行为健康领域对老年人友好的 4M 保健系统:教育框架的试点测试。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Erin E Emery-Tiburcio, Laura Porter, Siqi Wang, Susan Buehler
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引用次数: 0

摘要

目标:4Ms-Behavioral Health(4Ms-BH)培训计划的试点测试旨在评估心理健康临床医生的知识收获、临床行为改变和接受程度,并总结经验,指导该框架的广泛实施。未来的最终目标是通过将 4Ms 框架推广到行为健康服务提供者,改善对老年人的护理:方法:来自三个州社区心理健康中心的 15 名心理健康临床医生在六个月内完成了 8 个小时的现场培训:一次三小时的入门培训,随后是五个月一次的应用培训。临床医生在培训前后完成了知识和临床行为测量,并就可接受性和可持续性进行了后续讨论:结果:虽然在 4Ms 知识总体评估中知识增长并不显著,但在用药和行动能力领域的知识分别增长了 17% 和 15%。从培训前到培训后,完成课程的学员在每项 4Ms 评估和行动活动中都表现出了与老年人护理相关的临床行为频率的增加,且效应大小较大(Cohen's d range = 0.82 - 1.66,P ≤ 0.01):4Ms-BH框架受到了参与者的欢迎,他们在培训中获得了一些重要的知识并改变了临床行为。这些试点数据表明,该框架具有很强的潜力,可以有效地培训未接受过老年医学培训的心理健康临床医生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The 4Ms of an age-friendly health system in behavioral health: pilot test of an educational framework.

Objectives: This pilot test of the 4Ms-Behavioral Health (4Ms-BH) training program was designed to assess knowledge gains, clinical behavior change, and acceptability among mental health clinicians and compile lessons to guide widespread implementation of the framework. The ultimate future goal is to improve care for older adults by expanding the 4Ms framework for behavioral health providers.

Method: Fifteen mental health clinicians from Community Mental Health Centers in three states completed eight hours of live session training over six months: one three-hour introduction followed by five monthly application sessions. Clinicians completed knowledge and clinical behavior measures before and after training, along with follow-up discussion regarding acceptability and sustainability.

Results: Although knowledge gains were not significant in the overall 4Ms knowledge assessment, knowledge in the Medication and Mobility domains improved at 17% and 15%, respectively. Participants completing the program demonstrated an increased frequency of clinical behaviors pertinent to older adult care with large effect sizes in each of the 4Ms assessment and action activities from pre-training to post-training (Cohen's d range = 0.82 - 1.66, p ≤ 0.01).

Conclusion: The 4Ms-BH framework was well-received by participants, who demonstrated some significant knowledge gains and clinical behavior change. These pilot data suggest that this framework has strong potential to effectively train mental health clinicians with little geriatric training.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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