1 Glenn Albright, PhD, Baruch College, City University of New York, One Bernard Baruch Way, New York, NY, USA.
2 Craig Bryan, PsyD, University of Utah, Salt Lake City, UT, USA.
J Am Psychiatr Nurses Assoc. 2018 May/Jun;24(3):247-259. doi: 10.1177/1078390317719321. Epub 2017 Jul 28.
Primary health care professionals are in an excellent position to identify, screen, and conduct brief interventions for patients with mental health and substance use disorders. However, discomfort in initiating conversations about behavioral health, time concerns, lack of knowledge about screening tools, and treatment resources are barriers.
This study examines the impact of an online simulation where users practice role-playing with emotionally responsive virtual patients to learn motivational interviewing strategies to better manage screening, brief interventions, and referral conversations.
Baseline data were collected from 227 participants who were then randomly assigned into the treatment or wait-list control groups. Treatment group participants then completed the simulation, postsimulation survey, and 3-month follow-up survey.
Results showed significant increases in knowledge/skill to identify and engage in collaborative decision making with patients.
Results strongly suggest that role-play simulation experiences can be an effective means of teaching screening and brief intervention.
初级保健专业人员处于识别、筛查和对有心理健康和物质使用障碍的患者进行简短干预的绝佳位置。然而，他们在发起关于行为健康的对话、时间问题、对筛查工具和治疗资源缺乏了解等方面存在障碍。
本研究考察了在线模拟的效果，用户通过角色扮演与情感响应的虚拟患者进行练习，以学习动机式访谈策略，从而更好地管理筛查、简短干预和转介对话。
从 227 名参与者中收集基线数据，然后将他们随机分配到治疗组或等待名单对照组。治疗组参与者随后完成模拟、模拟后调查和 3 个月随访调查。
结果显示，参与者在识别和与患者进行协作决策方面的知识/技能有显著提高。
结果强烈表明，角色扮演模拟体验可以是教授筛查和简短干预的有效手段。
