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心理健康临床医生参与基于网络的循证干预培训:鼓舞迹象与潜在问题

Mental Health Clinicians' Participation in Web-Based Training for an Evidence Supported Intervention: Signs of Encouragement and Trouble Ahead.

作者信息

McMillen J Curtis, Hawley Kristin M, Proctor Enola K

机构信息

School of Social Service Administration, University of Chicago, 969 E. 60th, Chicago, IL, 60660, USA.

Department of Psychological Sciences, University of Missouri, 210 McAlester Hall, Columbia, MO, 65211-2500, USA.

出版信息

Adm Policy Ment Health. 2016 Jul;43(4):592-603. doi: 10.1007/s10488-015-0645-x.

DOI:10.1007/s10488-015-0645-x
PMID:25822326
Abstract

Comprehensive scalable clinician training is needed to increase the impact of evidence-supported psychotherapies. This study was designed to ascertain clinician participation in different low-cost training activities, what predicts their training participation, and how participation can be increased. The study enrolled 163 clinicians. Of these, 105 completed a follow-up survey and 20 completed a more in-depth qualitative interview. Some activities (web training) attracted greater participation than others (e.g., discussion boards, role playing). Key findings include the desirability of self-paced learning and the flexibility it afforded practicing clinicians. However, some found the lack of accountability insurmountable. Many desired in-person training as a way to introduce accountability and motivation. While low-cost, relevant, self-paced learning appeals to practicing clinicians, it may need to be combined with opportunities for in-person training and accountability mechanisms in order to encourage large numbers of clinicians to complete training.

摘要

需要全面且可扩展的临床医生培训,以增强循证心理治疗的影响力。本研究旨在确定临床医生参与不同低成本培训活动的情况、预测其参与培训的因素以及如何提高参与度。该研究招募了163名临床医生。其中,105人完成了随访调查,20人完成了更深入的定性访谈。一些活动(网络培训)比其他活动(如讨论板、角色扮演)吸引了更多的参与者。主要发现包括自主学习的可取性及其为执业临床医生提供的灵活性。然而,一些人发现缺乏问责制是无法克服的。许多人希望进行面对面培训,以此引入问责制和动力。虽然低成本、相关且自主的学习对执业临床医生有吸引力,但可能需要将其与面对面培训机会和问责机制相结合,以鼓励大量临床医生完成培训。

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