Berger I, Weissman S, Raheel H, Bagga A, Wright R, Leung F, Loh A, Lee-Jones C, Isaacs B, Vogt J
Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Surrey Place, Toronto, Canada.
J Intellect Dev Disabil. 2023 Mar;48(1):91-99. doi: 10.3109/13668250.2022.2112511. Epub 2022 Sep 23.
Research suggests physicians may harbour paternalistic attitudes towards people with intellectual and developmental disabilities and lack the knowledge and skills to work with them. This study examined the impact of a brief intellectual and developmental disability curriculum intervention on these outcomes.
First-year medical students completed a pre-post questionnaire on attitudes and knowledge of intellectual and developmental disabilities in conjunction with a curriculum (a virtual tour of a developmental service site; panel discussions; tutorial presentations). Paired data were available for 33 students.
Students' confidence communicating with the person increased (pre-mean = 5.7/10, SD = 1.9; post-mean = 6.3/10, SD = 1.7; < 0.05) as did their feeling of competence taking a history (pre-mean = 4.2/10, SD = 1.9; post-mean = 5.5, SD = 1.7; < 0.0001). Their inclination toward sheltering people with intellectual and developmental disabilities also increased (pre-mean = 2.8/6, SD = 0.7; post-mean = 3.2/6, SD = 0.7; < 0.005).
This intervention may contribute to student confidence and their sense of competence in interacting with people with intellectual and developmental disabilities but did not suggest they adopted the philosophy of community inclusion.
研究表明,医生可能对智力和发育障碍患者持有家长式态度,并且缺乏与他们合作所需的知识和技能。本研究考察了一项简短的智力和发育障碍课程干预对这些结果的影响。
一年级医学生在参加一门课程(发育服务机构的虚拟参观、小组讨论、辅导讲座)的同时,完成了一份关于智力和发育障碍态度及知识的前后测问卷。33名学生的配对数据可用。
学生与患者沟通的信心有所增强(前测均值=5.7/10,标准差=1.9;后测均值=6.3/10,标准差=1.7;<0.05),他们进行病史采集时的胜任感也有所增强(前测均值=4.2/10,标准差=1.9;后测均值=5.5,标准差=1.7;<0.0001)。他们庇护智力和发育障碍患者的倾向也增加了(前测均值=2.8/6,标准差=0.7;后测均值=3.2/6,标准差=0.7;<0.005)。
这项干预可能有助于增强学生与智力和发育障碍患者互动时的信心和胜任感,但并未表明他们接受了社区融合的理念。