@Article{信息:doi 10.2196 / / jmir。6948，作者=“Wlodarczyk, Dorota和Chyli{\'{n}}ska, Joanna和Lazarewicz, Magdalena和Rzadkiewicz, Marta和Jaworski, Mariusz和Adamus, Miroslawa和Haugan, G{\o}rill和Lillefjell, Monica和Espnes, Geir Arild”，标题=“提高医生与老年患者沟通和激活的能力:《促进主动衰老(PRACTA)计算机干预研究》，期刊=《医学互联网研究》，年=“2017”，月=“2”，日=“22”，卷=“19”，数=“2”，页=“e45”，关键词=“老年人健康服务;积极老龄化;在线学习;一般从业人员;职业能力;心理社会能力;健康的沟通;老年人的预期; seniors' attitude toward treatment and health", abstract="Background: Demographic changes over the past decades call for the promotion of health and disease prevention for older patients, as well as strategies to enhance their independence, productivity, and quality of life. Objective: Our objective was to examine the effects of a computer-based educational intervention designed for general practitioners (GPs) to promote active aging. Methods: The Promoting Active Aging (PRACTA) study consisted of a baseline questionnaire, implementation of an intervention, and a follow-up questionnaire that was administered 1 month after the intervention. A total of 151 primary care facilities (response rate 151/767, 19.7{\%}) and 503 GPs (response rate 503/996, 50.5{\%}) agreed to participate in the baseline assessment. At the follow-up, 393 GPs filled in the questionnaires (response rate, 393/503, 78.1{\%}), but not all of them took part in the intervention. The final study group of 225 GPs participated in 3 study conditions: e-learning (knowledge plus skills modelling, n=42), a pdf article (knowledge only, n=89), and control (no intervention, n=94). We measured the outcome as scores on the Patients Expectations Scale, Communication Scale, Attitude Toward Treatment and Health Scale, and Self-Efficacy Scale. Results: GPs participating in e-learning demonstrated a significant rise in their perception of older patients' expectations for disease explanation (Wald $\chi$2=19.7, P<.001) and in perception of motivational aspect of older patients' attitude toward treatment and health (Wald $\chi$2=8.9, P=.03) in comparison with both the control and pdf article groups. We observed additional between-group differences at the level of statistical trend. GPs participating in the pdf article intervention demonstrated a decline in self-assessed communication, both at the level of global scoring (Wald $\chi$2=34.5, P<.001) and at the level of 20 of 26 specific behaviors (all P<.05). Factors moderating the effects of the intervention were the number of patients per GP and the facility's organizational structure. Conclusions: Both methods were suitable, but in different areas and under different conditions. The key benefit of the pdf article intervention was raising doctors' reflection on limitations in their communication skills, whereas e-learning was more effective in changing their perception of older patients' proactive attitude, especially among GPs working in privately owned facilities and having a greater number of assigned patients. Although we did not achieve all expected effects of the PRACTA intervention, both its forms seem promising in terms of enhancing the competencies of doctors in communication with and activation of older patients. ", issn="1438-8871", doi="10.2196/jmir.6948", url="//www.mybigtv.com/2017/2/e45/", url="https://doi.org/10.2196/jmir.6948", url="http://www.ncbi.nlm.nih.gov/pubmed/28228370" }