West Virginia University School of Medicine, Morgantown, WV, USA.
Department of Biostatistics, West Virginia University School of Public Health, Morgantown, WV, USA.
BMC Med Educ. 2023 Dec 6;23(1):924. doi: 10.1186/s12909-023-04894-x.
It is more isolating to patients if you aren't familiar with the resources: A pilot test of a clinician sensitivity training on eating disorders in pregnancy.(IRB Number: 1909705198).Background Pregnant women with a history of eating disorders (EDs) or active EDs have greater maternal and child health complications. They are also unlikely to disclose their history with an ED to their clinician, few of which are confident in their knowledge to provide appropriate care for patients who present with EDs. This study's goal was to evaluate changes to knowledge, behavior, and attitudes for health professionals who were part of a sensitivity training (to provide information of and awareness, address potential clinician biases, and offer strategies for more patient-centered care with de-stigmatizing language) about eating disorders and pregnancy compared with those who received a reference document.Methods Our pilot study compared responses of health professionals before and after this sensitivity training (N = 54) with a group who were provided a clinician reference document about the same topic (N = 61).Results Mann-Whitney Wilcoxon tests showed significant differences between the sensitivity training and reference document groups, with the sensitivity training resulting in increases to participants' perception of ED's relevance to overall treatment (p = 0.018), comfort in providing resources (p < 0.0001), frequency of ability to introduce strategies (p = 0.001), and interest in additional strategies/recommendations in treating patients with eating disorders (p = 0.009). Thematic analysis of the open-ended responses indicated four major themes: Resources and support, Treatment, Additional training, and Clinician Strategies. Discussion Results indicated that the sensitivity training improved training outcomes compared to the reference document group. Qualitative responses from both groups indicated four themes that can help inform ED-centered care. This study provides context for future directions for continuing education courses as well as clinical training recommendations for treating pregnant patients with EDs.
如果您不熟悉资源，患者会感到更加孤立：一项针对临床医生在妊娠中饮食障碍敏感性培训的试点测试。（IRB 编号：1909705198）。背景有饮食障碍（ED）或活跃 ED 病史的孕妇会有更大的母婴健康并发症。她们也不太可能向其临床医生透露自己的 ED 病史，而其中很少有人对自己的知识有信心，无法为出现 ED 的患者提供适当的护理。本研究的目的是评估参与敏感性培训（提供信息和意识，解决潜在的临床医生偏见，并提供以去污名化为重点的语言更以患者为中心的护理策略）的卫生专业人员的知识、行为和态度的变化，与接受临床医生参考资料的人相比。方法我们的试点研究比较了敏感性培训前后（N=54）卫生专业人员的反应与提供同一主题的临床医生参考资料的一组人员的反应（N=61）。结果曼-惠特尼 Wilcoxon 检验显示，敏感性培训组和参考资料组之间存在显著差异，敏感性培训组使参与者对 ED 与整体治疗相关性的感知（p=0.018）、提供资源的舒适度（p<0.0001）、引入策略的能力频率（p=0.001）和治疗 ED 患者的额外策略/建议的兴趣（p=0.009）增加。对开放式回答的主题分析表明有四个主要主题：资源和支持、治疗、额外培训和临床医生策略。讨论结果表明，与参考资料组相比，敏感性培训提高了培训效果。来自两个组的定性反应表明，有四个主题可以帮助告知 ED 为中心的护理。这项研究为未来继续教育课程以及治疗 ED 孕妇的临床培训建议提供了背景。
