Effects of an Enhanced Training on Primary Care Providers Knowledge, Attitudes, Service and Skills of Dementia Detection: A Cluster Randomized Trial.
Effects of an Enhanced Training on Primary Care Providers Knowledge, Attitudes, Service and Skills of Dementia Detection: A Cluster Randomized Trial.
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增强培训对初级保健提供者知识，态度，服务和痴呆症检测技能的影响：群集随机试验。
DOI：
10.3389/fneur.2021.651826
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发表时间：
2021
影响因子：
3.4
通讯作者：
Wang H
中科院分区：
文献类型：
--
作者：
Lv X;Zhao M;Li T;Yuan C;Zhang H;Pu C;Li Z;Zhang N;Yu X;Wang H
背景资料：需要为初级保健提供者（PCP）提供有效的培训计划，以支持痴呆症检测，特别是在发展中国家。本研究旨在探讨强化培训对PCP痴呆检测能力和服务的影响。方法：我们在中国北京进行了一项整群随机试验。位于丰台或房山区的社区卫生服务中心（CHC）符合条件。每区已登记的社区卫生服务中心按1：1的比例被随机分配到标准训练组或强化训练组。在登记的社区卫生中心为老年人服务的PCP有资格参加。标准培训组接受三小时的教学讲座，三个月的监督，3个月的在线支持和痴呆症筛查包。强化培训组还接受了3个月的面对面监督和3个月的在线支持。参与者在标准培训结束时意识到他们的小组成员身份。分别采用问卷调查和提交痴呆症检测记录的方式，对痴呆症检测的知识、态度、服务和技能进行评估。结果如下：共有23名和21名CHC分别被随机分配到标准和强化训练组，最终分析包括来自20名CHC的58名参与者和来自16名CHC的48名参与者（平均年龄37.5岁，67.0%为女性）。两组的知识得分均显著增加，但两组的增幅相似（P = 0.262）。与基线相比，两组的痴呆症检测服务均有所增加，尤其是强化训练组（标准训练组为24.1%至31.0%，强化训练组为14.6%至45.8%）。强化培训组痴呆检测记录的填写率和准确率均显著高于标准培训组（均P < 0.001）。结论：强化培训对PCP知识的提高效果与标准培训相似，但对PCP的持续服务和痴呆检测相关技能的提高效果更好。试验注册：www.ClinicalTrials.gov，标识符：NCT 02782000。注册日期：2016年5月。试验于2017年7月完成。
Background: Effective training programs for primary care providers (PCPs) to support dementia detection are needed, especially in developing countries. This study aimed to investigate the effect of an enhanced training on the competency and service of PCPs for dementia detection. Methods: We conducted a cluster randomized trial in Beijing, China. Community healthcare centers (CHCs) located in Fengtai or Fangshan District were eligible. The enrolled CHCs in each district were randomly assigned to the standard or the enhanced training group at a 1:1 ratio. PCPs serving older adults in enrolled CHCs were eligible to participate. The standard training group received three-hour didactic lectures, three monthly supervisions, 3 months of online support and dementia screening packages. The enhanced training group additionally received three monthly face-to-face supervisions and 3 months of online support. The participants became aware of their group membership at the end of the standard training. The knowledge, attitudes, service, and skills regarding dementia detection were assessed using questionnaires and submitted dementia detection records, respectively. Results: A total of 23 and 21 CHCs were randomly assigned to the standard and the enhanced training group, respectively, and 58 participants from 20 CHCs assigned to the standard training group and 48 from 16 CHCs assigned to the enhanced training group were included in the final analysis (mean age 37.5 years, and 67.0% women). A significant increase in the knowledge score was found in both groups, but the increase was similar in the two groups (P = 0.262). The attitude score remained stable in both groups, and no between-group difference was found. Compared with the baseline, both groups reported an increase in dementia detection service, especially the enhanced training group (24.1% to 31.0% in the standard training group and 14.6% to 45.8% in the enhanced training group). The completion rate and accuracy of submitted dementia detection records in the enhanced training group were both significantly higher than those in the standard training group (both P < 0.001). Conclusion: The enhanced training had similar effect on the knowledge of PCPs comparing with the standard training, but was better on continuous service and skills of PCPs related to dementia detection. Trial registration: www.ClinicalTrials.gov, identifier: NCT02782000. Registration date: May 2016. The trial was completed in July 2017.
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DOI：
10.1016/s0140-6736(17)31363-6
发表时间：
2017-12-16
期刊：
Lancet (London, England)
影响因子：
--
作者：
Livingston, Gill;Sommerlad, Andrew;Mukadam, Naaheed
通讯作者：
Mukadam, Naaheed
影响因子：
3.4
作者：
Pathak, Krishna P.;Montgomery, Anthony
通讯作者：
Montgomery, Anthony
影响因子：
11.2
作者：
Surr CA;Gates C;Irving D;Oyebode J;Smith SJ;Parveen S;Drury M;Dennison A
通讯作者：
Dennison A
影响因子：
64.3
作者：
Huang, Yueqin;Wang, Yu;Wu, Yue
通讯作者：
Wu, Yue
影响因子：
4.1
作者：
Wang Y;Xiao LD;Luo Y;Xiao SY;Whitehead C;Davies O
通讯作者：
Davies O