自闭症患者共享决策在线培训：一项随机对照试验
Autism-Focused Online Training in Shared Decision-Making: A Randomized Controlled Trial.
机构信息
Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.
Department of Pediatrics, and Director of the Center for Excellence in Developmental Disabilities, University of California Davis, Sacramento, CA.
出版信息
J Dev Behav Pediatr. 2021 Apr 1;42(3):173-181. doi: 10.1097/DBP.0000000000000882.
OBJECTIVE
This medical education quasi-randomized controlled trial (quasi-RCT), involving 97 developmental-behavioral pediatrics fellows across the United States, examined differential effects of 2 autism-focused, online, interactive case-based trainings on shared decision-making (SDM).
METHODS
An intervention case provided direct teaching about SDM, addressing autism treatment options. A comparison case focused on evidence-based practice (EBP) related to medication use in autism with no specific SDM teaching. Measured outcomes included self-reported SDM and attitudes toward concordance in medication-prescribing.
RESULTS
After the intervention, both groups showed significantly increased SDM, but not medication-prescribing concordance (controlling for trainee level, autism patient numbers, and past SDM training).
CONCLUSION
This quasi-RCT presents evidence that knowledge of SDM in care of children with autism can be enhanced by online case-based training focused either indirectly on evidence-based practice or directly on SDM. Consistent online SDM training can be provided to all trainees, irrespective of the location.
目的
本项医学教育类类随机对照试验（quasi-RCT）纳入了全美 97 名发育行为儿科研究员，旨在探究 2 种聚焦自闭症的在线互动案例式培训对共同决策（SDM）的差异影响。
方法
干预组案例提供了关于 SDM 的直接教学，涉及自闭症治疗选择。对照组案例则侧重于与自闭症药物使用相关的循证实践（EBP），没有特定的 SDM 教学。测量结果包括自我报告的 SDM 和对药物处方一致性的态度。
结果
干预后，两组的 SDM 均显著增加，但药物处方一致性没有变化（控制研究员级别、自闭症患者数量和既往 SDM 培训）。
结论
这项类随机对照试验提供了证据，表明在线案例式培训可以提高自闭症儿童护理中 SDM 的知识，培训内容可以间接聚焦循证实践，也可以直接聚焦 SDM。一致的在线 SDM 培训可以提供给所有学员，无论其所在地点。
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