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在线沟通技巧培训干预对遗传咨询学生在标准化患者会谈中表现的影响。

Efficacy of an online communication skill training intervention on genetic counseling students' performance during standardized patient sessions.

机构信息

Johns Hopkins University, Department of Health, Behavior and Society, Baltimore, USA.

National Human Genome Research Institute, Center for Precision Health Research, Bethesda, USA.

出版信息

Patient Educ Couns. 2023 Sep;114:107835. doi: 10.1016/j.pec.2023.107835. Epub 2023 Jun 7.

Abstract

OBJECTIVE

To examine the efficacy of a brief, online intervention designed to enhance genetic counseling students' patient-centered communication.

METHODS

Genetic counseling students and recent graduates were randomized to two groups following a baseline standardized patient (SP) session: (1) immediate intervention exposure, which consisted of five modules that taught patient-centered communication skills followed by a second SP session, or (2) delayed intervention exposure following completion of the second session. Sessions were coded using the Roter Interaction Analysis System. Short-term efficacy was assessed by comparing communication during the second session between the delayed and immediate intervention exposure groups. Longer-term efficacy was assessed by comparing communication during a third session approximately five weeks later.

RESULTS

During the second session, students in the immediate intervention exposure group (n = 18) used more emotionally responsive statements and were more likely to use teach-back than those in the delayed intervention exposure group (n = 23). Students' emotionally responsive statements decreased among the immediate intervention exposure group during the third session.

CONCLUSION

Exposure to the intervention was associated with multiple, positive changes to students' patient-centered communication behavior.

PRACTICE IMPLICATIONS

These time- and resource-efficient modules may be beneficial as an introduction to communication skills training or a supplement to existing training.

摘要

目的

考察一项旨在增强遗传咨询学生以患者为中心的沟通能力的简短在线干预措施的效果。

方法

在基线标准化患者(SP)会话后,将遗传咨询学生和最近的毕业生随机分为两组:(1)立即干预暴露组,由五个模块组成,教授以患者为中心的沟通技巧,然后进行第二次 SP 会话;(2)第二次会话完成后延迟干预暴露组。使用 Roter 互动分析系统对会话进行编码。通过比较延迟和立即干预暴露组第二次会话期间的沟通情况来评估短期疗效。通过比较大约五周后第三次会话期间的沟通情况来评估长期疗效。

结果

在第二次会话中,立即干预暴露组(n=18)的学生比延迟干预暴露组(n=23)使用了更多的情感回应语句,更有可能使用回授法。在第三次会话中,立即干预暴露组学生的情感回应语句减少。

结论

接触干预措施与学生以患者为中心的沟通行为的多个积极变化相关。

实践意义

这些省时省力的模块可以作为沟通技巧培训的介绍或现有培训的补充,具有一定益处。

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