Department of Clinical Psychology, VU University, Amsterdam, The Netherlands; EMGO Institute for Health and Care Research, Amsterdam, The Netherlands.
Groningen University, Groningen, The Netherlands.
J Affect Disord. 2015 Apr 1;175:446-53. doi: 10.1016/j.jad.2015.01.046. Epub 2015 Jan 24.
Randomized studies examining the effect of training of mental health professionals in suicide prevention guidelines are scarce. We assessed whether professionals benefited from an e-learning supported Train-the-Trainer programme aimed at the application of the Dutch multidisciplinary suicide prevention guideline.
45 psychiatric departments from all over the Netherlands were clustered in pairs and randomized. In the experimental condition, all of the staff of psychiatric departments was trained by peers with an e-learning supported Train-the-Trainer programme. Guideline adherence of individual professionals was measured by means of the response to on-line video fragments. Multilevel analyses were used to establish whether variation between conditions was due to differences between individual professionals or departments.
Multilevel analysis showed that the intervention resulted in an improvement of individual professionals. At the 3 month follow-up, professionals who received the intervention showed greater guideline adherence, improved self-perceived knowledge and improved confidence as providers of care than professionals who were only exposed to traditional guideline dissemination. Subgroup analyses showed that improved guideline adherence was found among nurses but not among psychiatrists and psychologists. No significant effect of the intervention on team performance was found.
The ICT environment in departments was often technically inadequate when displaying the video clips clip of the survey. This may have caused considerable drop-out and possibly introduced selection bias, as professionals who were strongly affiliated to the theme of the study might have been more likely to finish the study.
Our results support the idea that an e-learning supported Train-the-Trainer programme is an effective strategy for implementing clinical guidelines and improving care for suicidal patients.
Netherlands Trial Register (NTR3092 www.trialregister.nl).
关于心理健康专业人员接受自杀预防指南培训效果的随机研究很少。我们评估了专业人员是否受益于一项支持电子学习的培训师培训计划，该计划旨在应用荷兰多学科自杀预防指南。
将来自荷兰各地的 45 个精神病学部门分为两组进行聚类，并进行随机分组。在实验组中，所有精神病学部门的工作人员都通过电子学习支持的培训师培训计划接受了同伴培训。个体专业人员的指南遵守情况通过在线视频片段的响应来衡量。使用多水平分析来确定条件之间的差异是否是由于个体专业人员或部门之间的差异造成的。
多水平分析表明，干预措施导致个体专业人员的表现有所提高。在 3 个月的随访中，接受干预的专业人员表现出更高的指南遵守率、自我感知知识的提高以及作为护理提供者的信心增强，而仅接受传统指南传播的专业人员则没有。亚组分析表明，在护士中发现了更好的指南遵守率，但在精神科医生和心理学家中没有发现。干预对团队绩效没有显著影响。
在展示调查视频片段时，部门的信息和通信技术环境往往在技术上不够完善。这可能导致相当大的退出率，并可能引入选择偏差，因为对研究主题有强烈隶属关系的专业人员可能更有可能完成研究。
我们的结果支持这样一种观点，即支持电子学习的培训师培训计划是实施临床指南和改善自杀患者护理的有效策略。
荷兰试验注册（NTR3092 www.trialregister.nl）。
