Virtual Worlds Technology to Enhance Training for Primary Care Providers in Assessment and Management of Posttraumatic Stress Disorder Using Motivational Interviewing: Pilot Randomized Controlled Trial.

Autor:	Manuel JK; San Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States., Purcell N; San Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.; Department of Social and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States., Abadjian L; San Francisco Veterans Affairs Health Care System, San Francisco, CA, United States., Cardoos S; San Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States., Yalch M; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States.; Department of Psychology, Palo Alto University, Palo Alto, CA, United States., Hill C; San Francisco Veterans Affairs Health Care System, San Francisco, CA, United States., McCarthy B; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States., Bertenthal D; San Francisco Veterans Affairs Health Care System, San Francisco, CA, United States., McGrath S; San Francisco Veterans Affairs Health Care System, San Francisco, CA, United States., Seal K; San Francisco Veterans Affairs Health Care System, San Francisco, CA, United States.; Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, United States.; Department of Medicine, University of California, San Francisco, San Francisco, CA, United States.
Jazyk:	angličtina
Zdroj:	JMIR medical education [JMIR Med Educ] 2023 Aug 28; Vol. 9, pp. e42862. Date of Electronic Publication: 2023 Aug 28.
DOI:	10.2196/42862
Abstrakt:	Background: Many individuals with posttraumatic stress disorder (PTSD) first present to primary care rather than specialty mental health care. Primary care providers often lack the training required to assess and treat patients with PTSD. Virtual trainings have emerged as a convenient and effective way of training primary care providers in PTSD assessment and communication methods (ie, motivational interviewing [MI]). Objective: The aim of this study was to conduct a pilot randomized controlled trial of a synchronous Virtual Worlds (VW; a virtual world where learners were immersed as avatars) training versus an asynchronous web-based training on PTSD and MI, comparing the feasibility, acceptability, usability, and preliminary efficacy of 2 different training platforms among primary care providers. Methods: Participating primary care providers were randomized to a VW and a web-based PTSD training. Outcomes were collected at baseline, posttraining, and 90-days follow-up. Standardized patient interviews measured participants' communication skills in assessing and managing patients with PTSD symptoms. Results: Compared to the web-based training, the VW training platform achieved larger learning gains in MI (ie, partnership and empathy) and in discussing pharmacotherapy and psychotherapy for PTSD. Both VW and web-based trainings led to increases in PTSD knowledge and primary care providers' self-confidence. Conclusions: The asynchronous web-based PTSD training improved PTSD-related knowledge and self-confidence but was not as effective as the VW immersive experience in teaching MI or clinical management. Because VW training is synchronous and new for many learners, it required more time, facilitation, and technical support. As computer technology improves, VW educational interventions may become more feasible, particularly in teaching clinical skills. Trial Registration: ClinicalTrials.gov NCT03898271; https://tinyurl.com/mu479es5. (©Jennifer K Manuel, Natalie Purcell, Linda Abadjian, Stephanie Cardoos, Matthew Yalch, Coleen Hill, Brittan McCarthy, Daniel Bertenthal, Sarah McGrath, Karen Seal. Originally published in JMIR Medical Education (https://mededu.jmir.org), 28.08.2023.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu