Videotaped training in alcohol counseling for obstetric care practitioners: a randomized controlled trial.
Videotaped training in alcohol counseling for obstetric care practitioners: a randomized controlled trial.
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产科护理人员酒精咨询录像培训：一项随机对照试验。
DOI：
10.1016/s0029-7844(98)00377-9
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发表时间：
1999
影响因子：
7.2
通讯作者：
Delaney,HD
中科院分区：
文献类型：
--
作者：
Handmaker,NS;Hester,RK;Delaney,HD
目的探讨对产科护理人员进行动机性访谈技巧录像培训的可行性，并将其用于问题饮酒患者的简短会诊。方法采用20分钟的录像对30名医疗从业人员进行动机性访谈指导。参与者在试前进行角色扮演，由一位女演员扮演一个酗酒的孕妇。那些被随机分配到实验组的人观看了动机性访谈录像带。控制组的参与者观看了一部20分钟的纪录片，内容是一个怀孕的酗酒者。然后，两组人都进行了类似于前测的后测角色扮演。角色扮演的行为评分和动机性访谈视频的参与者评价构成结果测量。结果参与者评价表明，培训视频在解释和展示动机性访谈的原理和技巧方面是清晰的。从测试前到测试后行为评分的变化表明实验组和对照组在动机访谈技巧上存在显著差异。看过培训视频的产科护理从业人员被评为表现出更大的同理心，最大限度地减少了患者的防御，并支持女性相信自己有能力改变。结论产科护理人员可通过20分钟的动机性访谈录像指导提高其酒精干预技能。提高动机性访谈技巧的临床医生可以更有效地干预怀孕的酗酒患者。对这些人进行动机性访谈有望帮助预防与酒精有关的健康问题。
ObjectiveTo determine the feasibility of videotaped training for obstetric care practitioners in motivational interviewing skills that could be used in brief patient consultations on problem drinking.MethodsThirty health care practitioners participated in a clinical trial using a 20-minute videotape to instruct them in motivational interviewing. Participants engaged in a pretest roleplay with an actress playing a drinking pregnant woman. Those randomly assigned to the experimental condition watched the motivational interviewing videotape. Control condition participants watched a 20-minute docu-drama of a pregnant problem drinker. Both groups then engaged in a post-test roleplay similar to the pretest. Behavioral ratings of the roleplays and participant evaluations of the motivational interviewing video constituted the outcome measures.ResultsParticipant evaluations indicated that the training video was clear in explaining and demonstrating the principles and skills of motivational interviewing. Change in behavioral ratings from pretest to post-test showed significant differences in motivational interviewing skills between the experimental and control groups. Obstetric care practitioners who viewed the training video were rated as showing greater empathy, minimizing patient defensiveness, and supporting women's beliefs in their ability to change.ConclusionObstetric care practitioners can improve their alcohol intervention skills through the use of a 20-minute videotaped instruction in motivational interviewing. Clinicians who improve their skills in motivational interviewing can intervene more effectively with their drinking pregnant patients. Using motivational interviewing with this population holds promise for helping prevent alcohol-related health problems.
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DOI：
10.1111/j.1365-2788.1977.tb00030.x
发表时间：
2008
期刊：
Journal of mental deficiency research
影响因子：
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作者：
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DOI：
--
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1976
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The British journal of disorders of communication
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DOI：
10.3109/13682826809011457
发表时间：
1968
期刊：
The British journal of disorders of communication
影响因子：
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作者：
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影响因子：
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作者：
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DOI：
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发表时间：
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期刊：
Folia phoniatrica
影响因子：
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