针对家庭医学住院医师的痴呆症教育项目评估
Evaluation of a Dementia Education Program for Family Medicine Residents.
作者信息
Prorok Jeanette C, Stolee Paul, Cooke Martin, McAiney Carrie A, Lee Linda
机构信息
School of Public Health and Health Systems, University of Waterloo, Waterloo, ON;
School of Public Health and Health Systems, University of Waterloo, Waterloo, ON; ; Department of Sociology, University of Waterloo, Waterloo, ON;
出版信息
Can Geriatr J. 2015 Jun 30;18(2):57-64. doi: 10.5770/cgj.18.148. eCollection 2015 Jun.
BACKGROUND
Dementia diagnosis and management is increasing in importance in the training of future family physicians. This study evaluated the impact of a dementia education program for family medicine residents (FMR) on residents' knowledge, attitudes, and confidence with respect to dementia assessment and management. A three-part questionnaire was developed and validated for these purposes.
METHODS
A mixed methods study design was employed. The questionnaire's internal consistency and test-retest reliability was determined and content validity was assessed. Twelve FMR participated in questionnaire validation. Program participants completed the validated questionnaire at baseline, at interim, and following program completion. Twenty-seven FMR completed the questionnaire as part of the program evaluation. Willing residents also participated in program feedback interviews. Differences in questionnaire scores between program participants and the comparison group were examined.
RESULTS
Each questionnaire component demonstrated high internal consistency (Cronbach's α: 0.83-0.91) and test-retest reliability (intraclass correlation coefficients: 0.74-0.91). Program participants (n = 15) scored significantly higher than the comparison group (n = 12) on the knowledge component and also reported greater confidence in several areas. Qualitative data indicated that residents felt the program focused on important topic areas and appreciated the opportunity to work in an interprofessional team.
CONCLUSION
Evaluation results indicate that the program improved FMRs' knowledge on dementia assessment and management, as well as increased the residents' confidence levels.
背景
痴呆症的诊断和管理在未来家庭医生的培训中变得越来越重要。本研究评估了一项针对家庭医学住院医师（FMR）的痴呆症教育计划对住院医师在痴呆症评估和管理方面的知识、态度和信心的影响。为此开发并验证了一份由三部分组成的问卷。
方法
采用混合方法研究设计。确定了问卷的内部一致性和重测信度，并评估了内容效度。12名家庭医学住院医师参与了问卷验证。项目参与者在基线、中期和项目完成后完成了经过验证的问卷。27名家庭医学住院医师作为项目评估的一部分完成了问卷。愿意参与的住院医师还参加了项目反馈访谈。研究了项目参与者与对照组在问卷得分上的差异。
结果
问卷的每个部分都显示出较高的内部一致性（Cronbach's α：0.83 - 0.91）和重测信度（组内相关系数：0.74 - 0.91）。项目参与者（n = 15）在知识部分的得分显著高于对照组（n = 12），并且在几个方面也表现出更高的信心。定性数据表明，住院医师认为该项目关注了重要的主题领域，并赞赏有机会在跨专业团队中工作。
结论
评估结果表明，该项目提高了家庭医学住院医师对痴呆症评估和管理的知识，同时也提高了住院医师的信心水平。
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