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自闭症相关培训计划对医生知识、自我效能和实践行为的影响:系统评价。

The impact of autism-related training programs on physician knowledge, self-efficacy, and practice behavior: A systematic review.

机构信息

Stanford University School of Medicine, USA.

出版信息

Autism. 2022 Oct;26(7):1626-1640. doi: 10.1177/13623613221102016. Epub 2022 Jun 13.

Abstract

Autism spectrum disorder is estimated to impact 1.5 million children and almost 5.5 million adults. However, most physicians do not receive training on how to provide care to this increasingly large group of people. After performing a systematic review of the literature and screening over 4,500 unique articles focused on the effectiveness of autism-specific training programs designed for physicians and physician trainees, we determined that 17 studies met the pre-determined criteria for inclusion in this systematic review. The results reported by these studies suggest that by completing specialized training programs related to autism, physicians were more knowledgeable on topics related to the condition, more confident in their ability to provide care to autistic individuals, and more likely to screen their patients for autism spectrum disorder. However, further studies with higher quality data are needed to validate these findings and provide additional insight on the ability of these programs to improve physician behavior and patient outcomes. We are therefore advocating that medical educators develop and evaluate specialized autism training programs with an increased focus on improving physician behavior related to all aspects of providing care to autistic people.

摘要

自闭症谱系障碍估计影响了 150 万儿童和近 550 万成年人。然而,大多数医生没有接受过如何为这一日益庞大的人群提供护理的培训。在对文献进行系统回顾并筛选了 4500 多篇专门针对医生和医生受训者的自闭症特定培训计划的有效性的独特文章后,我们确定有 17 项研究符合本系统综述的预先确定标准。这些研究报告的结果表明,通过完成与自闭症相关的专业培训计划,医生对该疾病相关主题的了解更加深入,对自己为自闭症个体提供护理的能力更有信心,并且更有可能对他们的患者进行自闭症谱系障碍筛查。然而,需要进一步进行高质量数据的研究来验证这些发现,并提供有关这些计划提高医生行为和患者结局能力的更多见解。因此,我们主张医学教育工作者开发和评估专门的自闭症培训计划,更加注重改善与为自闭症患者提供护理的各个方面相关的医生行为。

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