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“改变对你有好处”:使用混合学习方法培训医学生进行动机性访谈 - 试点评估。

"A change would do you good": Training medical students in Motivational Interviewing using a blended-learning approach - A pilot evaluation.

机构信息

Department for Psychosomatic Medicine and Psychotherapy, University Hospital of Tuebingen, Germany.

University Hospital for Psychiatry and Psychotherapy, Tuebingen, Germany.

出版信息

Patient Educ Couns. 2019 Apr;102(4):663-669. doi: 10.1016/j.pec.2018.10.027. Epub 2018 Nov 1.

DOI:10.1016/j.pec.2018.10.027
PMID:30448043
Abstract

Objectives This study aims to assess medical students' interest in a Motivational Interviewing (MI), the objective need for a special training, and students' satisfaction with and the effectiveness of such a course. Methods A mandatory MI course was implemented for sixth-semester medical students. Their interest in learning MI was evaluated, along with their satisfaction with the course, which was delivered in a blended-learning teaching approach. Participants' baseline MI skills and general communication skills were assessed. MI non-adherent behavior, like persuading and confronting patients, was noted. Successful learning was measured with a multiple-choice test administered before and after the course that assessed subjective knowledge and skills. Results Students were highly interested in learning MI. At baseline, they showed good communication skills but moderate MI skills. Satisfaction with the course was high. The course was effective, as subjective and objective knowledge and skills improved significantly. Conclusions This pilot study suggests that basic MI skills can be successfully taught in a blended-learning teaching approach. Further research should investigate sustainability and transfer to clinical practice. Practice implications Medical schools should consider providing students with special training in MI to help students counsel patients towards behavioral changes.

摘要

目的 本研究旨在评估医学生对动机性访谈(MI)的兴趣、接受专门培训的客观需求,以及学生对该课程的满意度和效果。

方法 为六年级医学生开设了强制性的 MI 课程。评估他们对学习 MI 的兴趣,以及他们对以混合式学习教学方法提供的课程的满意度。评估参与者的 MI 基本技能和一般沟通技能。记录 MI 不依从行为,如说服和质疑患者。通过在课程前后进行的多项选择题测试来衡量成功的学习,该测试评估主观知识和技能。

结果 学生对学习 MI 非常感兴趣。在基线时,他们表现出良好的沟通技巧,但 MI 技能中等。对课程的满意度很高。课程是有效的,因为主观和客观知识和技能都有显著提高。

结论 这项初步研究表明,基本的 MI 技能可以通过混合式学习教学方法成功教授。进一步的研究应调查可持续性和向临床实践的转移。

实践意义 医学院应考虑为学生提供 MI 方面的专门培训,以帮助学生引导患者进行行为改变。

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