运用患者报告的结局指标提高督导服务效果：一项关于儿童心理健康结局指标使用培训后督导态度与自我效能的混合方法评估
Using patient-reported outcome measures to improve service effectiveness for supervisors: a mixed-methods evaluation of supervisors' attitudes and self-efficacy after training to use outcome measures in child mental health.
作者信息
Fullerton Mary, Edbrooke-Childs Julian, Law Duncan, Martin Kate, Whelan Isabelle, Wolpert Miranda
机构信息
East Haringey IAPT, Whittington Health NHS Trust, London, UK.
Evidence Based Practice Unit, UCL and the Anna Freud Centre, 12 Maresfield Gardens, London, NW3 5SU, UK.
出版信息
Child Adolesc Ment Health. 2018 Feb;23(1):34-40. doi: 10.1111/camh.12206. Epub 2017 Jan 24.
BACKGROUND
Patient-reported outcome measures (PROMs) are recommended by healthcare systems internationally, but there are a number of barriers to implementation. The aim of this research was to examine the impact of training supervisors in using PROMs on clinical practice, given the importance of leadership when changing behaviour.
METHOD
Data included pre-post questionnaires from 42 supervisors, interviews after training with six supervisees and nonparticipant observations of nine video-recorded supervision sessions.
RESULTS
After training, supervisors had more positive attitudes to administering PROMs and using feedback from PROMs and had higher levels of self-efficacy about using PROMs in supervision.
CONCLUSIONS
Findings are in line with the growing body of evidence that training child mental health staff to use PROMs may be associated with changes in attitudes, self-efficacy and use of PROMs.
背景
患者报告结局测量指标（PROMs）在国际医疗保健系统中得到推荐，但实施过程存在诸多障碍。鉴于在行为改变中领导力的重要性，本研究旨在探讨培训督导员使用PROMs对临床实践的影响。
方法
数据包括42名督导员的前后调查问卷、培训后对6名被督导者的访谈以及对9次视频记录的督导会议的非参与性观察。
结果
培训后，督导员对实施PROMs和使用PROMs反馈持更积极态度，并且在督导中使用PROMs的自我效能水平更高。
结论
研究结果与越来越多的证据一致，即培训儿童心理健康工作人员使用PROMs可能与态度、自我效能和PROMs使用的变化有关。
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