识收益和技能表现相关。该模块为该领域的培训提供了一种有效的方法。
