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医学加心态:一种针对初级保健团队的新型心态焦点培训的混合方法评估。

Medicine plus mindset: A mixed-methods evaluation of a novel mindset-focused training for primary care teams.

机构信息

Department of Psychology, Stanford University, Stanford, USA.

Department of Business Administration, University of Zurich, Zurich, Switzerland.

出版信息

Patient Educ Couns. 2024 May;122:108130. doi: 10.1016/j.pec.2023.108130. Epub 2024 Jan 8.

Abstract

OBJECTIVES

Patient mindsets influence health outcomes; yet trainings focused on care teams' understanding, recognizing, and shaping patient mindsets do not exist. This paper aims to describe and evaluate initial reception of the "Medicine Plus Mindset" training program.

METHODS

Clinicians and staff at five primary care clinics (N = 186) in the San Francisco Bay Area received the Medicine Plus Mindset Training. The Medicine Plus Mindset training consists of a two-hour training program plus a one-hour follow-up session including: (a) evidence to help care teams understand patients' mindsets' influence on treatment; (b) a framework to support care teams in identifying specific patient mindsets; and (c) strategies to shape patient mindsets.

RESULTS

We used a common model (Kirkpatrick) to evaluate the training based on participants' reaction, learnings, and behavior. Reaction: Participants rated the training as highly useful and enjoyable. Learnings: The training increased the perceived importance of mindsets in healthcare and improved self-reported efficacy of using mindsets in practice. Behavior: The training increased reported frequency of shaping patient mindsets.

CONCLUSIONS

Development of this training and the study's results introduce a promising and feasible approach for integrating mindset into clinical practice. Practice Implications Mindset training can add a valuable dimension to clinical care and should be integrated into training and clinical practice.

摘要

目的

患者心态会影响健康结果;但目前还没有专门针对医疗团队理解、识别和塑造患者心态的培训。本文旨在描述和评估“医学加心态”培训计划的初步反响。

方法

旧金山湾区的五家初级保健诊所的临床医生和工作人员(N=186)接受了“医学加心态”培训。“医学加心态”培训包括两小时的培训课程和一小时的后续课程,内容包括:(a)帮助医疗团队理解患者心态对治疗的影响的证据;(b)支持医疗团队识别特定患者心态的框架;和(c)塑造患者心态的策略。

结果

我们使用常见的模型(柯克帕特里克)根据参与者的反应、学习和行为来评估培训。反应:参与者认为培训非常有用且有趣。学习:培训增加了对医疗保健中心态重要性的认识,并提高了自我报告在实践中使用心态的效能。行为:培训增加了报告塑造患者心态的频率。

结论

这项培训的开展和研究结果为将心态融入临床实践提供了一种有前景且可行的方法。实践意义心态培训可以为临床护理增加一个有价值的维度,应将其纳入培训和临床实践中。

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