RAND Corporation, Arlington, Virginia, University of California, Los Angeles, California.
Los Angeles County Department of Public Health, University of California, Los Angeles, California.
Disaster Med Public Health Prep. 2014 Feb;8(1):95-100. doi: 10.1017/dmp.2013.112. Epub 2014 Feb 27.
We assessed the feasibility and impact on knowledge, attitudes, and reported practices of psychological first-aid (PFA) training in a sample of Medical Reserve Corps (MRC) members. Data have been limited on the uptake of PFA training in surge responders (eg, MRC) who are critical to community response.
Our mixed-methods approach involved self-administered pre- and post-training surveys and within-training focus group discussions of 76 MRC members attending a PFA training and train-the-trainer workshop. Listen, protect, connect (a PFA model for lay persons) focuses on listening and understanding both verbal and nonverbal cues; protecting the individual by determining realistic ways to help while providing reassurance; and connecting the individual with resources in the community.
From pre- to post-training, perceived confidence and capability in using PFA after an emergency or disaster increased from 71% to 90% (P < .01), but no significant increase was found in PFA-related knowledge. Qualitative analyses suggest that knowledge and intentions to use PFA increased with training. Brief training was feasible, and while results were modest, the PFA training resulted in greater reported confidence and perceived capability in addressing psychological distress of persons affected by public health threats.
PFA training is a promising approach to improve surge responder confidence and competency in addressing postdisaster needs.
我们评估了在医疗后备队(MRC)成员样本中进行心理急救(PFA)培训的可行性及其对知识、态度和报告实践的影响。关于在应急响应者(例如 MRC)中接受 PFA 培训的情况数据有限,而应急响应者对于社区响应至关重要。
我们采用混合方法,对 76 名参加 PFA 培训和培训师培训工作坊的 MRC 成员进行了培训前后的自我管理问卷调查和培训内焦点小组讨论。倾听、保护、联系(一种针对非专业人员的 PFA 模式)侧重于倾听和理解言语和非言语线索;通过确定现实的帮助方式并提供保证来保护个人;并将个人与社区资源联系起来。
从培训前到培训后,在紧急情况或灾难后使用 PFA 的感知信心和能力从 71%增加到 90%(P<.01),但 PFA 相关知识没有显著增加。定性分析表明,知识和使用 PFA 的意愿随着培训而增加。简短的培训是可行的,虽然结果较为温和,但 PFA 培训导致了更大的信心报告和处理受公共卫生威胁影响的人的心理困扰的感知能力。
PFA 培训是一种有前途的方法,可以提高应急响应者应对灾后需求的信心和能力。