评估在线卒中后情绪评估(O-MAPS)训练:一项II期随机对照试验。

IF 2.5 4区 医学 Q1 REHABILITATION
Topics in Stroke Rehabilitation Pub Date : 2025-09-01 Epub Date: 2024-12-31 DOI:10.1080/10749357.2024.2448098
Rebecca El-Helou, Brooke Ryan, Jeffrey M Rogers, Dianne L Marsden, Ann Winkler, Andrew Baillie, James Elhindi, Liz Gallagher, Ian Kneebone
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引用次数: 0

摘要

背景:焦虑和抑郁障碍以及自杀想法是卒中后常见的,通过常规筛查进行早期识别对于卒中幸存者获得正式的评估和治疗是必要的。目前缺乏可用的培训项目,到目前为止还没有对在线情绪筛查培训项目进行评估。目的:本研究旨在通过一项II期随机对照试验,评估在线情绪评估卒中后训练计划(OMAPS),该计划是与澳大利亚卒中基金会合作开发的。方法:通过网络研讨会和社交媒体页面在线招募卒中临床医生,招募的参与者使用REDCAP随机化软件随机分为立即干预组或等待名单对照组(参与者等待一周完成培训)。参与者在训练前后分别完成了情绪筛查自我效能问卷和情绪筛查知识测验。参与者在一个月后通过电子邮件进行跟踪,以确定他们是否实施了培训。结果:结果表明,被试筛查知识测验得分显著提高(M = 1.01, t (59) = 6.81, p=t = 8.294, p)。结论:本研究结果令人鼓舞,表明OMAPS培训项目在提高卒中临床医生情绪筛查自我效能方面具有初步效果。进一步的研究应该评估和探索临床实践的其他变化作为培训的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the Online Mood Assessment Post Stroke (O-MAPS) training: a phase II randomized-controlled trial.

Background: Anxiety and depressive disorders as well as suicidal ideas are common post stroke and early identification via routine screening is imperative for stroke survivors to access formal assessment and treatment. Currently there is a dearth of training programs available and no online mood screening training programs have been evaluated to date.

Objectives: The current study aims to evaluate the Online Mood Assessment Post Stroke Training Program (OMAPS) developed in partnership with the Stroke Foundation in Australia via a phase II wait listed Randomized Control Trial.

Methods: Recruitment occurred online via webinars and social media pages for stroke clinicians and enrolled participants were randomized, using REDCAP randomization software, into the immediate intervention group or wait list control (where participants waited for one week to complete the training). Participants completed a Mood Screening Self-Efficacy Questionnaire (MSEQ) and a mood screening knowledge quiz, pre and post training. Participants were followed up one month following via e-mail to determine whether they implemented the training.

Results: The results indicated that participants screening knowledge quiz scores improved (M = 1.01, t (59) = 6.81, p=<0.0001, d = 1.05) and self-reported self-efficacy increased for both groups after completing the training (t = 8.294, p < 0.001). Many participants reported a change of practice following completing the training and others reported remaining barriers to implementation.

Conclusions: The results of this study are promising and indicate the preliminary efficacy of the OMAPS training program in boosting stroke clinicians' self-efficacy in mood screening. Further studies should evaluate and explore other changes in clinical practices as a result of the training.

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来源期刊
Topics in Stroke Rehabilitation
Topics in Stroke Rehabilitation 医学-康复医学
CiteScore
5.10
自引率
4.50%
发文量
57
审稿时长
6-12 weeks
期刊介绍: Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.
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