Andrew Weil Center for Integrative Medicine, University of Arizona, PO Box 245153, Tucson, AZ, 85724-5153, United States.
Andrew Weil Center for Integrative Medicine, University of Arizona, PO Box 245153, Tucson, AZ, 85724-5153, United States.
Explore (NY). 2020 Nov-Dec;16(6):392-400. doi: 10.1016/j.explore.2019.08.002. Epub 2019 Aug 12.
Although there is mounting clinical and cost-effectiveness evidence supporting integrative healthcare (IH), a significant knowledge gap hinders widespread adoption by primary care professionals.
Based on IH competencies developed by an interprofessional team and a needs assessment, a 32-h online interprofessional IH course, Foundations in Integrative Health, was developed. Trainees learn to conduct an IH assessment and how patients are assessed and treated from the diverse professions in integrative primary care.
The course was pilot-tested with educational program trainees, faculty and clinical staff at graduate level primary care training programs (primary care residencies, nursing, pharmacy, public health, behavioral health, and licensed complementary and IH programs).
Prior to and following the course, participants completed an IH knowledge test, an IH efficacy self-assessment, and validated measures of IH attitudes, interprofessional learning, provider empathy, patient involvement, resiliency, self-care, wellness behaviors, and wellbeing. Evaluation surveys were administered following each unit and the course.
Almost one-half (n = 461/982, 47%) completed the course. Pre/post course improvements in IH knowledge, IH self-efficacy, IH attitudes, interprofessional learning, provider empathy, resiliency, self-care, several wellness behaviors, and wellbeing were observed. The course was positively evaluated with most (93%) indicating interest in applying IH principles and that the course enhanced their educational experience (92%).
This study demonstrates the feasibility and effectiveness of a multi-site, online curriculum for introducing IH to a diverse group of primary care professionals. Primary care training programs have the ability to offer an interprofessional, IH curriculum with limited on-site faculty expertise.
尽管越来越多的临床和成本效益证据支持整体医疗（IH），但一个重大的知识差距阻碍了初级保健专业人员的广泛采用。
基于跨专业团队和需求评估开发的 IH 能力，开发了 32 小时的在线跨专业 IH 课程，即综合健康基础课程。学员学习如何进行 IH 评估，以及如何从综合初级保健中的各种专业中评估和治疗患者。
该课程在研究生水平的初级保健培训计划（初级保健住院医师、护理、药学、公共卫生、行为健康和许可的补充和 IH 计划）的教育项目学员、教师和临床工作人员中进行了试点测试。
在课程之前和之后，参与者完成了 IH 知识测试、IH 功效自我评估以及 IH 态度、跨专业学习、提供者同理心、患者参与、弹性、自我保健、健康行为和幸福感的验证措施。在每个单元和课程结束后进行评估调查。
这项研究表明，对于向不同的初级保健专业人员介绍 IH，多地点在线课程具有可行性和有效性。初级保健培训计划有能力提供具有有限现场教师专业知识的跨专业 IH 课程。
