Evaluation of a theory-driven e-learning intervention for future oral healthcare providers on secondary prevention of disordered eating behaviors

Evaluation of a theory-driven e-learning intervention for future oral healthcare providers on secondary prevention of disordered eating behaviors
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DOI:
10.1093/her/cyt050
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发表时间:
2013-06-01
影响因子:
2.4
通讯作者:
Hendricson, William
Hendricson, William
中科院分区:
医学4区
文献类型:
--
作者:
DeBate, Rita D.;Severson, Herbert H.;Hendricson, William

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口腔保健提供者有一个早期发现饮食失调行为的临床机会,因为他们往往是第一个观察到明显的口腔和身体体征的卫生专业人员。在口腔健康教育项目中,关于早期识别这种口腔/全身性疾病的课程是有限的。基于网络的学习可以补充和加强传统的学习,并具有发展技能的潜力。本研究的目的是确定一个理论驱动的基于网络的培训计划,以提高口腔健康学生的能力,执行相关的二级预防饮食失调行为的行为的有效性。本研究采用覆盖率、有效性、采用率、实施率和维持率评价框架,对美国12个口腔健康教育项目的27个口腔健康课堂进行纵向分组随机对照研究,评价网络培训对饮食行为二级预防相关态度、知识、自我效能和技能的影响。混合模型的协方差分析表明,干预组的学生(效应量:0.51-0.83)在所有六个结果的利益显着改善。结果表明,基于网络的培训计划可能会增加口腔保健提供者提供二级预防饮食失调行为的能力。使用的影响和价值的范围,有效性,采用,实施和维护框架进行了讨论。
Oral healthcare providers have a clinical opportunity for early detection of disordered eating behaviors because they are often the first health professionals to observe overt oral and physical signs. Curricula regarding early recognition of this oral/systemic medical condition are limited in oral health educational programs. Web-based learning can supplement and reinforce traditional learning and has the potential to develop skills. The study purpose was to determine the efficacy of a theory-driven Web-based training program to increase the capacity of oral health students to perform behaviors related to the secondary prevention of disordered eating behaviors. Using the Reach, Effectiveness, Adoption, Implementation and Maintenance evaluation framework, a longitudinal group-randomized controlled trial involving 27 oral health classes from 12 oral health education programs in the United States was implemented to assess the efficacy of the Web-based training on attitudes, knowledge, self-efficacy and skills related to the secondary prevention of disordered eating behaviors. Mixed-model analysis of covariance indicated substantial improvements among students in the intervention group (effect sizes: 0.51-0.83) on all six outcomes of interest. Results suggest that the Web-based training program may increase the capacity of oral healthcare providers to deliver secondary prevention of disordered eating behaviors. Implications and value of using the Reach, Effectiveness, Adoption, Implementation and Maintenance framework are discussed.