A Preliminary Italian Cross-Sectional Study on the Level of Digital Psychiatry Training, Knowledge, Beliefs and Experiences among Medical Students, Psychiatry Trainees and Professionals.

A Preliminary Italian Cross-Sectional Study on the Level of Digital Psychiatry Training, Knowledge, Beliefs and Experiences among Medical Students, Psychiatry Trainees and Professionals.
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DOI:
10.3390/healthcare10020390
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发表时间:
2022-02-18
期刊:
Healthcare (Basel, Switzerland)
影响因子:
--
通讯作者:
Volpe U
Volpe U
中科院分区:
其他
文献类型:
--
作者:
Orsolini L;Bellagamba S;Marchetti V;Menculini G;Tempia Valenta S;Salvi V;Volpe U

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2019冠状病毒病大流行导致数字精神病学(DP)的实施,导致需要新的熟练医疗保健人员。本研究的目的是调查DP的年轻精神卫生专业人员和医学生的培训,知识,信念和经验的水平。一个特设的横断面调查管理和描述性分析,学生的t检验和方差分析,连同探索性因素分析,双变量相关性和线性回归进行。大多数样本(N = 239)宣称,DP从来没有讨论过他们的学术培训(89.1%),主要揭示了对这个问题的整体知识缺乏。然而,大多数受试者声称DP是一种有价值的心理健康治疗工具(80%),他们的培训应包括这一主题(54.4%)。此外,大多数受试者声称数字干预不如面对面干预有效(73.2%),尽管新出现的证据表明,接受DP培训与数字干预和面对面干预的有效性相当的信念显著相关(p ≤ 0.05)。知识得分(KS)与感知重要性指数(PSI)(r = 0.148,p < 0.001),KS与数字精神病学意见(DPO)指数(r = 0.193,p < 0.001)之间存在强正相关。PSI评分在统计学上显著预测KS总评分(F(1,237)= 5.283,R2 = 0.022,p = 0.022)。KS评分在统计学上显著预测DPO总分(F(1,237)= 9.136,R2 = 0.037,p = 0.003)。在当前的大流行期间,DP是通过确保更多获得护理的优势来应对强制性物理距离的理想对策。然而,这种干预仍然不常见,精神卫生专业人员仍然持怀疑态度。在学年期间缺乏关于发展伙伴关系的正式培训可能是一个限制因素。
The COVID-19 pandemic led to the implementation of digital psychiatry (DP), resulting in the need for a new skilled healthcare workforce. The purpose of this study was to investigate the level of training, knowledge, beliefs, and experiences of young mental health professionals and medical students in DP. An ad hoc cross-sectional survey was administered and descriptive analyses, Student’s t and ANOVA tests were conducted, together with an exploratory factor analysis, bivariate correlations and linear regression. Most of the sample (N = 239) declared that DP was never discussed within their academic training (89.1%), mainly revealing an overall lack of knowledge on the issue. Nevertheless, subjects mostly declared that DP represents a valuable therapeutic tool in mental health (80%) and that their training should include this topic (54.4%). Moreover, most subjects declared that digital interventions are less effective than face-to-face ones (73.2%), despite the emerging evidence that being trained in DP is significantly associated with the belief that digital and in-person interventions are comparable in their effectiveness (p ≤ 0.05). Strong positive correlations were found between the knowledge score (KS) and perceived significance index (PSI) (r = 0.148, p < 0.001), and KS and Digital Psychiatry Opinion (DPO) index (r = 0.193, p < 0.001). PSI scores statistically significantly predicted KS total scores (F(1, 237) = 5.283, R2 = 0.022, p = 0.022). KS scores statistically significantly predicted DPO total scores (F(1, 237) = 9.136, R2 = 0.037, p = 0.003). During the current pandemic, DP represented an ideal response to the forced physical distancing by ensuring the advantage of greater access to care. However, this kind of intervention is still uncommon, and mental health professionals still prove to be skeptical. The lack of formal training on DP during the academic years could be a limiting factor.
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