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在大学环境中采用混合式学习策略教授“下一代积极育儿培训”(GenerationPMTO),这是一种基于证据的家长干预方法。

Teaching GenerationPMTO, an evidence-based parent intervention, in a university setting using a blended learning strategy.

作者信息

Baumann Ana A, Domenech Rodríguez Melanie M, Wieling Elizabeth, Parra-Cardona J Rubén, Rains Laura A, Forgatch Marion S

机构信息

1George Warren Brown School of Social Work, Washington University, St. Louis, Campus Box 1196, One Brookings Drive, St. Louis, MO 63130 USA.

2Utah State University, 2810 Old Main Hill, Logan, UT 84322-2810 USA.

出版信息

Pilot Feasibility Stud. 2019 Jul 13;5:91. doi: 10.1186/s40814-019-0476-8. eCollection 2019.

Abstract

BACKGROUND

Despite the large number of evidence-based practices (EBPs) ready for implementation, they are the exception in usual care, especially for ethnic minority patients, who may not have access to trained health professionals. Providing EBP training as part of a graduate curriculum could help build the pipeline of professionals to provide quality care.

METHODS

We conducted a before-after study to determine whether we could implement a blended learning strategy (BL; i.e., in vivo and online training) to teach an EBP in university settings. Feasibility in this pilot was operationalized as knowledge acquisition, satisfaction, fidelity, acceptability, and usability. Using GenerationPMTO as the EBP, our aim was to train graduate students enrolled in Psychology, Social Work, and Family Therapy programs in the EBP in one academic year. Two therapists from a community agency were also students in this pilot. A total of 13 students from five universities were trained in the intervention. Adaptations were made to the intervention and training strategy to optimize training fidelity. Focus groups were conducted with the students to capture their perspective about the training.

RESULTS

Students demonstrated significant knowledge acquisition from baseline (Mean = 61.79,  = 11.18) to training completion (Mean = 85.27,  = 5.08, mean difference = - 23.48, 95% CI = - 29.62, - 17.34). They also reported satisfaction with the BL format, as measured by teaching evaluations at the end of the course. Instructors received acceptable fidelity scores (range of 7-9 in a 9-point scale). Qualitative findings from focus groups showed support for acceptability and usability of BL training.

CONCLUSIONS

BL training in university settings can be conducted with fidelity when provided by appropriately trained instructors. BL that integrates EBP and adaptations may be uniquely applicable for training providers in low-resource and ethnically diverse settings. The BL enhanced knowledge of GenerationPMTO was acceptable and usable to students, and was delivered with high instructor fidelity to the training model.

摘要

背景

尽管有大量基于证据的实践(EBP)可供实施,但在常规护理中它们却属例外,尤其是对于少数族裔患者而言,他们可能无法获得经过培训的卫生专业人员的服务。将EBP培训作为研究生课程的一部分,有助于建立提供高质量护理的专业人员队伍。

方法

我们进行了一项前后对照研究,以确定是否可以在大学环境中实施混合学习策略(BL,即现场和在线培训)来教授一种EBP。本试点研究中的可行性通过知识获取、满意度、保真度、可接受性和可用性来衡量。以“青少年问题解决训练方案”(GenerationPMTO)作为EBP,我们的目标是在一个学年内对心理学、社会工作和家庭治疗专业的研究生进行EBP培训。一家社区机构的两名治疗师也是本试点研究的学员。来自五所大学的13名学生接受了干预培训。对干预措施和培训策略进行了调整,以优化培训保真度。与学生进行了焦点小组讨论,以了解他们对培训的看法。

结果

学生从基线(均值=61.79,标准差=11.18)到培训结束(均值=85.27,标准差=5.08,平均差异=-23.48,95%置信区间=-29.62,-17.34)显示出显著的知识获取。他们还报告了对BL形式的满意度,这通过课程结束时的教学评估来衡量。教师获得了可接受的保真度分数(9分制中为7 - 9分)。焦点小组的定性结果表明,BL培训具有可接受性和可用性。

结论

当由经过适当培训的教师提供时,大学环境中的BL培训可以保证保真度。将EBP与调整相结合的BL可能特别适用于资源匮乏和种族多样化环境中的培训提供者。BL增强了学生对GenerationPMTO的知识,学生认为其可接受且可用,并且教师对培训模式的保真度很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ce5/6626357/1f671409ac78/40814_2019_476_Fig1_HTML.jpg

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