Using Virtual Patients to Assess and Improve Clinicians' Emotional Self-awareness: a Randomized Controlled Study.
Using Virtual Patients to Assess and Improve Clinicians' Emotional Self-awareness: a Randomized Controlled Study.
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使用虚拟患者评估和提高临床医生的情绪自我意识：一项随机对照研究。
DOI：
10.1007/s40596-023-01909-z
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Galynker,Igor
中科院分区：
文献类型：
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作者：
Sarli,Giuseppe;Rogers,MeganL;Bloch-Elkouby,Sarah;Lawrence,OliviaC;GomesdeSiqueira,Alexandre;Yao,Heng;Lok,Benjamin;Foster,Adriana;Galynker,Igor
与自杀患者一起工作可能会引起负面的情绪反应，这可能会阻碍临床医生的同情心并影响临床结果。虚拟人交互是培训临床医生的一个很有前途的工具。本研究调查的影响，虚拟人的互动培训，以提高临床医生的情绪自我意识和同情时，与自杀patients.MethodsClinicians被随机分为两组。两组都采访了一个出现自杀危机的虚拟患者;干预条件下的临床医生（n= 31）立即收到了关于负面情绪反应和共情沟通的反馈，而对照条件下的临床医生（n= 33）没有收到任何反馈。所有临床医生在1周后采访了第二位虚拟患者。在每次互动后立即评估临床医生对两个虚拟患者的情绪反应以及他们与每个患者的共情交流。线性混合模型被用来评估临床医生的情绪反应和两个跨conditions.ResultsClinicians的相互作用之间的言语移情的变化对自杀的虚拟患者的情绪反应是不变的，在这两种条件。在干预条件下，对第一个虚拟患者表现出低共情水平的临床医生对第二个虚拟患者的共情水平高于第一个虚拟患者（B= 1.15，SE = 0.25，p < 0.001，95%CI [0.42，1.89]）。结论这项工作证明了使用虚拟人际互动来提高患有不良疾病的临床医生的同理心沟通技能的可行性同理心技能需要进一步完善这种方法，为更广泛的临床医生创建有效的培训模块。
ObjectiveWorking with suicidal patients can elicit negative emotional responses that can impede clinicians’ empathy and affect clinical outcomes. Virtual human interactions represent a promising tool to train clinicians. The present study investigated the impact of virtual human interaction training to enhance clinicians’ emotional self-awareness and empathy when working with suicidal patients.MethodsClinicians were randomly assigned into two groups. Both groups interviewed a virtual patient presenting with a suicidal crisis; clinicians in the intervention condition (n= 31) received immediate feedback about negative emotional responses and empathic communication, whereas those in the control condition (n= 33) did not receive any feedback. All clinicians interviewed a second virtual patient 1 week later. Clinicians’ emotional response to the two virtual patients and their empathic communication with each of them were assessed immediately after each interaction. Linear mixed models were used to assess change in clinicians’ emotional response and verbal empathy between the two interactions across conditions.ResultsClinicians’ emotional responses toward the suicidal virtual patients were unchanged in both conditions. Clinicians in the intervention condition presenting low empathy level with the first virtual patient showed higher empathy level with the second virtual patient than with the first (B= 1.15, SE = 0.25,p< 0.001, 95% CI [0.42, 1.89]).ConclusionsThis work demonstrates the feasibility of using virtual human interactions to improve empathic communication skills in clinicians with poor empathy skills. Further refinement of this methodology is needed to create effective training modules for a broader array of clinicians.