A randomized controlled trial of communication training with primary care providers to improve patient-centeredness and health risk communication.
A randomized controlled trial of communication training with primary care providers to improve patient-centeredness and health risk communication.
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DOI：
10.1016/j.pec.2010.01.021
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发表时间：
2011-01
影响因子：
3.5
通讯作者：
Roter, Debra
中科院分区：
文献类型：
--
作者：
Helitzer, Deborah L.;LaNoue, Marianna;Wilson, Bronwyn;de Hernandez, Brisa Urquieta;Warner, Teddy;Roter, Debra
关键词：
确定培训的有效性和有效性，以提高初级保健提供者以患者为中心的沟通技能和讨论患者健康风险的熟练程度。28名初级保健提供者参与了基线模拟患者互动，随后被随机分为干预组和对照组。干预提供者参加了以患者为中心的关于行为风险因素的交流培训。通过比较两组患者的即刻训练效果。在接下来的三年里，所有的提供者都参与了另外两组与患者的互动。使用培训后6个月和18个月收集的互动数据评估较长期的有效性。干预提供者在培训后即刻和两个随访时间点都显着提高了以患者为中心的沟通和沟通熟练程度。这项研究表明，短期培训在干预组提供者中产生了显着和较大的差异，并在培训后两年持续存在。这项研究的结果表明，初级保健提供者可以接受培训，以实现并保持在以患者为中心的沟通、沟通技能和讨论作为慢性疾病根本原因的不良童年事件方面的成果。
To determine the efficacy and effectiveness of training to improve primary care providers’ patient-centered communication skills and proficiency in discussing their patients’ health risks. Twenty-eight primary care providers participated in a baseline simulated-patient interaction and were subsequently randomized into intervention and control groups. Intervention providers participated in training focused on patient-centered communication about behavioral risk factors. Immediate efficacy of training was evaluated by comparing the two groups. Over the next three years, all providers participated in two more sets of interactions with patients. Longer term effectiveness was assessed using the interaction data collected at 6 and 18 months post training. The intervention providers significantly improved in patient-centered communication and communication proficiencies immediately post-training and at both follow-up time points. This study suggests that the brief training produced significant and large differences in the intervention group providers which persisted two years after the training. The results of this study suggest that primary care providers can be trained to achieve and maintain gains in patient-centered communication, communication skills and discussion of adverse childhood events as root causes of chronic disease.
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影响因子：
5.7
作者：
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通讯作者：
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