初级保健中基于网络的ADHD意识训练的评价卡塔尔世界杯8强波胆分析试点随机对照试验,嵌套访谈%A French,Blandine %A Hall,Charlotte %A Perez Vallejos,Elvira %A Sayal,Kapil %A Daley,David %+诺丁汉大学医学院精神病学与应用心理学系,英国诺丁汉Jubilee校区Triumph Road, 44 01158230261,david.daley@nottingham.ac.uk %K ADHD %K初级保健%K全科医生%K随机对照试验%K在线干预%K访谈%D 2020 %7 11.12.2020 %9背景:注意缺陷/多动障碍(ADHD)是一种神经发育障碍,影响高达5%的儿童和成人。未经诊断和治疗的多动症会对受影响的个体造成长期的健康、教育和社会影响。因此,尽早发现这种疾病是很重要的。全科医生经常在获得负责诊断和治疗的专家服务方面发挥守门人的作用。研究表明,他们缺乏对多动症的知识和理解,这可能会给护理带来障碍。目的:本试点随机对照试验评估为全科医生量身定制的基于网络的ADHD心理教育项目的效果。方法:221名参与者随机分为假干预对照组和意识训练干预组,分别在干预前、干预后和2周随访3个时间点完成ADHD知识、信心和态度问卷。干预组的参与者在干预后3至6个月被邀请参加调查和随访访谈。 Results: The responses of 109 GPs were included in the analysis. The knowledge (P<.001) and confidence (P<.001) of the GPs increased after the intervention, whereas misconceptions decreased (P=.04); this was maintained at the 2-week follow-up (knowledge, P<.001; confidence, P<.001; misconceptions, P=.03). Interviews and surveys also confirmed a change in practice over time. Conclusions: These findings demonstrate that a short web-based intervention can increase GPs’ understanding, attitude, and practice toward ADHD, potentially improving patients’ access to care. Trial Registration: International Standard Randomized Controlled Trial Number ISRCTN45400501; http://www.isrctn.com/ISRCTN45400501. %M 33306027 %R 10.2196/19871 %U http://mededu.www.mybigtv.com/2020/2/e19871/ %U https://doi.org/10.2196/19871 %U http://www.ncbi.nlm.nih.gov/pubmed/33306027
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