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治疗身体残疾儿童:一种使用模拟参与者的基于视频的教育资源。

Treating Children With Physical Disabilities: A Video-Based Educational Resource Using Simulated Participants.

作者信息

Kimmel Alexandra, Nozetz Erin, Salisbury Mary, Okanlami Oluwaferanmi, Talwalkar Jaideep, Martin Andrés

机构信息

Yale School of Medicine, New Haven, CT, USA.

Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA.

出版信息

J Med Educ Curric Dev. 2023 Apr 11;10:23821205231162579. doi: 10.1177/23821205231162579. eCollection 2023 Jan-Dec.

Abstract

OBJECTIVES

Children with physical disabilities (CWPD) have historically experienced inadequate and insensitive care across medical settings. A lack of comfort and knowledge about CWPD is prevalent among healthcare provider trainees. We developed a new, readily distributable educational resource about CWPD for healthcare students and conducted a study to determine its efficacy in improving their attitudes toward CWPD.

METHODS

We collaborated with a working group of stakeholders in the disability community to develop an educational resource for healthcare students. We developed nine short video clips (with a cumulative duration of 27 min) of a primary care visit using simulated participants and embedded them into a 50-min workshop. We conducted a study of the workshop's utility for volunteer healthcare students using synchronous videoconferencing. Participating students completed assessments at baseline and after the workshop. Our primary outcome measure was a change in the Attitudes to Disabled Persons-Original (ATDP-O) scale.

RESULTS

Forty-nine healthcare students participated in the training session: 29 (59%) from medicine, and 21 (41%) from physician assistant or nursing programs. The materials were easy to deliver virtually. The workshop resulted in measurable change in attitudes regarding physical disabilities, with improvement in ATDP-O scores between baseline ( = 31.2,  = 8.9) and endpoint ( = 34.8,  = 10.1) scores ( = 3.28,  = .002, Cohen's  = 0.38).

CONCLUSION

This video-based educational resource on CWPD is readily distributable and can be delivered virtually as a workshop. The video-enhanced workshop improved healthcare students' perceptions and attitudes toward CWPDs. All materials are available to view, download, or adapt by end-use instructors.

摘要

目的

身体残疾儿童(CWPD)在历史上一直面临着医疗环境中护理不足和缺乏关怀的问题。医疗服务提供者实习生中普遍存在对CWPD缺乏了解和关怀的情况。我们为医学生开发了一种新的、易于分发的关于CWPD的教育资源,并进行了一项研究,以确定其在改善他们对CWPD态度方面的效果。

方法

我们与残疾社区的利益相关者工作组合作,为医学生开发一种教育资源。我们使用模拟参与者制作了9个初级保健就诊的短视频片段(总时长27分钟),并将其嵌入到一个50分钟的工作坊中。我们通过同步视频会议对该工作坊对志愿医学生的实用性进行了研究。参与的学生在基线和工作坊结束后完成评估。我们的主要结果指标是残疾人态度原始量表(ATDP-O)的变化。

结果

49名医学生参加了培训课程:29名(59%)来自医学专业,21名(41%)来自医师助理或护理专业。这些材料很容易通过虚拟方式提供。该工作坊导致了对身体残疾态度的可测量变化,ATDP-O分数在基线(=31.2,=8.9)和终点(=34.8,=10.1)分数之间有所提高(=3.28,=0.002,科恩效应量=0.38)。

结论

这种基于视频的关于CWPD的教育资源易于分发,可以作为一个工作坊通过虚拟方式提供。视频增强工作坊改善了医学生对CWPD的认知和态度。所有材料可供最终使用的教师观看、下载或改编。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f50/10107377/1ac223d4f577/10.1177_23821205231162579-fig1.jpg

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