基于网络电子学习课程后动机性访谈在基层医疗慢性病管理中的适用性：横断面研究
Applicability of Motivational Interviewing for Chronic Disease Management in Primary Care Following a Web-Based E-Learning Course: Cross-Sectional Study.
作者信息
Lukaschek Karoline, Schneider Nico, Schelle Mercedes, Kirk Ulrik Bak, Eriksson Tina, Kunnamo Ilkka, Rochfort Andrée, Collins Claire, Gensichen Jochen
机构信息
Institute of General Practice and Family Medicine, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Institute of Psychosocial Medicine and Psychotherapy, Jena University Hospital, University of Jena, Jena, Germany.
出版信息
JMIR Ment Health. 2019 Apr 29;6(4):e12540. doi: 10.2196/12540.
BACKGROUND
Motivational interviewing (MI) is an established communication method for enhancing intrinsic motivation for changing health behavior. E-learning can reduce the cost and time involved in providing continuing education and can be easily integrated into individual working arrangements and the daily routines of medical professionals. Thus, a Web-based course was devised to familiarize health professionals with different levels of education and expertise with MI techniques for patients with chronic conditions.
OBJECTIVE
The aim of this study was to report participants' opinion on the practicality of MI (as learned in the course) in daily practice, stratified by the level of education.
METHODS
Participants (N=607) of the MI Web-based training course evaluated the course over 18 months, using a self-administered questionnaire. The evaluation was analyzed descriptively and stratified for the level of education (medical students, physicians in specialist training [PSTs], and general practitioners [GPs]).
RESULTS
Participants rated the applicability of the skills and knowledge gained by the course as positive (medical students: 94% [79/84] good; PSTs: 88.6% [109/123] excellent; and GPs: 51.3% [182/355] excellent). When asked whether they envisage the use of MI in the future, 79% (67/84) of the students stated to a certain extent, 88.6% (109/123) of the PSTs stated to a great extent, and 38.6% (137/355) of GPs stated to a great extent. Participants acknowledged an improvement of communication skills such as inviting (medical students: 85% [72/84]; PSTs: 90.2% [111/123]; GPs: 37.2% [132/355]) and encouraging (medical students: 81% [68/84]; PSTs: 45.5% [56/123]; GPs: 36.3% [129/355]) patients to talk about behavior change and conveying respect for patient's choices (medical students: 72% [61/84]; PSTs: 50.0% [61/123]; GPs: 23.4% [83/355]).
CONCLUSIONS
Participants confirmed the practicality of MI. However, the extent to which the practicality of MI was acknowledged as well as its expected benefits depended on the individual's level of education/expertise.
背景
动机性访谈（MI）是一种公认的沟通方法，用于增强改变健康行为的内在动力。电子学习可以降低提供继续教育的成本和时间，并可轻松融入个人工作安排和医疗专业人员的日常工作中。因此，设计了一门基于网络的课程，以使不同教育水平和专业技能的健康专业人员熟悉针对慢性病患者的MI技术。
目的
本研究的目的是按教育水平分层报告参与者对MI（在课程中学到的）在日常实践中的实用性的看法。
方法
MI基于网络的培训课程的参与者（N = 607）在18个月内使用自行填写的问卷对课程进行了评估。对评估进行了描述性分析，并按教育水平（医学生、专科培训医生[PSTs]和全科医生[GPs]）进行了分层。
结果
参与者对通过课程获得的技能和知识的适用性给予了积极评价（医学生：94%[79/84]良好；PSTs：88.6%[109/123]优秀；GPs：51.3%[182/355]优秀）。当被问及他们是否设想在未来使用MI时，79%（67/84）的学生表示在一定程度上会使用，88.6%（109/123）的PSTs表示在很大程度上会使用，38.6%（137/355）的GPs表示在很大程度上会使用。参与者承认沟通技巧有所提高，例如邀请（医学生：85%[72/84]；PSTs：90.2%[111/123]；GPs：37.2%[132/355]）和鼓励（医学生：81%[68/84]；PSTs：45.5%[56/123]；GPs：36.3%[129/355]）患者谈论行为改变以及表达对患者选择的尊重（医学生：72%[61/84]；PSTs：50.0%[61/123]；GPs：23.4%[83/355]）。
结论
参与者证实了MI的实用性。然而，MI实用性被认可的程度及其预期益处取决于个人的教育水平/专业技能。
Zotero 插件