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Provider 培训计划对巴西心理社会关怀单位中自闭症谱系障碍儿童治疗的影响。

Impact of a provider training program on the treatment of children with autism spectrum disorder at psychosocial care units in Brazil.

机构信息

Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie, São Paulo, SP, Brazil.

Secretaria Municipal da Saúde, São Paulo, SP, Brazil.

出版信息

Braz J Psychiatry. 2018 Jul-Sep;40(3):296-305. doi: 10.1590/1516-4446-2016-2090. Epub 2017 Dec 18.

Abstract

OBJECTIVE

To develop, implement, and verify the impact of a training program for health care providers working with children with autism spectrum disorder (ASD) in psychosocial care centers for children and adolescents (Centro de Atenção Psicossocial à Infância e à Adolescência - CAPSi) in São Paulo, Brazil.

METHODS

This quasi-experimental study was conducted with 14 professionals from four CAPSi units. The training program consisted of six phases: 1) pre-intervention observation; 2) meeting with staff to assess the main needs of the training program; 3) developing materials for training and evaluation; 4) meetings to discuss program implementation; 5) a final meeting for case discussion and evaluation; and 6) distance supervision. Three measures were used to evaluate the training program: i) the Knowledge, Attitudes, and Practices (KAP) questionnaire; ii) videos containing questions designed to assess program comprehension; and iii) a satisfaction survey.

RESULTS

Thirteen videos were produced to as visual aids for use during the training program, and a further 26 videos were developed to evaluate it. The program was well evaluated by the participants. The video responses and KAP questionnaire scores suggest that staff knowledge and attitudes improved after training.

CONCLUSION

The positive findings of this study suggest that the tested training program is feasible for use with multidisciplinary teams working in the CAPSi environment.

摘要

目的

在巴西圣保罗的儿童和青少年心理社会保健中心(Centro de Atenção Psicossocial à Infância e à Adolescência - CAPSi)为从事自闭症谱系障碍(ASD)儿童心理社会护理的医疗保健提供者开发、实施和验证培训计划,并评估其效果。

方法

这是一项准实验研究,共有来自四个 CAPSi 单位的 14 名专业人员参与。培训计划包括六个阶段:1)干预前观察;2)与工作人员会面,评估培训计划的主要需求;3)为培训和评估制定材料;4)讨论计划实施的会议;5)用于案例讨论和评估的最终会议;以及 6)远程监督。使用三种措施评估培训计划:i)知识、态度和实践(KAP)问卷;ii)包含旨在评估计划理解的问题的视频;以及 iii)满意度调查。

结果

制作了 13 个视频作为培训计划的视觉辅助工具,并制作了另外 26 个视频来评估该计划。参与者对该计划的评价非常好。视频回复和 KAP 问卷分数表明,工作人员的知识和态度在培训后有所提高。

结论

这项研究的积极发现表明,经过测试的培训计划在 CAPSi 环境中适用于多学科团队使用。

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