Communication training improves patient-centered provider behavior and screening for soldiers’ mental health concerns
| Autor: | Melanie Leslie, Melissa Fraine, Lynn E. Webb, Ryan Hargraves, Ana Regina Vides de Andrade, Stephanie Boyd, Nicole L. Frazer, Susan R. Douglas, Lauren Davis, Leonard Bickman |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Referral education Context (language use) 01 natural sciences Simulated patient 03 medical and health sciences 0302 clinical medicine Patient-Centered Care Health care medicine Humans 030212 general & internal medicine 0101 mathematics Site Visit Physician-Patient Relations Primary Health Care business.industry Communication 010102 general mathematics General Medicine Middle Aged medicine.disease Mental health Patient Simulation Military personnel Mental Health Military Personnel Education Medical Continuing Female Clinical Competence Medical emergency business Quasi-experiment |
| Zdroj: | Patient Education and Counseling. 99:1203-1212 |
| ISSN: | 0738-3991 |
| DOI: | 10.1016/j.pec.2016.01.018 |
| Popis: | Objective To evaluate the effectiveness of patient-centered communication training for military providers who conduct post-deployment health screening. The half-day interactive workshop included simulated Soldier patients using video technology. Methods Using a quasi-experimental design, all health care providers at four military treatment facilities were recruited for data collection during a four- to nine-day site visit (23 trained providers, 28 providers in the control group, and one provider declined to participate). All Soldiers were eligible to participate and were blinded to provider training status. Immediately after screening encounters, providers reported on their identification of mental health concerns and Soldiers reported on provider communication behaviors resulting in 1,400 matched pairs. Electronic health records were also available for 26,005 Soldiers. Results The workshop was found to increase (1) providers’ patient-centered communication behaviors as evaluated by Soldiers; (2) provider identification of Soldier mental health concerns; and (3), related health outcomes including provision of education and referral to a confidential counseling resource. Conclusion Results are promising, but with small effect sizes and study limitations, further research is warranted. Practice implications A brief intensive workshop on patient-centered communication tailored to the military screening context is feasible and may improve key outcomes. |
| Databáze: | OpenAIRE |
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