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利用远程医疗培训癌症支持干预的提供者。

Using Telehealth to Train Providers of a Cancer Support Intervention.

作者信息

Brandon Anna R, Song Lixin, Deal Allison M, Gellin Mindy, Sherwood Elizabeth, Bloom Diane, Doernberg Alison, Manning Michelle L, Young Michael D, Rosenstein Donald L

机构信息

1 UNC Lineberger Comprehensive Cancer Center , Chapel Hill, North Carolina.

2 Department of Psychiatry, University of North Carolina-Chapel Hill , Chapel Hill, North Carolina.

出版信息

Telemed J E Health. 2015 Oct;21(10):793-800. doi: 10.1089/tmj.2014.0208. Epub 2015 Jun 2.

Abstract

BACKGROUND

Group interventions are effective for addressing the transition from cancer treatment to survivorship but are not widely available outside of urban areas. In addition, minimal training is available for group facilitators outside of the mental healthcare discipline. Telehealth as a medium can facilitate conversation and interactive learning and make learning accessible to individuals in areas that lack resources for traditional classroom teaching. Little is known, however, regarding the feasibility and acceptability of a telehealth training program for group leaders. This project aimed to investigate the utility of a telehealth training program for the delivery of a copyrighted, manualized psychosocial group intervention, Cancer Transitions: Moving Beyond Treatment.

MATERIALS AND METHODS

Nine group leaders attended one in-person orientation, four telehealth training classes, and four telehealth supervision sessions, completing self-report measures of content knowledge, quality satisfaction, and self-confidence. Following the completion of their last Cancer Transitions facilitation, group leaders participated in a focus group to provide qualitative feedback regarding their experiences in training for and leading the respective groups in eight urban and rural North Carolina communities.

RESULTS

Group leaders rated the training program highly across the domains of content knowledge, quality satisfaction, and self-confidence. Satisfaction with the technology itself was equivocal.

CONCLUSIONS

Telehealth represents a feasible avenue for training and supporting leaders of psychosocial interventions. In addition, telehealth is particularly well suited to the need for training group leaders in areas outside urban centers or academic communities.

摘要

背景

团体干预对于解决从癌症治疗到康复期的过渡问题有效,但在城市以外地区并未广泛普及。此外,除了精神卫生保健领域外,团体干预 facilitator 的培训资源极少。远程医疗作为一种媒介,可以促进交流和互动学习,并使缺乏传统课堂教学资源地区的个人能够获得学习机会。然而,对于团体领导者的远程医疗培训项目的可行性和可接受性知之甚少。本项目旨在研究远程医疗培训项目在提供受版权保护的、手册化的心理社会团体干预“癌症过渡:超越治疗”方面的效用。

材料与方法

九名团体领导者参加了一次面对面的培训、四次远程医疗培训课程和四次远程医疗监督会议,完成了关于内容知识、质量满意度和自信心的自我报告测量。在完成他们最后一次“癌症过渡”干预后,团体领导者参加了一个焦点小组,以提供关于他们在北卡罗来纳州八个城乡社区培训和领导各自团体的经历的定性反馈。

结果

团体领导者在内容知识、质量满意度和自信心等方面对培训项目给予了高度评价。对技术本身的满意度不一。

结论

远程医疗是培训和支持心理社会干预领导者的可行途径。此外,远程医疗特别适合在城市中心或学术社区以外的地区培训团体领导者的需求。

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