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接受胎儿酒精谱系障碍专项培训后健康与教育专业人员的成果与需求

Outcomes and needs of health and education professionals following fetal alcohol spectrum disorder-specific training.

作者信息

Reid Natasha, White Codi, Hawkins Erinn, Crawford Andi, Liu Wei, Shanley Dianne

机构信息

Child Health Research Centre, University of Queensland, Brisbane, Queensland, Australia.

School of Applied Psychology, Griffith University, Brisbane, Queensland, Australia.

出版信息

J Paediatr Child Health. 2020 Feb;56(2):317-323. doi: 10.1111/jpc.14608. Epub 2019 Aug 29.

Abstract

AIM

Understanding professionals' views and needs can help advance service provision and improve future training opportunities, Therefore, the current study examined the experiences of Australian and New Zealand professionals who have attended fetal alcohol spectrum disorder (FASD)-specific training and the impact of this training on their current practices.

METHODS

A total of 52 health and education professionals from Australia and New Zealand completed an online survey that asked about their training experiences; changes in practice following training; their experiences implementing assessments in their workplace; and, for Australian professionals, their experiences of using the recently released Australian Guide to FASD diagnosis.

RESULTS

Respondents described a range of perceived practice changes following training attendance. These included increases in: asking about alcohol use during pregnancy; providing referrals for assessments; providing assessments and consultation with other professionals regarding FASD diagnosis. Qualitative findings also demonstrated themes of increased knowledge, awareness and/or confidence about providing neurodevelopmental assessments and FASD diagnosis following training.

CONCLUSIONS

This is the first study to document training and practice experiences of Australian and New Zealand professionals in relation to FASD. Overall, training efforts were well received by professionals and were effective in changing professionals' self-reported practice. Future investment in FASD-specific training initiatives and increased resources to enable neurodevelopmental assessments for all complex presentations, including FASD, is warranted.

摘要

目的

了解专业人士的观点和需求有助于推进服务提供并改善未来的培训机会。因此,本研究调查了参加胎儿酒精谱系障碍(FASD)专项培训的澳大利亚和新西兰专业人士的经历,以及该培训对他们当前实践的影响。

方法

来自澳大利亚和新西兰的52名卫生和教育专业人士完成了一项在线调查,该调查询问了他们的培训经历;培训后实践中的变化;他们在工作场所进行评估的经历;对于澳大利亚专业人士,还询问了他们使用最近发布的《澳大利亚FASD诊断指南》的经历。

结果

受访者描述了参加培训后一系列感知到的实践变化。这些变化包括:增加询问孕期饮酒情况;提供评估转介;就FASD诊断与其他专业人士进行评估和咨询。定性研究结果还表明,培训后在提供神经发育评估和FASD诊断方面,知识、意识和/或信心有所增强。

结论

这是第一项记录澳大利亚和新西兰专业人士在FASD方面培训和实践经历的研究。总体而言,培训工作受到专业人士的好评,并有效地改变了专业人士自我报告的实践。未来有必要对FASD专项培训计划进行投资,并增加资源,以便对包括FASD在内的所有复杂病例进行神经发育评估。

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