Standardized Patients as Drug Abuse Treatment Clients

作为药物滥用治疗客户的标准化患者

• 批准号: 6695700
• 负责人: BENTSON H MCFARLAND
• 金额: $ 7.55万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-08-01 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6695700
• 关键词: clinical research; drug abuse; drug abuse therapy; health care service evaluation; health services research tag; human subject; patient care; training

DESCRIPTION (provided by applicant): Key aspects of training and supervision for drug abuse treatment providers include experiential ("hands on") learning as well as feedback about performance. In other areas of health care, standardized patients (SPs) play important roles in these aspects of clinician education and monitoring. Moreover, there is a growing literature on use of SPs for training and evaluating primary care providers with regard to the detection of substance abuse problems among their patients and the provision of brief interventions. On the other hand, little information is available about use of SPs for training and supervision of community drug abuse treatment providers. Standardized patients (also known as simulated patients) are actors trained to portray health care consumers with specific conditions. The National Board of Medical Examiners (NBME) will include SPs as a regular part of medical student testing by the academic year 2002-2003. The Educational Commission for Foreign Medical Graduates (ECFMG) has used SPs for several years to test applicants' clinical skills. Most medical schools (and many other health professional education programs) use SPs to educate trainees and to assess the quality of the trainees' actual performances. To the applicants' knowledge, this approach has been used infrequently (if at all) in community drug abuse treatment settings. Indeed, it remains to be seen if use of SPs with drug abuse treatment providers will be feasible. This pilot project is designed to answer fundamental questions about feasibility of the standardized patient methodology for training and supervision of community drug abuse treatment providers. The project will determine whether or not SPs can believably portray public sector drug abuse treatment clients. In addition, the study will assess the extent to which SPs can provide useful feedback regarding drug abuse treatment provider performance. The study takes advantages of Oregon Health & Science University's longstanding work with SPs. Conveniently, the University operates the Behavioral Health Clinic where providers have received training in American Society of Addiction Medicine (ASAM) Patient Placement Criteria, motivational interviewing, and cognitive behavioral treatment approaches for clients with substance abuse and mental health problems. The proposed study will examine the feasibility and utility of SPs in this environment.

描述（由申请人提供）： 对药物滥用治疗提供者进行培训和监督的关键方面包括体验式（“动手”）学习以及对业绩的反馈。在卫生保健的其他领域，标准化患者（SP）在临床医生教育和监测方面发挥着重要作用。此外，越来越多的文献表明，使用特殊护理人员对初级保健提供者进行培训和评估，以发现其患者中的药物滥用问题并提供简短的干预。另一方面，关于利用特殊服务对社区药物滥用治疗提供者进行培训和监督的信息很少。标准化患者（也称为模拟患者）是经过培训的演员，用于描绘具有特定条件的医疗保健消费者。到2002-2003学年，国家医学考试委员会将把SP列为医科学生考试的一个常规部分。外国医学毕业生教育委员会（ECFMG）多年来一直使用SP来测试申请人的临床技能。大多数医学院（和许多其他卫生专业教育计划）使用SP来教育学员并评估学员实际表现的质量。据申请人所知，这种方法在社区药物滥用治疗机构中很少使用（如果有的话）。事实上，与药物滥用治疗提供者一起使用SP是否可行还有待观察。该试点项目的目的是回答有关标准化病人方法对社区药物滥用治疗提供者进行培训和监督的可行性的基本问题。该项目将确定SP是否能够令人信服地描绘公共部门药物滥用治疗客户。此外，该研究还将评估服务提供者能够在多大程度上就药物滥用治疗提供者的业绩提供有用的反馈。这项研究利用了俄勒冈州健康与科学大学与SP的长期合作。方便地，大学经营行为健康诊所，提供者接受了成瘾医学（ASAM）患者安置标准，动机访谈和认知行为治疗方法的客户与药物滥用和心理健康问题的美国社会的培训。拟议的研究将探讨在这种环境下使用SP的可行性和效用。