Development of a Telephone-Based Clinical Skills Assessment Tool

基于电话的临床技能评估工具的开发

• 批准号: 8445076
• 负责人: CHRISTOPHER G BARRICK
• 金额: $ 14.86万
• 依托单位: STATE UNIVERSITY OF NEW YORK AT BUFFALO
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-12-01 至 2014-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8445076
• 关键词: Address; Alcohol abuse; Alcohols; Area; Award; Behavior Therapy; Behavioral; Client; Clinical; Clinical Assessment Tool; Clinical Skills; Code; Cognitive Therapy; Communication; Communities; Continuing Education; Couples; Couples Therapy; Data; Development; Distance Learning; Drug abuse; Educational workshop; Elements; Ensure; Equipment; Evaluation; Evidence based practice; Evidence based program; Feedback; Funding; Health Personnel; Internet; Intervention; Knowledge; Measures; Methods; Modeling; Monitor; Movement; New York; Online Systems; Outcome; Participant; Patients; Persons; Pilot Projects; Play; Program Development; Psychometrics; Readiness; Registries; Reliance; Research; Role; Schedule; Series; Special Equipment; Staging; Substance abuse problem; Sum; System; Technology; Telephone; Time; Training; Training Support; United States Substance Abuse and Mental Health Services Administration; Videoconferences; Videoconferencing; Voice; Work; addiction; base; clinical practice; cost; cost effective; design; dissemination research; drug abuser; experience; implementation research; innovation; meetings; novel; novel strategies; pilot trial; public health relevance; research in practice; response; skills; substance abuse treatment; success; theories; tool; tool development; trend

DESCRIPTION (provided by applicant): There is a clear and accelerating trend toward making trainings available to alcohol and drug abuse treatment clinicians and clinical staff via the internet and distance learning methods (e.g., Weingardt, Cucciare, Bellotti, & Lai, 2009). This movement is cost effective and offers tremendous possibilities for dissemination of evidence-based practices to audiences for which access had been previously limited or unavailable. However, these benefits come with a cost, especially with regard to clinical skill evaluation. These dissemination efforts are moving faster than the development of tools to assess the clinical skills of trainees who participate in these technology-based training efforts. Role play is a critical method by which clinicians can practice a clinical intervention, receive feedback, and monitor application of that feedback to their clinical practice (e.g., Bosse et al., 2010). Remote and asynchronous training pose significant challenges when conducting role plays or similar unrehearsed assessments of clinical skill. While some methods are available, such as video conferencing, these can often rely on expensive equipment and technology, and may be impractical for most field clinicians to use. This project proposes to build on existing data collected as a part of a previously funded R01 award that examined different kinds of post-training support for alcohol and drug abuse clinicians (Barrick & Homish, 2011). Using a Generalizability Theory-based approach (e.g., McGillicuddy, Rychtarik, & Morsheimer, 2004; Cronbach, Gleser, Nanda, & Rajaratnam, 1972) we will develop an alternate form of the telephone-based clinical skill assessment tool (T-CAT) and conduct a psychometric evaluation to examine the generalizability, alternate form reliability, and construct validity of the T-CAT. This method employs a telephone-based approach using interactive voice recording (IVR). Clinicians call a toll-free telephone number, listen to a series of clinical scenarios, and speak their responses to the situations. The responses are recorded using IVR, then coded for clinical fidelity and skill, and rated by the research team. This approach has promise as a method to allow for clinical skill assessment for distance learning and web-based trainings in the alcohol and drug abuse treatment fields.

描述(由申请者提供)：通过互联网和远程学习方法向酒精和药物滥用治疗临床医生和临床工作人员提供培训的趋势明显加快(例如，Weingardt，Cucciare，Bellotti，&Lai，2009)。这一运动具有成本效益，并为向以前受到限制或无法获得机会的受众传播循证做法提供了巨大的可能性。然而，这些好处是有代价的，特别是在临床技能评估方面。这些传播工作的进展速度快于评估参加这些以技术为基础的培训努力的受训者的临床技能的工具的开发。 角色扮演是临床医生实践临床干预、接收反馈并监控反馈在其临床实践中的应用的关键方法(例如，Bosse等人，2010)。当进行角色扮演或类似的未经预演的临床技能评估时，远程和异步培训构成了重大挑战。虽然有些方法是可用的，如视频会议，但这些方法往往依赖于昂贵的设备和技术，对于大多数现场临床医生来说可能不切实际。该项目建议以收集的现有数据为基础，作为先前资助的R01奖的一部分，该奖项审查了对酒精和药物滥用临床医生的不同类型的培训后支持(Barrick&Homish，2011)。使用基于概化理论的方法(例如，McGillicuddy，Rychtak，&Morshimer，2004；Cronbach，Gleser，Nanda，&Rajaratnam，1972)，我们将开发基于电话的临床技能评估工具(T-CAT)的替代形式，并进行心理测量学评估，以检验T-CAT的概化能力、替代形式可靠性和构建效度。该方法采用基于电话的方法，使用交互式语音记录(IVR)。临床医生拨打免费电话，听取一系列临床方案，并对情况作出回应。这些反应使用IVR记录下来，然后根据临床保真度和技能进行编码，并由研究团队进行评级。这一方法有望成为酒精和药物滥用治疗领域的远程学习和基于网络的培训的临床技能评估方法。