Fuertes Jairo N, Anand Prachi, Toporovsky Arielle, Wolpoff Alexxa, Reyes Mariela, Hungria Francis Chalas, Fernandez Damian, Taborga Marcelo
Gordon F Derner School of Psychology, Adelphi University, Hy Weinberg Center- Rm 319, 158 Cambridge Avenue, Garden City, USA.
Donald and Barbara Zucker School of Medicine, Hofstra/Northwell, Hempstead, USA.
Med Sci Educ. 2019 Aug 5;29(4):987-994. doi: 10.1007/s40670-019-00789-z. eCollection 2019 Dec.
The current paper presents the results from two studies. The first study examined the effectiveness of a training program designed to enhance medical residents' working alliance communication skills. The second study surveyed patients to examine if the resident training program resulted in significantly improved adherence and satisfaction for their patients. The first study used an experimental design, and 104 residents were randomly assigned to one of two groups: one group received working alliance training and the other served as a control and received no training. In the second study, after the training was completed, we surveyed one patient treated by each of the residents who participated in the first study to assess differences by resident group on patient self-reported adherence and satisfaction. In all, 68 patients participated and these patients were blind to whether the resident had participated in the training. For the first study, post-test data for the two groups showed that residents in the training group reported higher working alliance skills than residents in the control group. For the second study, patients cared for by residents who participated in the training reported better adherence and higher satisfaction with treatment than patients of residents in the control group. Thus, the training program appears to enhance residents' working alliance communication skills and is related to self-reported improvement in patient adherence and satisfaction. Further research is warranted to better understand these findings.
本文介绍了两项研究的结果。第一项研究考察了一个旨在提高住院医师工作联盟沟通技巧的培训项目的有效性。第二项研究对患者进行了调查，以检验住院医师培训项目是否能显著提高患者的依从性和满意度。第一项研究采用了实验设计，104名住院医师被随机分为两组：一组接受工作联盟培训，另一组作为对照组，不接受培训。在第二项研究中，培训结束后，我们对参与第一项研究的每位住院医师治疗的一名患者进行了调查，以评估住院医师组在患者自我报告的依从性和满意度方面的差异。共有68名患者参与，这些患者对住院医师是否参加培训并不知情。对于第一项研究，两组的测试后数据显示，培训组的住院医师报告的工作联盟技能高于对照组的住院医师。对于第二项研究，由参加培训的住院医师护理的患者报告的治疗依从性和满意度高于对照组住院医师的患者。因此，该培训项目似乎提高了住院医师的工作联盟沟通技巧，并与患者自我报告的依从性和满意度的提高有关。有必要进行进一步的研究以更好地理解这些发现。
