Ben-Arye Eran, Rubinstein Dori, Keshet Yael, Samuels Noah, Stoffman Gali, Lahad Mooli, Reshef Alon, Schiff Elad
Ruth and Bruch Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Integrative Oncology Program, The Oncology Service, Lin, Carmel, and Zebulun Medical Centers, Clalit Health Services, 35 Rothschild St., Haifa, Israel.
Support Care Cancer. 2024 Dec 21;33(1):47. doi: 10.1007/s00520-024-09090-1.
The present conflict in Israel has led to a surge in cases of acute stress disorder (ASD). The study examined a training program for integrative medicine (IM) providers working in supportive and palliative care settings, teaching clinical skills for treating ASD.
A 10-h online training program, designed by supportive care trained IM and mental health professionals was attended by a group of 32 IM providers. The impact of the course was assessed using pre- and post-training questionnaires, which underwent qualitative evaluation. Three open-ended questions addressed expectations from the program, anticipated barriers to combining IM with mental health interventions, and explored willingness for multi-disciplinary collaboration. A conventional content analysis was used, where coding categories are derived directly from the text data. Narratives were analyzed using ATLAS.ti software for systematic coding.
Narrative themes identified within the group of 32 trainees included expectations regarding facilitating a multi-disciplinary integrative model of care, enriching the ASD-related clinical "toolbox," increasing the effectiveness of IM treatments, and reducing IM treatment-associated risks. Insights were provided for bridging communication gaps between IM practitioners and mental health providers, supporting the multi-disciplinary collaboration.
ASD-focused training for IM practitioners may increase their level of clinical skills and advance collaboration with mental health providers. Future research examining the feasibility of the integrative model and its implementation in supportive care setting is warranted.
以色列当前的冲突导致急性应激障碍（ASD）病例激增。该研究考察了一项针对在支持性和姑息性护理环境中工作的整合医学（IM）提供者的培训项目，教授治疗ASD的临床技能。
由接受过支持性护理培训的IM和心理健康专业人员设计的一个10小时在线培训项目，有32名IM提供者参加。使用培训前和培训后的问卷评估该课程的影响，这些问卷进行了定性评估。三个开放式问题涉及对该项目的期望、将IM与心理健康干预相结合的预期障碍，以及对多学科合作的意愿。采用传统的内容分析法，编码类别直接从文本数据中得出。使用ATLAS.ti软件对叙述进行系统编码分析。
在32名受训者群体中确定的叙述主题包括对促进多学科综合护理模式的期望、丰富与ASD相关的临床“工具箱”、提高IM治疗的有效性，以及降低IM治疗相关风险。为弥合IM从业者与心理健康提供者之间的沟通差距提供了见解，支持多学科合作。
针对IM从业者的以ASD为重点的培训可能会提高他们的临床技能水平，并促进与心理健康提供者的合作。有必要进行未来研究，考察综合模式在支持性护理环境中的可行性及其实施情况。
