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对医学生进行虚拟培训,以促进有神经发育障碍患者的舒适度和合作度。

Virtual Training of Medical Students to Promote the Comfort and Cooperation of Patients with Neurodevelopmental Disabilities.

机构信息

Clinical, Health, and Applied Sciences, University of Houston-Clear Lake, 2700 Bay Area Blvd., Campus Box 245, Houston, TX, 77058, USA.

出版信息

J Autism Dev Disord. 2024 Apr;54(4):1249-1263. doi: 10.1007/s10803-023-05896-w. Epub 2023 Jan 17.

Abstract

Patients with neurodevelopmental disabilities generally have less access to necessary medical care compared to those without disabilities. Barriers to adequate care include patient fear and uncooperative behavior during routine medical procedures and inadequate preparation of medical professionals to treat this population. Researchers have identified multiple behavior-analytic procedures for promoting comfort and cooperation during medical treatments. Efficient, cost-effective training programs are needed to widely disseminate behavior-analytic procedures to medical students and professionals. The purpose of this study was to assess the efficacy of a virtual training to prepare medical students to implement behavioral procedures that could be easily incorporated into typical wellness examinations. Seven medical students received behavioral skills training (BST) delivered remotely via the Internet. Results showed that the training successfully increased students' correct implementation of the procedures in roleplay with the experimenter and with patients with neurodevelopmental disabilities. Responding also maintained at high levels 2 weeks after the training. These findings suggest that virtual BST is an efficient, practical approach for training health care professionals to implement general behavior management strategies to increase the comfort and cooperation of patients with NDD.

摘要

与无残疾者相比,神经发育障碍患者通常获得必要医疗护理的机会较少。充分护理的障碍包括患者在常规医疗过程中的恐惧和不合作行为,以及医疗专业人员在治疗此类人群方面准备不足。研究人员已经确定了多种行为分析程序,以促进在医疗治疗期间的舒适和合作。需要高效、具有成本效益的培训计划,以便将行为分析程序广泛传播给医学生和专业人员。本研究的目的是评估一项虚拟培训的效果,该培训旨在使医学生能够实施易于纳入典型健康检查的行为程序。七名医学生通过互联网远程接受行为技能培训(BST)。结果表明,培训成功地增加了学生在与实验者和神经发育障碍患者的角色扮演中正确实施程序的能力。在培训后 2 周,反应也保持在较高水平。这些发现表明,虚拟 BST 是一种高效、实用的方法,可用于培训医疗保健专业人员实施一般行为管理策略,以增加 NDD 患者的舒适度和合作度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a70f/10981606/bf0dc49a657b/10803_2023_5896_Fig1_HTML.jpg

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