A half-day education program for healthcarestudents on communication support for peoplewith amyotrophic lateral sclerosis
A half-day education program for healthcarestudents on communication support for peoplewith amyotrophic lateral sclerosis
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为医疗保健学生提供为期半天的关于肌萎缩侧索硬化症患者沟通支持的教育计划
DOI：
10.1080/17538068.2021.1892423
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发表时间：
2021
影响因子：
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通讯作者：
Keiko Fukuroku
中科院分区：
文献类型：
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作者：
Takemasa Ishikawa;Yugo Narita;Tamotsu Imura;Yuji Tanaka;Michiko Nakai;Keiko Fukuroku
背景：辅助和替代沟通（AAC）需要持续的支持，但很少有研究描述医疗保健专业人员的AAC培训。方法针对多学科本科生开展肌萎缩性侧索硬化症交流支持短期教育项目。该课程包括讲座和三种AAC方法的实践。参与者是来自日本四所大学四门课程的58名学生，他们每隔6个月完成两次项目。对“初学者”（第一次参加该计划）和“有经验者”（6个月后重复该课程）的效果进行评估，采用测试前/测试后分数、5分钟内传递的字母数量、每次AAC试验前后视觉模拟量表（VAS）显示的主观负担以及自由文本评论。结果从第一次预测到第二次预测，学生的成绩均有所提高。除了一个AAC设备外，有经验组在5分钟内生成的字母数量高于初学者。经验组的VAS变化率低于新手组。对参与者评论的文本挖掘显示，有经验的一组的眼睛疲劳程度较低。结论本研究表明，在完成短期培训项目6个月后，参与者对AAC用于ALS患者沟通支持的知识仍保持不变，实际的AAC经验有助于他们发展技能，减少主观负担。
BackgroundAugmentative and alternative communication (AAC) requires on-going support but few studies describing AAC training for healthcare professionals were found.MethodWe developed a short-term education program on amyotrophic lateral sclerosis communication support for undergraduate students in multiple healthcare disciplines. The program comprised lectures plus practice of three AAC methods. Participants were 58 students from four courses at four Japanese universities who completed the program twice, at 6-month intervals. Effects of the program on ‘Beginners’ (taking the program for the first time) and ‘Experienced’ (repeating the course 6 months later) were evaluated using pre-test/post-test scores, number of letters transmitted in 5 min, subjective burden indicated on visual analogue scale (VAS) before and after each AAC trial, and free-text comments.ResultsAn increase in scores was shown from the first to the second pre-test. Number of letters generated in 5 min was higher for the Experienced group than for Beginners with the exception of one AAC device. VAS change rate for the Kuchimoji method was lower in the Experienced group than for Beginners. Text-mining of participants’ comments showed lower eyestrain reported in the Experienced group.ConclusionsThis study suggests that participants’ knowledge of AAC for communication support of people with ALS was retained 6 months after completing the short training program, and hands-on AAC experience helped them develop their skills and reduce the perceived subjective burden.