Crabb Rebecca M, Areán Patricia A, Hegel Mark T
Department of Psychiatry, University of California, San Francisco, CA 94143, USA.
Depress Res Treat. 2012;2012:986547. doi: 10.1155/2012/986547. Epub 2012 Sep 13.
Training models that incorporate case supervision in addition to didactic instruction appear to be effective in maximizing clinicians' proficiency in evidence-based treatments (EBTs). However, it is unknown the extent to which these models promote sustained adoption of EBTs. We describe the results of an online survey on post-training utilization of an EBT, problem-solving therapy (PST), among 40 clinicians highly trained in PST. Seventy-five percent of the survey's 40 respondents reported that they continued to use PST in their clinical practices. Many PST-trained clinicians reported that they had modified the PST protocol in their clinical practices according to patient characteristics or preferences. Considering these results, we recommend emphasizing patient variability and treatment tailoring throughout the training process as a means for promoting clinicians' sustained adoption of EBTs.
除了讲授式教学外还纳入案例监督的培训模式，似乎能有效提高临床医生在循证治疗（EBT）方面的熟练度。然而，这些模式在多大程度上能促进EBT的持续应用尚不清楚。我们描述了一项针对40名接受过问题解决疗法（PST）高强度培训的临床医生进行的关于PST培训后应用情况的在线调查结果。该调查的40名受访者中有75%报告称他们在临床实践中继续使用PST。许多接受过PST培训的临床医生表示，他们在临床实践中根据患者特征或偏好对PST方案进行了修改。考虑到这些结果，我们建议在整个培训过程中强调患者的差异性和治疗的个性化，以此作为促进临床医生持续应用EBT的一种方式。
