Functional neurological disorder and related conditions in healthcare provider education: A scoping review of teaching strategies and outcomes

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-03-18 DOI:10.1016/j.jpsychores.2025.112102

Dearbhla P. Cullinane, Ashley Durfee, Neil Fleming, Denis S. Barry

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引用次数: 0

Abstract

Objective

Limited awareness of functional neurological disorder (FND) and related conditions among healthcare providers is hindering early diagnosis and treatment. Enhancing knowledge of FND across medical curricula and in healthcare settings is vital for improving patient outcomes, yet few reports describe the implementation or impact of FND-related educational programmes.

Methods

Following PRISMA-ScR guidelines, EMBASE, MEDLINE Ovid, PsycINFO, CINAHL Ultimate, and Web of Science were searched from inception to 13 March 2024. The search term strategy included FND and related conditions combined with education for students and healthcare providers. Retrospective bibliography and grey literature searches were also conducted. Eligibility was guided using a PCC framework. Data were quantified by performing frequency counts, and a basic inductive qualitative content analysis identified facilitators and barriers to FND education. The Kirkpatrick model for evaluating training was used to stratify training outcomes.

Results

Following conduct of the search strategy, 3334 abstracts were identified. Twenty-two reports were included following the database search and two reports were identified via a retrospective bibliography search. Inter-rater reliability for title/abstract and full-text screening was Cohen's Kappa = 0.693 and 0.799, respectively. The reported training strategies were predominantly didactic lectures. Simulated doctor-patient role-play was frequently cited as a teaching strategy and qualitative analysis indicated that trainee participants place value on this approach. Training programmes were predominantly evaluated by recording participant reactions, engagement, and changes in knowledge and attitude towards the disorder and its treatment.

Conclusions

This scoping review offers the first comprehensive overview of educational strategies for FND and related conditions. The review highlights a lack of focused educational programmes and provides data to guide future pedagogical research.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.