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培养健康专业学生对与残疾青年互动的积极态度:一项阶梯式楔形试验。

Fostering positive attitudes towards interacting with young people with disability among health students: a stepped-wedge trial.

作者信息

Shields Nora, Bhowon Yeshna, Prendergast Luke, Cleary Stacey, Taylor Nicholas F

机构信息

Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Victoria, Australia.

Department of Mathematical and Physical Sciences, La Trobe University, Melbourne, Victoria, Australia.

出版信息

Disabil Rehabil. 2024 Mar;46(6):1212-1219. doi: 10.1080/09638288.2023.2193429. Epub 2023 Apr 26.

DOI:10.1080/09638288.2023.2193429
PMID:37101339
Abstract

PURPOSE

To investigate if a 12-week community-based exercise program () fostered positive attitudes towards disability among university student mentors.

METHODS

A stepped-wedge cluster randomised trial was completed with 4 clusters. Students were eligible to be a mentor if enrolled in an entry-level health degree (any discipline, any year) at one of three universities. Each mentor was matched with a young person with a disability and the pair exercised together at the gym twice a week for an hour (24 sessions total). At 7 times over 18 months, mentors completed the Disability Discomfort Scale to indicate their level of discomfort when interacting with people with disability. Data were analysed according to the intention to treat principles using linear mixed-effects models to estimate changes in scores over time.

RESULTS

A total of 207 mentors completed the Disability Discomfort Scale at least once, of whom 123 participated in . Analysis found an estimated reduction of 32.8% (95% confidence interval (CI) -36.8 to -28.4) in discomfort scores immediately after exposure to across all four clusters. These decreases were sustained throughout the remainder of the trial.

CONCLUSIONS

Mentors reported more positive attitudes towards interacting with people with disability after completing with changes retained for up to 15 months.

摘要

目的

调查一项为期12周的社区锻炼计划是否能培养大学生导师对残疾的积极态度。

方法

完成了一项有4个群组的阶梯式楔形整群随机试验。如果学生在三所大学之一攻读入门级健康学位(任何学科,任何年级),则有资格成为导师。每位导师与一名残疾青年配对,两人每周在健身房一起锻炼两次,每次一小时(共24节课程)。在18个月内的7个时间点,导师们完成了残疾不适量表,以表明他们在与残疾人互动时的不适程度。根据意向性分析原则,使用线性混合效应模型分析数据,以估计分数随时间的变化。

结果

共有207名导师至少完成了一次残疾不适量表,其中123人参与了该锻炼计划。分析发现,在所有四个群组中,接触该锻炼计划后,不适分数立即估计降低了32.8%(95%置信区间(CI)-36.8至-28.4)。在试验的其余时间里,这些下降趋势持续存在。

结论

导师们报告说,在完成该锻炼计划后,他们对与残疾人互动的态度更加积极,且这种变化可持续长达15个月。

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