Aspects of mental health communication skills training that predict parent and child outcomes in pediatric primary care.
Aspects of mental health communication skills training that predict parent and child outcomes in pediatric primary care.
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DOI：
10.1016/j.pec.2010.03.019
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发表时间：
2011-02
影响因子：
3.5
通讯作者：
Brown, Jonathan
中科院分区：
文献类型：
--
作者：
Wissow, Lawrence;Gadomski, Anne;Roter, Debra;Larson, Susan;Lewis, Barry;Brown, Jonathan
Training in communication can change clinician behaviors, but brief training may function by altering attitudes rather than teaching new skills. We used data from a trial of mental health training for office-based primary care to determine indicators of uptake that predicted parent and child outcomes. Clinicians (n=50) were randomized to be controls or receive training. Uptake was determined comparing pre- and post-training visits with standardized patients (SPs) coded for skills and patient centeredness. Clinical outcomes were assessed by recruiting and following 403 children/youth ages 5-16 making visits to participants. At six months, change in mental health was assessed by parent and youth reports using the Strengths and Difficulties Questionnaire. Trained clinicians used more agenda setting, time, and anger management skills than controls and showed increased patient centeredness toward SP parents, but not adolescents. Increased patient-centeredness toward parents predicted improvement in child/youth symptoms and functioning (rated by parents), and improvement in youth-rated symptoms. Increased skills alone were not associated with improvement, but patients of clinicians above the mean for both skill and patient-centeredness change improved most. Targeting overall style and skills may produce the most clinical impact. Longer training may be needed to teach unfamiliar skills.
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影响因子：
5.7
作者：
Jerant, Anthony;Kravitz, Richard L.;Azari, Rahman;White, Lynda;Garcia, Jorge A.;Vierra, Heather;Virata, Maria Catrina;Franks, Peter
通讯作者：
Franks, Peter
影响因子：
5.4
作者：
ASHWORTH, CD;WILLIAMSON, P;MONTANO, D
通讯作者：
MONTANO, D
DOI：
10.1007/s10488-006-0106-7
发表时间：
2007-05-01
影响因子：
2.6
作者：
Brown, Jonathan D.;Riley, Anne W.;Wissow, Lawrence S.
通讯作者：
Wissow, Lawrence S.
影响因子：
168.9
作者：
Fallowfield, L;Jenkins, V;Eves, R
通讯作者：
Eves, R
影响因子：
2.2
作者：
Edwards, A;Elwyn, G;Russell, I
通讯作者：
Russell, I