通过电子学习支持的培训师培训计划培训精神病学部门全体员工，改进自杀行为评估和治疗实践指南的应用：一项随机对照试验的研究方案。
Improving the application of a practice guideline for the assessment and treatment of suicidal behavior by training the full staff of psychiatric departments via an e-learning supported Train-the-Trainer program: study protocol for a randomized controlled trial.
机构信息
Department of Clinical Psychology, VU University, Amsterdam, The Netherlands.
出版信息
Trials. 2013 Jan 9;14:9. doi: 10.1186/1745-6215-14-9.
BACKGROUND
In 2012, in The Netherlands a multidisciplinary practice guideline for the assessment and treatment of suicidal behavior was issued. The release of guidelines often fails to change professional behavior due to multiple barriers. Structured implementation may improve adherence to guidelines. This article describes the design of a study measuring the effect of an e-learning supported Train-the-Trainer program aiming at the training of the full staff of departments in the application of the guideline. We hypothesize that both professionals and departments will benefit from the program.
METHOD
In a multicenter cluster randomized controlled trial, 43 psychiatric departments spread over 10 regional mental health institutions throughout The Netherlands will be clustered in pairs with respect to the most prevalent diagnostic category of patients and average duration of treatment. Pair members are randomly allocated to either the experimental or the control condition. In the experimental condition, the full staff of departments, that is, all registered nurses, psychologists, physicians and psychiatrists (n = 532, 21 departments) will be trained in the application of the guideline, in a one-day small interactive group Train-the-Trainer program. The program is supported by a 60-minute e-learning module with video vignettes of suicidal patients and additional instruction. In the control condition (22 departments, 404 professionals), the guideline shall be disseminated in the traditional way: through manuals, books, conferences, internet, reviews and so on. The effectiveness of the program will be assessed at the level of both health care professionals and departments.
DISCUSSION
We aim to demonstrate the effect of training of the full staff of departments with an e-learning supported Train-the-Trainer program in the application of a new clinical guideline. Strengths of the study are the natural setting, the training of full staff, the random allocation to the conditions, the large scale of the study and the willingness of both staff and management to participate in the study.
TRIAL REGISTRATION
Dutch trial register: NTR3092.
背景
2012 年，荷兰发布了一份多学科实践指南，用于评估和治疗自杀行为。由于存在多种障碍，指南的发布往往无法改变专业行为。结构化实施可能会提高对指南的依从性。本文描述了一项研究的设计，该研究旨在评估一个电子学习支持的培训师培训计划对部门全体员工应用指南的效果。我们假设专业人员和部门都将从该计划中受益。
方法
在一项多中心集群随机对照试验中，将荷兰 10 个地区精神卫生机构的 43 个精神科部门根据患者最常见的诊断类别和平均治疗时间进行配对。配对成员随机分配到实验组或对照组。在实验组中，部门的全体员工，即所有注册护士、心理学家、医生和精神科医生（n=532，21 个部门）将接受为期一天的小型互动小组培训师培训计划，以培训他们应用指南。该计划由一个 60 分钟的电子学习模块支持，其中包含自杀患者的视频小插曲和其他指导。在对照组（22 个部门，404 名专业人员）中，将以传统方式传播该指南：通过手册、书籍、会议、互联网、评论等。该计划的效果将在医疗保健专业人员和部门两个层面进行评估。
讨论
我们旨在展示通过电子学习支持的培训师培训计划对部门全体员工进行培训，以应用新的临床指南的效果。该研究的优势在于其自然环境、对全体员工的培训、对条件的随机分配、研究的大规模以及员工和管理层参与研究的意愿。
试验注册
荷兰试验注册处：NTR3092。
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