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支持劳动力实践变革:一项健康专业人员使用动机式访谈虚拟客户软件工具的试点研究方案。

Supporting workforce practice change: protocol for a pilot study of a motivational interviewing virtual client software tool for health professionals.

机构信息

College of Medicine & Public Health, Flinders University, Adelaide, South Australia, Australia

Prideaux Centre for Research in Health Professions Education, Flinders University, Adelaide, South Australia, Australia.

出版信息

BMJ Open. 2020 Feb 9;10(2):e033080. doi: 10.1136/bmjopen-2019-033080.

Abstract

INTRODUCTION

Motivating behavioural change during client consultations is of crucial importance across all health professions to address the growing burden of chronic conditions. Yet health professionals often lack the skills and confidence to use evidence-based counselling interventions to support clients' behavioural change and mobilise clients' resources and self-efficacy for change to address their long-term needs.

AIMS

This pre-post pilot study will develop a motivational interviewing (MI) virtual client training tool for health professionals and test the effectiveness of the educational content and usability of the virtual client interaction.

METHODS AND ANALYSIS

Postgraduate students across a range of health disciplines will be recruited. Data assessing attitudes towards preventive healthcare will be collected using a modified version of the Preventive Medicine Attitudes and Activities Questionnaire. Conversations with the virtual client will be analysed using the Motivational Interviewing Treatment Integrity code to assess changes in MI skills. The System Usability Scale will be used to assess the usability of the virtual client training tool.

ETHICS AND DISSEMINATION

This protocol was approved by the Flinders University Social and Behavioural Research Ethics Committee in May 2019. The results of the pilot study will inform the development of an avatar-based mobile application consisting of MI teaching and interactions with a generic virtual client that can be easily adapted to multiple scenarios.

摘要

简介

在所有健康专业领域,在客户咨询期间激发行为改变对于应对慢性疾病负担的日益增加至关重要。然而,健康专业人员通常缺乏使用基于证据的咨询干预措施的技能和信心,无法支持客户的行为改变,并调动客户的资源和自我效能感以满足他们的长期需求。

目的

本预-后试点研究将为健康专业人员开发一种动机性访谈(MI)虚拟客户培训工具,并测试教育内容的有效性和虚拟客户互动的可用性。

方法和分析

将招募来自一系列健康学科的研究生。使用预防性医疗态度和活动问卷的修订版收集评估预防保健态度的数据。使用动机性访谈治疗完整性代码分析与虚拟客户的对话,以评估 MI 技能的变化。系统可用性量表将用于评估虚拟客户培训工具的可用性。

伦理和传播

本方案于 2019 年 5 月获得弗林德斯大学社会和行为研究伦理委员会的批准。试点研究的结果将为基于头像的移动应用程序的开发提供信息,该应用程序包括 MI 教学和与通用虚拟客户的互动,可以轻松适应多种场景。

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