Acceptability and Preliminary Effectiveness of a Remote Dementia Educational Training Among Primary Care Providers and Health Navigators.
Acceptability and Preliminary Effectiveness of a Remote Dementia Educational Training Among Primary Care Providers and Health Navigators.
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DOI：
10.3233/jad-220235
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发表时间：
2022
影响因子：
4
通讯作者：
Burns, Jeffrey M.
中科院分区：
文献类型：
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作者：
Perales-Puchalt, Jaime;Townley, Ryan;Niedens, Michelle;Vidoni, Eric D.;Greiner, K. Allen;Zufer, Tahira;Schwasinger-Schmidt, Tiffany;McGee, Jerrihlyn L.;Arreaza, Hector;Burns, Jeffrey M.
最佳护理可以改善痴呆症家庭的生活，但仍然没有得到充分实施。大多数医疗保健专业培训都是面对面的，时间密集型的，并且不关注早期发现和文化能力等关键方面。我们探讨了培训的可接受性和初步的有效性，痴呆症更新课程，其中解决了这些问题。我们假设，培训将导致主要医疗保健工作者，即初级保健提供者（PCP）和健康导航员（HN）的认知痴呆症护理能力水平提高。我们对22名PCP和32名HN进行了培训前和培训后评估。6.5小时的培训是远程的，包括教学讲座，案例讨论技术，以及关于痴呆症检测和护理的材料。结果包括两个5点李克特量表的可接受性，11个感知痴呆症护理能力，和三个分量表的全科医生的信心和态度量表痴呆症。我们使用配对样本t检验来评估所有初步有效性结局的平均差异。参加培训的有28.6%的初级保健医生和15.6%的自认为非白人或拉丁美洲人的高危家庭成员，以及45.5%的初级保健医生和21.9%的在农村地区服务的高危家庭成员。PCP（84.2%）和HN（91.7%）报告了推荐培训的可能性和高满意度。在PCP（11/14）和所有HN（8/8）中分析的大多数初步有效性结果从培训前到培训后都有所改善（p<0.05）。一个相对简短的，远程的，和包容性的痴呆症培训与高水平的可接受性和改善感知的痴呆症护理能力之间的PCP和HN。
Optimal care can improve lives of families with dementia but remains under-implemented. Most healthcare professional training is in person, time-intensive, and does not focus on key aspects such as early detection, and cultural competency. We explored the acceptability and preliminary effectiveness of a training, The Dementia Update Course, which addressed these issues. We hypothesized that the training would lead to increased levels of perceived dementia care competency among key healthcare workers, namely primary care providers (PCPs) and health navigators (HNs). We conducted pre-post training assessments among 22 PCPs and 32 HNs. The 6.5-hour training was remote, and included didactic lectures, case discussion techniques, and materials on dementia detection and care. Outcomes included two 5-point Likert scales on acceptability, eleven on perceived dementia care competency, and the three subscales of the General Practitioners Confidence and Attitude Scale for Dementia. We used paired samples t-tests to assess the mean differences in all preliminary effectiveness outcomes. The training included 28.6% of PCPs and 15.6% of HNs that self-identified as non-White or Latino and 45.5% of PCPs and 21.9% of HNs who served in rural areas. PCPs (84.2%) and HNs (91.7%) reported a high likelihood to recommend the training and high satisfaction. Most preliminary effectiveness outcomes analyzed among PCPs (11/14) and all among HNs (8/8) experienced an improvement from pre- to post-training (p<0.05). A relatively brief, remote, and inclusive dementia training was associated with high levels of acceptability and improvements in perceived dementia care competency among PCPs and HNs.