Department of Pediatrics, University of Cincinnati College of Medicine (FJ Real, BL Rosen, D DeBlasio, M Klein, and JA Kahn), Cincinnati, Ohio; Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center (FJ Real, D DeBlasio, and M Klein), Cincinnati, Ohio.
Department of Pediatrics, University of Cincinnati College of Medicine (FJ Real, BL Rosen, D DeBlasio, M Klein, and JA Kahn), Cincinnati, Ohio; Division of Adolescent and Transition Medicine, Cincinnati Children's Hospital Medical Center (BL Rosen and JA Kahn), Cincinnati, Ohio.
Acad Pediatr. 2021 May-Jun;21(4):742-749. doi: 10.1016/j.acap.2020.11.023. Epub 2020 Dec 3.
Scalable, deliberate practice training strategies to administer evidence-based recommendations are necessary to improve human papillomavirus (HPV) vaccination rates. We sought to characterize resident clinicians' perceptions regarding the usability of the HPV Vaccine: Same Way, Same Day smartphone application (app). Usability, a critical aspect of digital programs to promote behavior change, was evaluated.
Fifteen third-year pediatric residents were recruited to complete a usability evaluation of the HPV Vaccine: Same Way, Same Day app, which includes simulated role-play scenarios in which users interact, as a pediatrician avatar, with an animated parent hesitant to accept the vaccine for her child. The app provides information about the vaccine and utilizes deliberate practice, a purposeful and systematic approach to improve performance, to teach evidence-based vaccine recommendation practices, including motivational interviewing skills. Data were derived from in-depth, semistructured interviews with pediatric residents. We used a constructivist general inductive approach to illuminate perspectives via inductive coding and pattern identification. Garrison's theoretical construct on self-directed learning was used to cluster themes into conceptual categories.
We classified interview data in 3 conceptual categories: self-management, internal monitoring and motivational principles. Residents described the app as interactive, easy to use, succinct, informative, engaging, and practical. All residents would recommend the HPV Vaccine: Same Way, Same Day app to a colleague. Residents suggested adding more complex cases for future iterations.
From their perspective, pediatric residents reported that an app using deliberate practice principles has the potential to inform and advance providers' counseling skills regarding the HPV vaccine.
需要可扩展的、有针对性的实践培训策略来实施基于证据的推荐,以提高人乳头瘤病毒(HPV)疫苗接种率。我们旨在描述住院医师对 HPV 疫苗:Same Way, Same Day 智能手机应用程序(app)可用性的看法。可用性是促进行为改变的数字计划的一个关键方面,对其进行了评估。
招募了 15 名三年级儿科住院医师,让他们对 HPV 疫苗:Same Way, Same Day app 进行可用性评估,该应用程序包括模拟角色扮演场景,用户以儿科医生的虚拟形象与一个对孩子接种疫苗犹豫不决的动画家长进行互动。该应用程序提供有关疫苗的信息,并利用刻意练习(一种有目的和系统的方法来提高绩效)来教授基于证据的疫苗推荐实践,包括动机访谈技巧。数据来自对儿科住院医师的深入半结构化访谈。我们使用建构主义的一般归纳方法,通过归纳编码和模式识别来阐明观点。加里森的自我导向学习理论构建用于将主题聚类到概念类别中。
我们将访谈数据分为 3 个概念类别:自我管理、内部监测和动机原则。住院医师将该应用程序描述为互动、易于使用、简洁、信息丰富、引人入胜且实用。所有住院医师都将向同事推荐 HPV 疫苗:Same Way, Same Day app。住院医师建议在未来的迭代中添加更复杂的案例。
从他们的角度来看,儿科住院医师报告说,使用刻意练习原则的应用程序有可能为提供者提供有关 HPV 疫苗的咨询技能提供信息和推进。