Reported Physician Skills in the Management of Children's Mental Health Problems Following an Educational Intervention
Reported Physician Skills in the Management of Children's Mental Health Problems Following an Educational Intervention
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DOI：
10.1016/j.acap.2009.01.009
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发表时间：
2009-05-01
影响因子：
3.1
通讯作者：
Boscarino, Joseph A.
中科院分区：
文献类型：
--
作者：
Laraque, Danielle;Adams, Richard;Boscarino, Joseph A.
目标。-三州接触儿童倡议（RCI）的目的是让初级保健医生（pcp）参与进来，并增加在儿童和青少年中最常见的心理健康（MH）问题的诊断和管理方面的知识和技能。- pcp对基线调查作出回应，并同意参加教育干预或作为对照组服务。该课程由跨学科教师授课，让观众参与角色扮演、激励技巧和教学。为了评估干预、基线和6个月随访的总体有效性，调查要求pcp评估他们的知识、社会情绪问题的诊断技能、这些问题的治疗策略的知识、对MH资源的认识以及对诊断和治疗MH问题的态度。-在215名基线受访者中，137人选择参加教育干预，78人作为对照组；其中分别有64%和59%的人完成了为期6个月的调查。总体样本以女性（70.2%）、白人（64.7%）为主，从业10年以上（57.5%）。经倾向分析证实，重复测量分析显示，与对照组相比，该干预组在诊断技能和临床策略知识方面的报告平均得分显著提高。干预对资源意识和态度没有显著影响。-在RCI之后，pcp确实报告了自我效能感的显著变化，具体到诊断技能和针对目标MH内容的临床治疗策略的知识。这种教育方法值得进一步研究。
Objective.-The tristate Reaching Children Initiative (RCI) was designed to engage primary care physicians (PCPs) and increase reported knowledge and skills in the diagnosis and management of the most common mental health (MH) problems among children and adolescents.Methods.-PCPs responded to a baseline survey and agreed to participate in an educational intervention or serve in a comparison group. The program, delivered by an interdisciplinary faculty, engaged the audience in role play, motivational techniques, and didactics. To assess the overall effectiveness of the intervention, baseline, and 6-month follow-up, surveys asked PCPs to rate their knowledge, diagnostic skills regarding socioemotional problems, knowledge of treatment strategies for these problems, awareness of MH resources, and attitudes towards diagnosing and treating MH problems.Results.-Of the 215 baseline respondents, 137 chose to participate in the educational intervention and 78 served as a comparison group; of these, 64% and 59%, respectively, completed the 6-month survey. The overall sample was predominantly female (70.2%), white (64.7%), and had been in practice for over 10 years (57.5%). Repeated measures analysis, confirmed by propensity analyses, revealed significantly improved reported mean scores for diagnostic skills and knowledge of clinical strategies for the intervention relative to the comparison group. The intervention did not significantly impact awareness of resources or attitudes.Conclusions.-Following the RCI, PCPs did report significant changes in self-efficacy specific to diagnostic skills and knowledge of clinical treatment strategies for targeted MH content. This educational approach merits further study.