Mental Illness Training for Long Term Care Staff

Mental Illness Training for Long Term Care Staff
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DOI:
10.1016/j.jamda.2011.01.015
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发表时间:
2012-01-01
影响因子:
7.6
通讯作者:
Seeley, John R.
Seeley, John R.
中科院分区:
医学1区
文献类型:
--
作者:
Irvine, A. Blair;Billow, Molly B.;Seeley, John R.

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目的:精神疾病是普遍存在的养老院居民,但工作人员没有得到很好的培训来处理it. This研究评估了互联网上的精神疾病培训计划,专为认证的直接护理工作者,即护士助理(NAs)。还进行了试点研究,以探索与有执照的卫生专业人员(LHPs)的样本相同的程序的效果和接受度。设计:试验1:NAs的前后随机治疗和对照设计;试验2:LHPs的准实验前后受试者内设计。设置:两项研究都在互联网上进行。参与者:试验1:n = 70 NAs;试验2:n = 70 NAs;试验3:n = 70 NAs;试验4:n = 70 NAs;试验5:n = 70 NAs;试验6:n = 70 NAs;试验7:n = 16 LHP。干预:基于互联网的行为技能培训和知识建设,使用视频建模与掌握学习教学设计。测量:视频情境测试和与行为变化相关的心理社会结构评估;对治疗NA样本进行随访访谈。结果:试验1:多变量协方差分析显示,知识,态度,自我效能和行为意图的积极结果(P = 0.003),具有中-大的效果大小。培训受到用户的好评。试验二:配对t检验显示显着影响5的6个结果的措施,中大型的效果大小,它是深受LHP sample.Conclusions:互联网培训可以是一种有效的方法,以帮助工作人员与居民精神疾病。在这项研究中,它显示出显着的积极影响,并受到了NAs和LHP的好评。版权所有(C)2012 -美国医学主任协会,Inc.
Objectives: Mental illness is prevalent among nursing home residents, but staff are not well trained to deal with it. This research evaluated an Internet mental illness training program designed for certified direct care workers, ie, nurse aides (NAs). Pilot research was also conducted to explore effects and acceptance of the same program with a sample of licensed health professionals (LHPs).Design: Trial 1: Pre-post randomized treatment and control design for NAs; Trial 2: Quasi-experimental pre-post within-subjects design for LHPs.Setting: Both studies were conducted on the Internet.Participants: Trial 1: n = 70 NAs; Trial 2: n = 16 LHPs.Intervention: Internet-based behavioral skills training and knowledge building, using video modeling with mastery learning instructional design.Measurements: Video situations testing and assessment of psychosocial constructs associated with behavior change; follow-up interviews with a sample of treatment NAs.Results: Trial 1: Multivariate analysis of covariance analysis showed positive results (P = .003) for knowledge, attitudes, self-efficacy, and behavioral intention, with medium-large effect sizes. The training was well received by the users. Trial 2: Paired t tests showed significant effects on 5 of 6 outcome measures, with medium-large effect sizes, and it was well received by the LHP sample.Conclusions: Internet training can be an effective approach to help staff work with residents with mental illness. In this research, it showed significant positive effects and was well received by NAs and by LHPs. Copyright (C) 2012 - American Medical Directors Association, Inc.