Motivational Interviewing Simulation to Prevent & Manage Pediatric Obesity

描述(由申请人提供)： 儿童肥胖是一个严重的公共卫生问题，具有重大的健康风险和高昂的医疗费用。在办公室访问的背景下，使用围绕营养和体力活动的动机访谈(MI)，在儿童和成人人口的健康、行为改变和减肥方面都显示出积极的结果。尽管研究表明MI作为一种工具在患者和医生之间的接触中是有效的，但大多数执业临床医生缺乏MI方面的培训。美国儿科学会和Kognito正在合作检验以下假设，即虚拟现实技术是一种有效的工具，可以：1)教授关键概念，并在医疗保健专业人员中培养技能和提高效率，围绕儿童肥胖症的预防和治疗进行激励性访谈和认知行为指导。本项目的具体目标是：目标1：确定利用虚拟现实技术对临床医生进行动机访谈教育的可接受性，并在利用动机访谈和行为辅导作为护理点行为咨询的一部分方面建立技能和自我效能；目标2：识别和隔离在提高临床医生关于动机访谈和行为辅导的知识和技能方面最有效的关键创新技术和特征；目标3：在目标用户样本中确定最相关的内容，以虚拟现实为基础的教育模块旨在通过使用动机访谈来改善临床医生的行为咨询和辅导；和目标4：确定医疗家庭和家庭/患者/从业者团队可以使用这项技术来监控、评估和实现行为目标的潜在方法。方法：为了实现我们的目标，我们建议进行定量和定性相结合的研究，允许临床医生“测试”该技术，并在个人层面上提供即时反馈，在互动环境中提供更具反思性的反馈。共有35名儿科医生将被纳入第一阶段研究。样本 将反映当前AAP成员年龄和性别的人口统计；在此背景下，我们将对为肥胖风险较高人群提供服务的临床医生进行过抽样。被选中的儿科医生将被要求完成研究的两个部分。首先，所有35人都将独立审查一个测试模块，并通过前后调查以及整个模块中的弹出问题提供定量反馈。此外，将通过电话一对一的结构化访谈或一个小的焦点小组与参与者一起收集定性数据。这项技术的商业应用包括能够在各种环境中迅速传播给执业临床医生，包括作为继续教育活动的学分，以及通过专业学校(医疗、护理、医生助理等)向受训人员传播，并有针对性地向肥胖和肥胖相关疾病的最高风险人群提供服务。任何拥有互联网连接或CD/DVD功能的计算机的用户都可以获得培训及其所有上述组成部分，因此，与面对面和小组培训相比，可以以较低的每用户成本向大量分散在地理上的人群提供培训。 (摘要结束)

DESCRIPTION (provided by applicant): Childhood obesity is a serious public health issue with significant health risks and high medical costs. Using motivational interviewing (MI) around nutrition and physical activity in the context o an office visit has shown positive results in terms of health behavior change and weight lost in both the pediatric and adult populations. Despite studies demonstrating the efficacy of MI as a tool in the patient and physician encounter, most practicing clinicians lack training in MI. The American Academy of Pediatrics and Kognito are partnering to examine the following hypothesis that virtual reality technology is an effective tool to: 1) teach critical concepts and ) build skills and increase efficacy among healthcare professionals in motivational interviewing and cognitive behavioral coaching around childhood obesity prevention and treatment. Specifically the aims of this project are to: AIM 1: to ascertain the acceptability of utilizing vitual reality technology to educate clinicians on motivational interviewing and to build skills and self-efficacy in utilizing motivational interviewing and behavioral coaching as part of behavioral counseling at the point of care; AIM 2: to identify and isolate the key innovative technologies and features that will be most effective in improving clinician knowledge and skills on motivational interviewing and behavioral coaching; AIM 3: to identify, among a sample of target users, the most pertinent content to be included in a virtual reality- based educational module designed to improve clinician behavioral counseling and coaching through the use of motivational interviewing; and AIM 4: to ascertain potential ways that this technology can be used by the medical home and family/patient/practitioner team to monitor, assess, and progress on behavioral goals. Methods: To accomplish our aims, we propose conducting a blend of quantitative and qualitative research that allows clinicians to "test" the technology and provide both immediate feedback on an individual level and more reflective feedback in an interactive setting. A total of 35 pediatricians will be targeted for inclusion in Phase I research. The sample will reflect the current AAP member demographics for age and gender; within this context, we will oversample clinicians serving populations at higher risk for obesity. Pediatricians selected will be asked to complete two components of the study. First, all 35 will independently review a test module and provide quantitative feedback via pre and post surveys as well as pop-up questions throughout the module. In addition, qualitative data will be collected with participants through either a structured one on one interview over the phone or a small focus group. Commercial applications for this technology includes the capacity to be rapidly disseminated to practicing clinicians in a variety of settings, including for credit as Continuing Education activities, as well as to trainees through professional schools (medical, nursing, physician assistant, etc), and to conduct targeted outreach to those serving populations at the highest risk for obesity and obesity- related comorbities. The training and all its aforementioned components are available to any user with an internet- connected or CD/DVD capable computer and can, therefore, be delivered to large and geographically dispersed populations at low per-user costs when compared with in-person and group trainings. (End of Abstract)