Training professionals to engage with and promote self-management
Training professionals to engage with and promote self-management
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DOI：
10.1093/her/cyh018
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发表时间：
2005-10-01
影响因子：
2.4
通讯作者：
Rogers, A
中科院分区：
文献类型：
--
作者：
Kennedy, A;Gask, L;Rogers, A
我们已经着手研究一种方法，以提高患者自我管理慢性病的能力。对于慢性病的有效卫生保健，我们认为患者需要与他们的医生合作；以患者为中心的会诊是实现这一目标的一种方式。这份报告描述了我们培训胃肠病专家以患者为中心的方式进行咨询的经验，作为复杂的自我管理干预的一部分，在一项随机对照试验(RCT)中，有700名已确诊的炎症性肠病(IBD)患者在门诊就诊。培训课程的目的是为随机选择的九个干预地点的专家提供实施干预的基本技能。培训持续2小时，包括研究和干预的背景知识、演示视频、角色扮演和视频反馈培训。介绍了随机对照试验的主要结果(服务使用、使能和满意度)，并根据顾问和患者对实施培训经验的意见进行了讨论。我们的研究结果证实并强调了以患者为中心的沟通培训的价值及其促进自我管理效果的潜力；事实证明，培训有效地使胃肠病顾问能够在IBD患者中建立指导性的自我管理。
We have set out to investigate an approach to improve patients' ability to self-manage chronic illness. For effective health care in chronic disease, we believe patients need to work in partnership with their doctor; patient-centred consultations are one way to achieve this. This report describes our experience of training specialists in gastroenterology to consult in a patient-centred style as part of a complex self-management intervention in a randomized controlled trial (RCT) involving 700 patients with established inflammatory bowel disease (IBD) attending outpatient clinics. The training session aimed to provide specialists from nine randomly selected intervention sites with the basic skills to carry out the intervention. The training lasted 2 hours, and included background on the research and intervention, a demonstration video, role-play, and video-feedback training. The main findings of the RCT are presented (service use, enablement and satisfaction), and discussed in the light of the views of consultants and patients on the experience of putting the training into practice. The findings of our study confirm and highlight the value of training in patient-centred communication and its potential for promoting self-management effects; the training proved effective in enabling consultants in gastroenterology to establish guided self-management in patients with IBD.