Brooks Audrey J, Maizes Victoria, Billimek John, Blair Jennifer, Chen Mei-Kuang, Goldblatt Elizabeth, Kilgore David, Klatt Maryanna, Kligler Benjamin, Koithan Mary S, Kreitzer Mary Jo, Lee Jeannie K, Lopez Ana Maria, Taren Douglas, Lebensohn Patricia
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; Department of Family and Community Medicine, University of Arizona, 655N Alvernon Way, Ste 228 Tucson, AZ 85711, United States; Mel and Enid Zuckerman College of Public Health, University of Arizona, PO Box 245163, Tucson, AZ 85724-5163, United States.
Explore (NY). 2021 Nov-Dec;17(6):505-512. doi: 10.1016/j.explore.2020.02.014. Epub 2020 Feb 27.
Although there is mounting clinical and cost-effectiveness evidence supporting integrative healthcare (IH), a significant knowledge gap hinders widespread adoption by health professionals.
Foundations in Integrative Health (FIH), a 32-h online competency-based interprofessional course to address this knowledge gap.
The course was pilot-tested by an interprofessional sample of providers in various clinical settings as professional and staff development.
Prior to and following the course, participants completed an IH knowledge test, an IH self-efficacy self-assessment, and validated measures of burnout, wellness behaviors, and attitudes toward IH, interprofessional teams, and patient involvement. Evaluation surveys were administered following each unit and the course.
Thirty-one percent of the participants (n = 214/690) completed the course. Pre/post course improvements were found in IH knowledge, IH self-efficacy, attitudes towards IH and interprofessional teams, and several wellness behaviors. The course was positively evaluated with 81% of the participants indicating interest in applying IH principles in their practice and 92% reported that the course enhanced their clinical experience.
This study demonstrates the outcomes of a multi-site, online IH curriculum offered to a diverse group of health professionals in various clinical settings. This course may allow clinical settings to offer an interprofessional, IH curriculum even with limited on-site faculty expertise.
尽管有越来越多的临床和成本效益证据支持综合医疗保健（IH），但一个重大的知识差距阻碍了医疗专业人员的广泛采用。
综合健康基础课程（FIH），这是一门基于能力的32小时在线跨专业课程，旨在弥补这一知识差距。
该课程由不同临床环境中的跨专业提供者样本进行试点测试，作为专业人员和员工发展的一部分。
在课程前后，参与者完成了一次IH知识测试、一次IH自我效能感自我评估，以及关于职业倦怠、健康行为以及对IH、跨专业团队和患者参与的态度的有效测量。在每个单元和课程结束后进行评估调查。
31%的参与者（n = 214/690）完成了课程。在IH知识、IH自我效能感、对IH和跨专业团队的态度以及几种健康行为方面发现了课程前后的改善。该课程得到了积极评价，81%的参与者表示有兴趣在实践中应用IH原则，92%的参与者报告称该课程增强了他们的临床经验。
本研究展示了为不同临床环境中的各类医疗专业人员提供的多地点在线IH课程的成果。即使现场教师专业知识有限，本课程也可能使临床环境能够提供跨专业的IH课程。
