功能性神经障碍和相关条件在医疗保健提供者教育：教学策略和结果的范围审查

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

摘要

目的对功能性神经障碍（FND）及其相关疾病的认识有限，阻碍了医疗保健提供者的早期诊断和治疗。在医学课程和卫生保健环境中加强FND知识对于改善患者预后至关重要，但很少有报告描述FND相关教育方案的实施或影响。方法按照PRISMA-ScR指南，检索EMBASE、MEDLINE Ovid、PsycINFO、CINAHL Ultimate和Web of Science自成立至2024年3月13日。搜索词策略包括FND和相关条件，以及学生和医疗保健提供者的教育。还进行了回顾性参考书目和灰色文献检索。使用PCC框架指导资格。通过频率计数对数据进行量化，并进行基本的归纳定性内容分析，确定了FND教育的促进因素和障碍。采用Kirkpatrick训练评估模型对训练结果进行分层。结果采用检索策略后，共识别出3334篇摘要。数据库检索后纳入了22份报告，通过回顾性书目检索确定了2份报告。题目/摘要筛选和全文筛选的信度分别为Cohen’s Kappa = 0.693和0.799。报告的培训策略主要是说教式讲座。模拟医患角色扮演经常被引用为一种教学策略，定性分析表明，实习参与者重视这种方法。培训计划主要通过记录参与者的反应、参与情况以及对障碍及其治疗的知识和态度的变化来评估。本综述首次全面概述了FND及相关疾病的教育策略。该评估强调了缺乏重点突出的教育项目，并提供了指导未来教学研究的数据。

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

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.