Evaluating communication training for paid carers of people with traumatic brain injury
Evaluating communication training for paid carers of people with traumatic brain injury
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DOI：
10.3109/02699052.2012.722258
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发表时间：
2012-12-01
期刊：
影响因子：
1.9
通讯作者：
Heard, Rob
中科院分区：
文献类型：
--
作者：
Behn, Nicholas;Togher, Leanne;Heard, Rob
主要目的：评估有偿护理人员沟通培训计划的有效性，以改善他们与TBI患者的对话互动。研究设计：单盲随机对照研究。方法和程序：从急性住院康复计划中随机选择10名付费护理人员，并将其分配到训练组或对照组。培训包括一个17小时的项目（8周），包括有偿护理人员和TBI患者在培训前、培训后和6个月的随访期间的对话互动（即结构化和随意）。互动是根据对话中支持的适应测量（MSC），对话中参与的适应测量（MPC）和对话的全球印象量表进行评分的。主要结果和结果：经过培训的有偿护理人员更能承认和揭示TBI患者的能力。与对照组相比，谈话被认为更合适、更有趣、更有益。改进仅限于结构化对话，并维持了6个月。结论：在长期护理机构中，培训有偿护理人员对改善与创伤性脑损伤患者的对话互动具有积极作用。这些改进有助于促进脑外伤患者在家庭和社区中的独立性。
Primary objective: To evaluate the effectiveness of a communication training programme for paid carers to improve their conversational interactions with people with TBI.Research design: Single blinded randomized controlled study.Methods and procedures: Ten paid carers were randomly selected from a post-acute residential rehabilitation programme and allocated to either a training or control group. Training comprised a 17-hour programme (across 8 weeks) with conversational interactions (i.e. structured and casual) between paid carers and people with TBI videotaped pre-training, post-training and at 6-months follow-up. Interactions were rated on the Adapted Measure of Support in Conversation (MSC), Adapted Measure of Participation in Conversation (MPC) and Global Impression Scales of conversation.Main outcomes and results: Trained paid carers were more able to acknowledge and reveal the competence of people with TBI. Conversations were perceived as more appropriate, interesting and rewarding compared to the control group. Improvements were confined to the structured conversation and were maintained for 6 months.Conclusions: Training paid carers has a positive effect on improving conversational interactions with people with TBI in a long-term care facility. These improvements can help to foster increased independence for the person with TBI in the home and community.