Malhotra Savita, Chakrabarti Subho, Gupta Aarzoo, Sharma Kanupriya, Sharma Minali
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Psychiatry. 2021 Sep-Oct;63(5):462-466. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_336_21. Epub 2021 Oct 12.
Videoconferencing-based telepsychiatry has been used successfully for the assessment and management of psychiatric disorders. However, training mental health professionals through videoconferencing has seldom been attempted. Online decision support systems for diagnosing psychiatric disorders had been developed earlier at the Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, as a part of a project for delivering telepsychiatric services to remote areas. The feasibility of videoconferencing for training nonspecialist staff in the use of the online tool to diagnose psychiatric disorders was examined. The effectiveness of training was evaluated using ratings of diagnostic agreement between trainees and trainers and estimations of training costs.
The Skype platform was used for videoconferences (VCs). Broadband internet connections had bandwidths of 4 mbps and speeds of 512 kbps. A total of 62 training sessions were conducted by the PGIMER team for remote-site teams using role-play techniques and actual patient interviews.
Videoconferencing-based training was considered to be convenient, satisfactory, and useful by all the participants. Diagnostic agreement between trainees and trainers was 89%-100%. Such training also appeared to be cost-effective. The main problems encountered were poor connectivity and poor audiovisual quality of the VCs.
Videoconferencing can be feasible and effective for training nonspecialists to diagnose psychiatric disorders.
基于视频会议的远程精神病学已成功用于精神疾病的评估和管理。然而，很少有人尝试通过视频会议对心理健康专业人员进行培训。作为向偏远地区提供远程精神病学服务项目的一部分，昌迪加尔医学教育与研究研究生院（PGIMER）早些时候开发了用于诊断精神疾病的在线决策支持系统。本研究探讨了通过视频会议培训非专科工作人员使用在线工具诊断精神疾病的可行性。通过学员与培训师之间诊断一致性评分以及培训成本估算来评估培训效果。
使用Skype平台进行视频会议（VC）。宽带互联网连接的带宽为4兆比特每秒，速度为512千比特每秒。PGIMER团队采用角色扮演技术和实际患者访谈，为远程站点团队总共进行了62次培训课程。
所有参与者都认为基于视频会议的培训方便、令人满意且有用。学员与培训师之间的诊断一致性为89%-100%。这种培训似乎也具有成本效益。遇到的主要问题是连接性差和视频会议的视听质量不佳。
视频会议对于培训非专科人员诊断精神疾病是可行且有效的。
