Virtual Patient Sexual History Interview Simulation

虚拟患者性史访谈模拟

• 批准号: 6690431
• 负责人: MARGARET M. MCCARTHY
• 金额: $ 10万
• 依托单位: MCCARTHY MEDICAL MARKETING, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-07-01 至 2004-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6690431
• 关键词: adolescence (12-20); behavioral /social science research tag; clinical research; computer assisted instruction; computer human interaction; computer program /software; computer simulation; computer system design /evaluation; continuing education; female; human subject; interactive multimedia; interview; patient care personnel relations; sex behavior; sexually transmitted diseases; training

DESCRIPTION (provided by applicant): Nearly 65 million people in the United States are currently infected with an incurable sexually transmitted disease (STD). And every year, 15 million more cases are diagnosed. One in four of these new infections occur in teenagers. Nearly 1,700 adolescents have autoimmune deficiency syndrome (AIDS) and 1% of girls aged 10 to 14 have unintentional pregnancies. Physicians widely recognize the need to obtain a comprehensive patient sexual history to prevent, diagnose and decrease the prevalence of STDs, human immunodeficiency virus (HIV), and unintentional| pregnancies. However, physicians often fail to obtain a sexual history in a clinical setting, primarily due to embarrassment, poor training and few patient encounters during medical school in which to learn, practice, and master sexual interviewing techniques. Unpracticed skills can result in a knowledge gap that is carried forward into postgraduate training, and eventually, future patient care. Omitting or taking an incomplete sexual history can result in incorrect diagnosis and improper or delayed treatment. To help meet this need, we propose the development of an innovative interview simulation computer application that can be used by physicians and other healthcare providers to learn the skills required to elicit positive patient responses and take a complete sexual history. The use of computer-assisted simulation programs is changing the methodologies of medical education. Patient simulation is used by anesthesiologists, radiologists, surgeons and others to provide an endless array of possible simulated interactions, in a risk-free environment. Simulation provides the physician with a wide variety of interview situations that are not available in textbooks or videotapes. A typical physician would need several months, or even years to experience the same range of opportunities as those in a simulation program. The product we are proposing has the potential to reach a wide audience, including 800,000 allopathic and 41,000 osteopathic physicians, over 97,000 medical residents, and over 17,000 allopathic and 10,000 osteopathic students, as well as thousands of other healthcare providers who are involved in patient interview situations. Our Phase I objective and primary outcomes assessment for this program is the development of a prototype application to teach physicians to comfortably take a sexual history from five adolescent girls with varying personal characteristics. In our Phase 1 research, we will develop the profiles for five virtual adolescent female patients and appropriate interview questions and answers for incorporation into a prototype application that will randomly select patients to be interviewed. The prototype application will be personally tested by physicians and physicians-in-training as part of our Phase 1 research. This product, when completely developed in Phase II, will be a standardized, comprehensive virtual interview simulation training program that can help healthcare providers, primarily physicians and physicians-in-training, build their skills in communicating effectively with their patients, including being able to take a complete sexual history.

描述（由申请人提供）：美国目前有近6500万人感染了无法治愈的性传播疾病（STD）。每年，又有1500万人被确诊。这些新感染中有四分之一发生在青少年中。近1,700名青少年患有自身免疫缺陷综合征（艾滋病），10至14岁的女孩中有1%意外怀孕。医生广泛认识到需要获得全面的患者性史，以预防，诊断和减少性病，人类免疫缺陷病毒（HIV）和非故意性行为的患病率。|怀孕。然而，医生往往无法在临床环境中获得性史，主要是由于尴尬，培训不足，以及在医学院期间学习，实践和掌握性访谈技巧的患者很少。未经实践的技能可能会导致知识差距，这种差距会延续到研究生培训，并最终影响未来的患者护理。遗漏或采取不完整的性史可能会导致错误的诊断和不当或延误治疗。为了帮助满足这一需求，我们建议开发一种创新的面试模拟计算机应用程序，可供医生和其他医疗保健提供者学习所需的技能，以引起患者的积极反应，并采取完整的性史。计算机辅助模拟程序的使用正在改变医学教育的方法。麻醉师、放射科医生、外科医生和其他人使用患者模拟，在无风险的环境中提供无数可能的模拟交互。模拟为医生提供了教科书或录像带中没有的各种各样的采访情况。一个典型的医生需要几个月，甚至几年的时间来体验与模拟程序中相同的机会。我们提出的产品有可能接触到广泛的受众，包括800，000名对抗疗法和41，000名骨科医生，超过97，000名住院医生，超过17，000名对抗疗法和10，000名骨科学生，以及数千名参与患者访谈的其他医疗保健提供者。我们的第一阶段的目标和主要成果评估这个程序是开发一个原型应用程序，教医生舒适地采取性史从五个青春期女孩不同的个人特征。在我们的第一阶段研究中，我们将开发五个虚拟青少年女性患者的个人资料和适当的访谈问题和答案，以纳入一个原型应用程序，该应用程序将随机选择接受访谈的患者。原型应用程序将由医生和实习医生亲自测试，作为我们第1阶段研究的一部分。该产品在第二阶段完成开发后，将成为一个标准化的，全面的虚拟访谈模拟培训计划，可以帮助医疗保健提供者，主要是医生和实习医生，建立他们与患者有效沟通的技能，包括能够采取完整的性史。