在常规实践环境中进行筛查并启动基于证据的儿科肥胖治疗的提供者培训：一项随机试点试验。
Provider Training to Screen and Initiate Evidence-Based Pediatric Obesity Treatment in Routine Practice Settings: A Randomized Pilot Trial.
作者信息
Kolko Rachel P, Kass Andrea E, Hayes Jacqueline F, Levine Michele D, Garbutt Jane M, Proctor Enola K, Wilfley Denise E
出版信息
J Pediatr Health Care. 2017 Jan-Feb;31(1):16-28. doi: 10.1016/j.pedhc.2016.01.001. Epub 2016 Feb 9.
INTRODUCTION
This randomized pilot trial evaluated two training modalities for first-line, evidence-based pediatric obesity services (screening and goal setting) among nursing students.
METHOD
Participants (N = 63) were randomized to live interactive training or Web-facilitated self-study training. Pretraining, post-training, and 1-month follow-up assessments evaluated training feasibility, acceptability, and impact (knowledge and skill via simulation). Moderator (previous experience) and predictor (content engagement) analyses were conducted.
RESULTS
Nearly all participants (98%) completed assessments. Both types of training were acceptable, with higher ratings for live training and participants with previous experience (ps < .05). Knowledge and skill improved from pretraining to post-training and follow-up in both conditions (ps < .001). Live training demonstrated greater content engagement (p < .01).
CONCLUSIONS
The training package was feasible, acceptable, and efficacious among nursing students. Given that live training had higher acceptability and engagement and online training offers greater scalability, integrating interactive live training components within Web-based training may optimize outcomes, which may enhance practitioners' delivery of pediatric obesity services.
引言
本随机试点试验评估了针对护理专业学生的一线循证儿科肥胖症服务（筛查和目标设定）的两种培训方式。
方法
参与者（N = 63）被随机分配到现场互动培训或网络辅助自学培训。培训前、培训后及1个月随访评估了培训的可行性、可接受性和影响（通过模拟评估知识和技能）。进行了调节因素（既往经验）和预测因素（内容参与度）分析。
结果
几乎所有参与者（98%）完成了评估。两种培训方式均可接受，现场培训以及有既往经验的参与者评分更高（p <.05）。在两种情况下，从培训前到培训后及随访，知识和技能均有提高（p <.001）。现场培训表现出更高的内容参与度（p <.01）。
结论
该培训方案在护理专业学生中可行且可接受，并且有效。鉴于现场培训具有更高的可接受性和参与度，而在线培训具有更大的可扩展性，在基于网络的培训中整合互动式现场培训组件可能会优化效果，这可能会提高从业者提供儿科肥胖症服务的水平。
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