Using Patient-Centered Clinical Neuroscience to Deliver the Diagnosis of Functional Neurological Disorder (FND): Results from an Innovative Educational Workshop
| Autor: | Juliana Lockman, Luciana Giambarberi, Sepideh N. Bajestan, Nazlie Faridi, Ariela Karasov, Michel Medina, Farnaz Hooshmad, Shelby Scott Lazarow |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
020205 medical informatics 02 engineering and technology Neurological disorder Neuropsychiatry Education 03 medical and health sciences 0302 clinical medicine Patient-Centered Care Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering Functional neurological symptom disorder Medicine Humans 030212 general & internal medicine Conversion disorder Pre and post Clinical neuroscience business.industry Neurosciences Treatment options General Medicine medicine.disease Psychiatry and Mental health Conversion Disorder Physical therapy Nervous System Diseases business Patient centered |
| Zdroj: | Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry. 45(2) |
| ISSN: | 1545-7230 |
| Popis: | Psychiatry training is lacking examples of neuroscience education that translates neuroscience literature into accessible clinically oriented concepts. The authors created a teaching activity using patient-centered neuroscience education that focused on delivering the diagnosis of functional neurological disorder (FND). This study aimed to (i) develop a workshop modeling a clinician-patient interaction, (ii) provide a modern neuroscience perspective of FND, and (iii) evaluate the change in clinicians’ perceptions of FND. A total of six workshops (each 1 h long and consisting of a video, PowerPoint slides, and pre and post questionnaires) were conducted. Paired t tests were used to measure the change. Forty-seven clinicians participated. After completing the workshop, nearly all endorsed that functional symptoms are “real” (95%) and that treatment is helpful (100%). Participants also reported a greater comfort level with discussing FND diagnosis (46% vs 85%, p < 0.001), an overall increase in understanding the disorder (33% vs 82%, p < 0.001), assessing need for tests (33% vs 66%, p < 0.001), understanding treatment options (26% vs 89%, p < 0.001), and recognition that treatment can help control these symptoms (81% vs 100%, p < 0.01). In addition, learners were more likely to report that patients with FND are truthful (75% vs 95%, p < 0.001) and less likely to be manipulative (48% vs 80%, p < 0.001). A brief, educational intervention using neuroscience-based content was found to significantly improve clinicians’ perception and confidence when delivering the diagnosis of FND. |
| Databáze: | OpenAIRE |
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