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要点:提升国家卫生工作队伍识别和治疗饮食失调症的技能。

The Essentials: Upskilling a National Health Workforce in the Identification and Treatment of Eating Disorders.

作者信息

Maloney Danielle, Ong Shu Hwa, Miskovic-Wheatley Jane, Dann Kelly M, Sidari Morgan, Hambleton Ashlea, Marks Peta, Maguire Sarah

机构信息

InsideOut Institute for Eating Disorders, Faculty of Medicine and Health, The University of Sydney and Sydney Local Health District, Sydney, Australia.

Queensland Eating Disorder Service (QuEDS), Brisbane, Australia.

出版信息

Int J Eat Disord. 2024 Dec;57(12):2427-2437. doi: 10.1002/eat.24297. Epub 2024 Oct 9.

DOI:10.1002/eat.24297
PMID:39380460
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11629059/
Abstract

OBJECTIVE

Health practitioners report limited skills and lack of confidence in managing and treating people with eating disorders. The purpose of this study was to evaluate the national rollout of comprehensive basic training in identification, assessment, treatment, and management of people with eating disorders to clinicians.

METHODS

The Essentials: Training Clinicians in Eating Disorders is a core competency eLearning program. As part of a nation-wide multidisciplinary workforce training strategy, 7500 course places were provided free of charge to public and private health care professionals across all jurisdictions of Australia between January 2020 and March 2022.

RESULTS

A total of 7370 health professionals enrolled during the study period. All learning outcomes showed improvement with large effect (Cohen's d = 1.2-2), with the largest improvements for self-reported knowledge of requirements for working with children and adolescents. Effects did not depend on years of working with eating disorders suggesting that the training was beneficial across levels of experience. Those who started with very low knowledge of eating disorders or higher willingness to treat eating disorders were most likely to complete the course. Most participants reported that the course was relevant to their clinical practice, that they expected their clinical practices to change, and that they would recommend the course to other health professionals.

DISCUSSION

The strategy to provide government-funded core competency training in eating disorder care to healthcare professionals met key objectives by reaching health professionals eligible to provide government-rebated services in public and private settings across all jurisdictions including regional and remote areas.

摘要

目的

医疗从业者报告称,在管理和治疗饮食失调患者方面技能有限且缺乏信心。本研究的目的是评估向临床医生全面推广饮食失调患者识别、评估、治疗和管理方面的基础培训情况。

方法

《要点:饮食失调临床医生培训》是一个核心能力在线学习项目。作为全国多学科劳动力培训战略的一部分,在2020年1月至2022年3月期间,向澳大利亚所有司法管辖区的公立和私立医疗保健专业人员免费提供了7500个课程名额。

结果

在研究期间,共有7370名医疗专业人员注册。所有学习成果都有显著改善(科恩d值 = 1.2 - 2),其中自我报告的与儿童和青少年工作要求的知识改善最为显著。效果并不取决于治疗饮食失调的工作年限,这表明该培训对不同经验水平的人都有益。那些开始时对饮食失调知识了解非常少或治疗饮食失调意愿较高的人最有可能完成课程。大多数参与者报告说,该课程与他们的临床实践相关,他们预计自己的临床实践会发生变化,并且会向其他医疗专业人员推荐该课程。

讨论

为医疗保健专业人员提供政府资助的饮食失调护理核心能力培训的战略,通过覆盖有资格在包括地区和偏远地区在内的所有司法管辖区的公立和私立环境中提供政府补贴服务的医疗专业人员,实现了关键目标。

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The need for more inclusive measurement to advance equity in eating disorders prevention.需要更具包容性的衡量标准来促进饮食失调预防中的公平性。
Eat Disord. 2024 Nov-Dec;32(6):798-816. doi: 10.1080/10640266.2024.2328460. Epub 2024 Mar 15.
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Not niche: eating disorders as an example in the dangers of overspecialisation.不局限于特定领域:以饮食失调为例,说明过度专业化的危害。
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Int J Ment Health Nurs. 2024 Apr;33(2):359-368. doi: 10.1111/inm.13233. Epub 2023 Oct 5.
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