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针对初级保健医疗专业人员的在线注意力缺陷多动障碍心理教育培训的评估与采用:实施研究

Evaluation and Uptake of an Online ADHD Psychoeducation Training for Primary Care Health Care Professionals: Implementation Study.

作者信息

French Blandine, Wright Hannah, Daley David, Perez Vallejos Elvira, Sayal Kapil, Hall Charlotte L

机构信息

Institute of Mental Health, Jubilee Campus, University of Nottingham Innovation Park, Triumph Road, Nottingham, NG7 2TU, United Kingdom, 44 0115 951 5151.

Applied Psychological Practice, University of Nottingham Innovation Park, Nottingham, United Kingdom.

出版信息

JMIR Med Educ. 2025 Jul 11;11:e59365. doi: 10.2196/59365.

Abstract

BACKGROUND

Health care professionals seldom receive training on neurodevelopmental conditions such as attention-deficit/hyperactivity disorder (ADHD). An online training was co-developed to address some of the gaps in knowledge and understanding in primary care. A randomized controlled trial demonstrated that the training increased knowledge and confidence and improved practice.

OBJECTIVE

This report highlights the implementation of the training in practice and follow-up 4 years post evaluation.

METHODS

The online ADHD training comprises 2 modules: "Understanding ADHD" and "The Role of the GP," each taking approximately 45 minutes to complete. The training targets general practitioners primarily but is open to other health care professionals and parents. Feedback was collected through a survey at the end of the training, and the training has been widely adopted by various organizations internationally and nationally.

RESULTS

Between December 2019 and January 2024, the "Understanding ADHD" module was accessed more than 13,486 times, while the "Role of the GP" module was accessed 7018 times, primarily by users from the United States and the United Kingdom. Survey results from both modules showed positive feedback with high ratings for usefulness, likelihood to inform practice, and recommendation to colleagues. Some suggestions for improvement included reducing the negative focus on ADHD consequences and incorporating more positive aspects of ADHD.

CONCLUSIONS

This ADHD online training program, despite facing implementation challenges, has seen positive outcomes, including international translation and high user ratings. Suggestions for improvement were received, but some were not feasible due to regional variations in ADHD pathways. The training's impact extended beyond GPs to other health care professionals, although the COVID-19 pandemic posed obstacles to dissemination efforts. Nonetheless, ongoing plans aim to expand the training's implementation globally.

摘要

背景

医疗保健专业人员很少接受关于注意力缺陷多动障碍(ADHD)等神经发育疾病的培训。共同开发了一个在线培训,以弥补初级保健中知识和理解方面的一些差距。一项随机对照试验表明,该培训增加了知识和信心,并改善了实践。

目的

本报告重点介绍了该培训在实践中的实施情况以及评估后4年的随访情况。

方法

ADHD在线培训包括2个模块:“了解ADHD”和“全科医生的角色”,每个模块大约需要45分钟完成。该培训主要针对全科医生,但其他医疗保健专业人员和家长也可参加。培训结束时通过调查收集反馈,该培训已被国际和国内的各种组织广泛采用。

结果

在2019年12月至2024年1月期间,“了解ADHD”模块的访问量超过13486次,而“全科医生的角色”模块的访问量为7018次,主要用户来自美国和英国。两个模块的调查结果均显示出积极反馈,在实用性、为实践提供信息的可能性以及向同事推荐方面获得了高分。一些改进建议包括减少对ADHD后果的负面关注,并纳入ADHD的更多积极方面。

结论

这个ADHD在线培训项目尽管面临实施挑战,但取得了积极成果,包括国际翻译和高用户评分。收到了改进建议,但由于ADHD治疗途径的地区差异,一些建议不可行。该培训的影响不仅限于全科医生,还扩展到了其他医疗保健专业人员,尽管新冠疫情对传播工作构成了障碍。尽管如此,正在进行的计划旨在在全球范围内扩大该培训的实施。

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