Comprehensive pelvic muscle assessment: Developing and testing a dual e-Learning and simulation-based training program.
Comprehensive pelvic muscle assessment: Developing and testing a dual e-Learning and simulation-based training program.
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DOI：
10.1002/nau.25125
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发表时间：
2023-06
影响因子：
2
通讯作者：
Miller, Janis M.
中科院分区：
文献类型：
--
作者：
Newman, Diane K.;Lowder, Jerry L.;Meister, Melanie;Low, Lisa K.;Fitzgerald, Colleen M.;Fok, Cynthia S.;Geynisman-Tan, Julia;Lukacz, Emily S.;Markland, Alayne;Putnam, Sara;Rudser, Kyle;Smith, Ariana L.;Miller, Janis M.
关键词：
下尿路症状预防（PLUS）研究联盟发起了关于女性膀胱健康的RISE （RISE）全国研究，其中包括年度调查和亲自访问。对于亲自检查，进行骨盆肌肉（PM）评估的标准化，可复制的方法是必要的。描述了用于开发培训的过程、产品以及教育和培训的组测试结果。综合骨盆肌肉评估（CPMA）方案是由文献资料和专家意见告知。培训材料已准备好用于电子学习（e-Learning）平台。然后设计了一个亲自动手的模拟和认证会议。它包括临床培训师使用的绩效评估清单，临床培训师与妇科助教合作，提供审核和反馈过程，以确定实习生的能力。开发了CPMA培训的五个离散组件作为电子学习模块。这些包括：(1)所有临床测量和PM解剖和检查评估的概述，(2)明显盆腔器官脱垂的视觉评估，(3)耻骨内脏肌的触诊评估以评估肌肉完整性，(4)数字阴道评估以评估PM收缩时的强度，持续时间和对称性，以及(5)肌筋膜结构和PM的压力触诊以评估自我报告的疼痛。17名学员完成了完整的CPMA培训，所有学员都成功达到了清单评估的85%的先验认证要求。RISE CPMA培训计划的成功实施，确保了PLUS多中心研究站点PM评估的标准化。这种方法可以被研究人员和医疗保健专业人员使用，他们希望在临床或研究环境中执行CPMA时使用标准化的方法来评估能力。
The Prevention of Lower Urinary Tract Symptoms (PLUS) research consortium launched the RISE FOR HEALTH (RISE) national study of women’s bladder health which includes annual surveys and an in-person visit. For the in-person exam, a standardized, replicable approach to conducting a pelvic muscle (PM) assessment was necessary. The process used to develop the training, the products, and group testing results from the education and training are described. A comprehensive pelvic muscle assessment (CPMA) program was informed by literature view and expert opinion. Training materials were prepared for use on an electronicLearning (e-Learning) platform. An in-person hands-on simulation and certification session was then designed. It included a performance checklist assessment for use by Clinical Trainers, who in collaboration with a gynecology teaching assistant, provided an audit and feedback process to determine Trainee competency. Five discrete components for CPMA training were developed as e-Learning modules. These were: (1) overview of all the clinical measures and PM anatomy and examination assessments, (2) visual assessment for pronounced pelvic organ prolapse, (3) palpatory assessment of the pubovisceral muscle to estimate muscle integrity, (4) digital vaginal assessment to estimate strength, duration, symmetry during PM contraction, and (5) pressure palpation of both myofascial structures and PMs to assess for self-report of pain. Seventeen Trainees completed the full CPMA training, all successfully meeting the a priori certification required pass rate of 85% on checklist assessment. The RISE CPMA training program was successfully conducted to assure standardization of the PM assessment across the PLUS multicenter research sites. This approach can be used by researchers and healthcare professionals who desire a standardized approach to assess competency when performing this CPMA in the clinical or research setting.
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影响因子：
3.5
作者：
Harlow, Bernard L.;Bavendam, Tamara G.;Simons-Morton, Denise
通讯作者：
Simons-Morton, Denise
影响因子：
2
作者：
Frawley, Helena;Shelly, Beth;Guevara, Jenniffer Voelkl
通讯作者：
Guevara, Jenniffer Voelkl
影响因子：
1.8
作者：
DeLancey, John O. L.
通讯作者：
DeLancey, John O. L.
影响因子：
9.8
作者：
Meister, Melanie R.;Shivakumar, Nishkala;Lowder, Jerry L.
通讯作者：
Lowder, Jerry L.
DOI：
10.1111/j.1552-6909.2012.01404.x
发表时间：
2012-09-01
影响因子：
1.8
作者：
Pastore, Elizabeth A.;Katzman, Wendy B.
通讯作者：
Katzman, Wendy B.