How Do Clinicians Prefer Cultural Competence Training? Findings from the DSM-5 Cultural Formulation Interview Field Trial.
How Do Clinicians Prefer Cultural Competence Training? Findings from the DSM-5 Cultural Formulation Interview Field Trial.
复制标题
DOI：
10.1007/s40596-015-0429-3
复制
发表时间：
2016-08
期刊：
影响因子：
--
通讯作者：
Lewis-Fernández R
中科院分区：
文献类型：
--
作者：
Aggarwal NK;Lam P;Castillo EG;Weiss MG;Diaz E;Alarcón RD;van Dijk R;Rohlof H;Ndetei DM;Scalco M;Aguilar-Gaxiola S;Bassiri K;Deshpande S;Groen S;Jadhav S;Kirmayer LJ;Paralikar V;Westermeyer J;Santos F;Vega-Dienstmaier J;Anez L;Boiler M;Nicasio AV;Lewis-Fernández R
本研究的目的是分析培训方法的临床医生报告为最有用和最少的DSM-5文化制定面试现场试验，原因，人口统计学特征和方法偏好之间的关联。作者使用混合方法分析了来自五大洲的75名临床医生在标准化培训课程和临床医生第一次管理文化制定面试后的培训偏好。内容分析确定了最有用和最不有用的教育方法的原因。双变量和逻辑回归分析比较了临床医生的特点，方法的喜好。最常见的是，临床医生将基于病例的行为模拟称为“最有帮助”的培训方法，而将视频称为“最没有帮助”的培训方法。二元和逻辑回归模型，首先未经调整，然后按国家聚类，发现临床医生年龄的每增加一年与行为模拟的偏好相关：OR=1.05（95%CI：1.01-1.10; p=0.025）。大多数临床医生更喜欢积极的行为模拟文化能力培训，这种效果是最明显的老年临床医生。有效的培训最好是通过结合复习书面指导、视频演示和行为模拟来完成。未来的工作可以检查临床医生培训满意度对患者症状和生活质量的影响。
This study’s objective is to analyze training methods clinicians reported as most and least helpful during the DSM-5 Cultural Formulation Interview field trial, reasons why, and associations between demographic characteristics and method preferences. The authors used mixed methods to analyze interviews from 75 clinicians in five continents on their training preferences after a standardized training session and clinicians’ first administration of the Cultural Formulation Interview. Content analysis identified most and least helpful educational methods by reason. Bivariate and logistic regression analysis compared clinician characteristics to method preferences. Most frequently, clinicians named case-based behavioral simulations as “most helpful” and video as “least helpful” training methods. Bivariate and logistic regression models, first unadjusted and then clustered by country, found that each additional year of a clinician’s age was associated with a preference for behavioral simulations: OR=1.05 (95% CI: 1.01–1.10; p=0.025). Most clinicians preferred active behavioral simulations in cultural competence training, and this effect was most pronounced among older clinicians. Effective training may be best accomplished through a combination of reviewing written guidelines, video demonstration, and behavioral simulations. Future work can examine the impact of clinician training satisfaction on patient symptoms and quality of life.