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Development and Implementation of Substance Use Training for Allied and Behavioral Health Professionals: Addressing the Epidemic and Improving the Outcomes. 为专职和行为健康专业人员制定和实施药物使用培训:应对流行病并改善结果。
Pub Date : 2024-01-01
Frank Czuba, Caren Schranz, Nancy Burley, Shannon Dermer, Cheryl Mejta, Carly Meyer

Allied and behavioral health professionals (ABHP) interact with clients who may be at higher risk for substance misuse or substance use disorders (SUD) due to mental health problems, relational problems, and acute/chronic pain due to injury/illness. These problems can lead to more substance misuse and affect daily life activities and overall health and wellbeing. Unfortunately, not enough individuals seek treatment due to stigma associated with substance use, partially because of the lack of properly trained and educated healthcare professionals. The researchers developed an interprofessional training program using the Screening, Brief Intervention, and Referral to Treatment (SBIRT) to develop learning modules focused on understanding the science of addiction, the stigma related to addictions, and the basic interviewing and assessment techniques to support appropriate substance use intervention and referral. The goal was to prepare ABHP students to appropriately address substance use as part of their future professional practice. The SBIRT learning modules used pre/post test quizzes to collect data on the effectiveness. 140 occupational and physical therapy and mental health counselling students completed the training and the results showed a significant increase in participants knowledge supporting the value of the SBIRT training.

专职和行为保健专业人员(ABHP)与因精神健康问题、人际关系问题以及因受伤/疾病引起的急性/慢性疼痛而可能有较高药物滥用或药物使用失调(SUD)风险的客户打交道。这些问题会导致更多的药物滥用,并影响日常生活活动和整体健康和幸福。遗憾的是,由于与药物使用相关的耻辱感,寻求治疗的人并不多,部分原因是缺乏受过适当培训和教育的医疗保健专业人员。研究人员利用筛查、简单干预和转介治疗(SBIRT)制定了一项跨专业培训计划,开发学习模块,重点是了解成瘾科学、与成瘾相关的耻辱感以及基本的访谈和评估技巧,以支持适当的药物使用干预和转介。目的是让 ABHP 学生做好准备,在未来的专业实践中适当处理药物使用问题。SBIRT 学习模块使用前后测试测验来收集效果数据。140 名职业和物理治疗以及心理健康咨询专业的学生完成了培训,结果显示参与者的知识水平显著提高,证明了 SBIRT 培训的价值。
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引用次数: 0
The Current State of Prerequisite Coursework in Health Professions Education: Function, Assumptions, and Best Practices for a Path Forward. 卫生职业教育先修课程的现状:前进道路上的功能、假设和最佳实践。
Pub Date : 2024-01-01
Kimberly L Mace, Kathryn Webster Rogers, Sara D Brown

Prerequisite courses have been a staple in admissions requirements for health programs for more than a century. Prerequisites serve various roles including achieving accreditation standards, determining academic preparation, predicting academic success, and informing admissions decisions. While the theories purported to support prerequisite courses have largely remained static, the challenges for educators and applicants have evolved. In addition to training future healthcare providers, contemporary educators are focused on attracting and training a diverse workforce as well as attaining enrollment targets to ensure financial stability. We propose 4 assumptions that pit common prerequisite practices against these contemporary challenges including limitations caused by the cost of prerequisites, disproportionate burden on underrepresented minorities, extraordinarily complex and variable policies, and a disconnect between grades and knowledge retention. Continuing to operate under these assumptions creates unnecessary barriers for potential students. We offer model practices for approaching prerequisites with more flexibility. These practices involve refining expectations for learning, normalizing alternatives to coursework, conducting prospective research, analyzing relevant data, and exploring more personalized pathways and holistic practices. As higher education changes and the demand for healthcare providers increases, innovation to the admissions process is needed to identify those who can complete programs and become competent healthcare providers.

一个多世纪以来,先修课程一直是健康课程招生要求的主要内容。先修课程的作用多种多样,包括达到认证标准、确定学术准备、预测学术成功以及为招生决策提供信息。虽然支持先修课程的理论在很大程度上保持不变,但教育者和申请者所面临的挑战却在不断变化。除了培养未来的医疗保健提供者,当代的教育者还注重吸引和培养多样化的劳动力,以及实现招生目标以确保财务稳定。我们提出了 4 项假设,这些假设使常见的先决条件实践与这些当代挑战背道而驰,其中包括先决条件成本造成的限制、对代表性不足的少数群体造成的过重负担、异常复杂多变的政策以及成绩与知识保留之间的脱节。继续按照这些假设进行操作会给潜在的学生造成不必要的障碍。我们为更灵活地处理先修课程提供了示范做法。这些做法包括细化对学习的期望,规范课程学习的替代方案,开展前瞻性研究,分析相关数据,以及探索更加个性化的途径和整体实践。随着高等教育的变化和对医疗保健提供者需求的增加,需要对招生程序进行创新,以确定那些能够完成课程并成为合格医疗保健提供者的人。
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引用次数: 0
Verification of the Effects of a YouTube-Based Home-Based (Self-Managed Intervention) Training System Developed for Frailty Prevention: A Pilot Study. 验证为预防虚弱而开发的基于 YouTube 的家庭(自我管理干预)培训系统的效果:试点研究。
Pub Date : 2024-01-01
Yasuhiro Suzuki, Masao Koda, Yukiyo Shimizu, Takumi Tsubaki, Yasushi Hada

Resistance training is considered the most effective intervention for increasing older people's muscle mass and strength. Thus, we created the Sukubara®, a self-administered training system (squat + balance training) that incorporates a new low-load exercise. In this study, we hypothesize that introducing Sukubara will positively affect skeletal muscle mass and physical function. A preliminary verification was carried out on healthy, non-elderly participants who were recruited from the hospital staff. Participants were randomly assigned to two groups for a 12-week intervention: the resistance training group (R group) that performed the Sukubara exercise program and the control group (C group) that did not. This study's primary end¬point was a change in skeletal muscle mass, while the secondary endpoints were knee extension strength and one-leg standing time with eyes closed. An analysis of the 18 participants (R group = 8; C group = 10) was performed. Results showed that skeletal muscle mass, knee extension strength, and one-leg standing time were significantly improved or tended to be significantly higher in the R group than in the C group. Our study concluded that, by incorporating low-load exercise, Sukubara resulted in muscle hypertrophy and improved physical function.

阻力训练被认为是增加老年人肌肉质量和力量最有效的干预措施。因此,我们创造了 Sukubara®,这是一种结合了新的低负荷运动的自控训练系统(深蹲+平衡训练)。在本研究中,我们假设引入 Sukubara 将对骨骼肌质量和身体功能产生积极影响。我们对从医院员工中招募的健康、非老年人参与者进行了初步验证。参与者被随机分配到两组,进行为期 12 周的干预:阻力训练组(R 组)进行 Sukubara 运动项目,对照组(C 组)不进行 Sukubara 运动项目。这项研究的主要终点是骨骼肌质量的变化,次要终点是膝关节伸展力量和闭眼单腿站立时间。研究人员对 18 名参与者(R 组 8 人;C 组 10 人)进行了分析。结果显示,R 组的骨骼肌质量、膝关节伸展力量和单腿站立时间都有明显改善,或有明显高于 C 组的趋势。我们的研究得出结论,通过结合低负荷运动,Sukubara 可导致肌肉肥大并改善身体功能。
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引用次数: 0
Variations on Common Themes. 共同主题变奏曲。
Pub Date : 2024-01-01
Thomas W Elwood

The Journal of Allied Health came into existence as a quarterly publication of the Association of Schools Advancing Health Professions (ASAHP) in 1972. Issues were prepared in paper format and distributed by the U.S. Postal Service, a process that continues to the present day. Subsequently, the establishment of the Internet as a vital means of communication sent a strong message that the Journal should aim to keep relevant with the changing times by adding an online version. That addition commenced with the Spring 2001 issue through a company in England called Ingenta. Most recently, the ASAHP Board of Directors decided that publication in paper format will end with the Winter 2024 issue. Going forward, all subsequent iterations will be made available exclusively online.

《联合健康杂志》于1972年作为学校促进健康专业协会(ASAHP)的季刊成立。这些杂志以纸质形式出版,并由美国邮政局分发,这一过程一直延续到今天。随后,互联网作为一种重要的交流手段的建立发出了一个强烈的信息,即《华尔街日报》应该通过增加网络版来与时俱进。这一增刊始于2001年春季,由英国一家名为Ingenta的公司发行。最近,ASAHP董事会决定,以纸质形式出版的杂志将在2024年冬季期结束。今后,所有后续的迭代将只在网上提供。
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引用次数: 0
Role of Cognitive and Non-Cognitive Attributes in Doctor of Physical Therapy Student Performance. 认知和非认知属性在物理治疗博士学生成绩中的作用。
Pub Date : 2024-01-01
Maureen Conard, Kristin Schweizer

Admission to physical therapist education programs (PTEPs) is commonly based on cognitive attributes such as undergraduate grade point average (uGPA), pre-requisite course GPA (pre-req GPA), and sometimes Graduate Record Examination (GRE) scores, admissions interviews or essays. The primary purpose of this exploratory study was to examine the relationships between non-cognitive attributes identified through a personality-oriented job analysis (POJA) and Doctor of Physical Therapy (DPT) student academic performance to improve admissions procedures and DPT student education and training. The present study examined correlations among 12 non-cognitive attributes identified through the POJA and existing cognitive admission criteria, specifically uGPA and pre-req GPA, with DPT grades in the first semester of the PTEP. Multiple regression using non-cognitive attributes in addition to current cognitive admissions criteria showed that uGPA was the strongest predictor of DPT grades, followed by self-reflection and anxiousness/neuroticism (negatively). While uGPA was the strongest predictor of DPT student GPA, it may be valuable to add measures of self-reflection and anxiousness/neuroticism to the admissions process to increase the likelihood of success academically. The present study adds to a still limited body of knowledge of how both cognitive and non-cognitive attributes predict graduate academic performance in a variety of health professions.

物理治疗师教育项目(PTEP)的录取通常基于认知属性,如本科平均绩点(uGPA)、先修课程平均绩点(pre-req GPA),有时还包括研究生入学考试(GRE)成绩、入学面试或论文。本探索性研究的主要目的是研究通过以个性为导向的工作分析(POJA)确定的非认知属性与物理治疗博士(DPT)学生学业成绩之间的关系,以改进录取程序和物理治疗博士(DPT)学生的教育和培训。本研究考察了通过 POJA 确定的 12 个非认知属性与现有认知录取标准(特别是 uGPA 和预修 GPA)之间的相关性,以及 PTEP 第一学期的 DPT 成绩。除现有的认知录取标准外,使用非认知属性进行的多元回归表明,uGPA 是预测 DPT 成绩的最强指标,其次是自我反省和焦虑/神经质(负相关)。虽然 uGPA 是预测 DPT 学生 GPA 的最强指标,但在录取过程中增加自我反省和焦虑/神经质的测量方法可能会很有价值,从而提高学生学业成功的可能性。本研究补充了有关认知和非认知属性如何预测各种健康专业研究生学业成绩的有限知识。
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引用次数: 0
Demonstrating the Hallmarks of Gynecologic Malignancies by Translating Radiation Therapy Theory to Clinical Practice: A Student and Mentor Perspective. 将放射治疗理论转化为临床实践,展示妇科恶性肿瘤的特征:学生和导师的视角。
Pub Date : 2024-01-01
Ryena Umar, Rania Mohamed, Danielle McDonagh, Maria Dimopoulos

A radiation therapist (RTT) is a key member of the radiation oncology team responsible for delivering radiation and providing direct patient care to individuals undergoing cancer treatment. Stony Brook University's School of Health Professions, in collaboration with Mount Sinai Health System's Department of Radiation Oncology, offers a unique RTT Program structure: a 4-year baccalaureate degree followed by a 12-month clinical non-credit, non-degree certificate. The RTT Program embeds concepts such as the theory of gynecologic malignancies, introduced in the didactic setting and mastered in the clinical environment. The program assigns credentialed RTTs, referred to as "RTT mentors" to students upon acceptance to the program. These mentors offer additional support to students by translating theoretical and practical aspects of the curriculum and guiding students through their academic and clinical education. This article aims to demonstrate how the hallmarks of gynecologic malignancies are integrated into radiation therapy education, from both the student's and mentor's perspectives, and across the didactic and clinical setting.

放射治疗师(RTT)是放射肿瘤团队的重要成员,负责为接受癌症治疗的患者提供放射治疗和直接的患者护理。石溪大学卫生职业学院与西奈山卫生系统放射肿瘤学系合作,开设了独特的 RTT 课程结构:4 年制学士学位,然后是 12 个月的临床非学分、非学位证书。RTT 计划包含妇科恶性肿瘤理论等概念,这些概念在教学环境中引入,并在临床环境中掌握。该课程在学生被录取后,会为其指派有资格证书的 RTT,即 "RTT 导师"。这些导师为学生提供额外的支持,将课程的理论与实践相结合,指导学生完成学术和临床教育。本文旨在从学生和导师的角度出发,展示如何将妇科恶性肿瘤的特点融入放射治疗教育,以及如何在教学和临床环境中将妇科恶性肿瘤的特点融入放射治疗教育。
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引用次数: 0
Promoting Interprofessional Collaboration-Related Competencies in Students from Seven Health Professions. 促进七个卫生专业学生的跨专业合作相关能力。
Pub Date : 2024-01-01
Jill Horbacewicz, Rivka Molinsky

Health professions students in their final year of the mental health counseling (MHC), nursing, occupational therapy (OT), pharmacy, physical therapy, physician assistant, and speech/language pathology programs at Touro University participated in a virtual interprofessional education (IPE) symposium designed to promote interprofessional collaboration. The students worked as an interprofessional team with a faculty facilitator to first create a plan of care and later a discharge plan for a fictitious patient. At the completion of the symposium, 281 out of 311 students completed the Interprofessional Collaborative Competency Attainment Survey (ICCAS), a tool that assesses competency in collaborative practice. Results demonstrated a significant increase in every collaboration-related competency for all participants as a group (p < 0.001), as well as significant differences between professions (F = 2.99, p = 0.007). For example, students from OT rated themselves lowest at the start and showed the greatest gains, and students from MHC showed the smallest gains but had the fewest participants. This virtual symposium resolved some common logistical challenges and was effective at improving interprofessional collaborative competency. Including a wide variety of health professions in this IPE activity facilitated a broad reach and applicability to the interprofessional teams that students will encounter in the future.

图罗大学心理健康咨询(MHC)、护理、职业治疗(OT)、药学、物理治疗、医生助理和言语/语言病理学专业最后一年的健康专业学生参加了一次虚拟跨专业教育(IPE)研讨会,旨在促进跨专业合作。学生们以跨专业团队的形式,在教师的指导下,首先为一名虚构病人制定护理计划,随后制定出院计划。研讨会结束时,311 名学生中有 281 人完成了跨专业协作能力达标调查 (ICCAS),这是一种评估协作实践能力的工具。结果表明,作为一个群体,所有参与者在每项与协作相关的能力方面都有明显提高(p < 0.001),不同专业之间也存在明显差异(F = 2.99,p = 0.007)。例如,OT 的学生在开始时对自己的评价最低,但收获最大;MHC 的学生收获最小,但参与者最少。这次虚拟研讨会解决了一些常见的后勤难题,并有效提高了跨专业合作能力。将各种卫生专业纳入这一 IPE 活动,有利于学生在未来遇到的跨专业团队中获得广泛的影响和适用性。
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引用次数: 0
Student Perceived Confidence with Complex Patients Before and After a Simulated Case-Based Course. 模拟病例课程前后学生对复杂病人的信心。
Pub Date : 2024-01-01
Natonya Q Early, Leona O Hidalgo, Christine Salmon

Purpose: This study compared Doctor of Physical Therapy students' perceived confidence with evaluating/treating complex patients before and after a case-based patient management course. The impact of simulated learning and prior clinical exposure were explored.

Methods: A longitudinal, pretest-posttest design was used across 4 university campuses. A Physiotherapist Self-Efficacy survey was used to collect student responses before/after the course, related to adequate preparation, verbal/written communication, subjective/objective assessments, interpreting assessment findings, identifying/prioritizing patient problems, selecting appropriate short/long term goals, performing/evaluating treatments, discharge planning, progressing interventions, and dealing with a range of patient conditions. Descriptive statistics, paired sample t-tests, ANOVA tests, and conceptual content analyses were completed.

Results: Eighty surveys were completed (13.88% response rate). Posttest confidence levels were higher compared to pretest values in all survey items. The t-statistics indicated a significant difference (p<0.001) between the pretest/posttest scores across all 80 records. Levene's statistic revealed p-values >0.001, indicating we met the assumption of homogeneity of variance across different cohort groups.

Conclusions: Student confidence levels towards complex patients significantly improved after course exposure, for all survey components in all cohorts. Simulated experiences, supplemental course materials, and prior outpatient clinical experience contributed to self-efficacy values. Six themes were identified as useful and/or needing revision to further improve self-efficacy.

目的:本研究比较了物理治疗博士学生在基于病例的患者管理课程前后对评估/治疗复杂患者的信心。研究还探讨了模拟学习和先前临床接触的影响:在 4 个大学校园采用纵向、前测-后测设计。物理治疗师自我效能调查用于收集学生在课程前后对以下方面的反应:充分准备、口头/书面交流、主观/客观评估、解释评估结果、识别/优先处理患者问题、选择适当的短期/长期目标、执行/评估治疗、出院计划、推进干预措施以及处理各种患者状况。我们完成了描述性统计、配对样本 t 检验、方差分析检验和概念内容分析:共完成 80 份调查问卷(回复率为 13.88%)。在所有调查项目中,测试后的置信度均高于测试前的置信度。t统计显示差异显著(P0.001,表明我们满足了不同组群间方差同质性的假设:结论:课程结束后,学生对疑难杂症患者的信心水平明显提高,所有组别的所有调查项目都是如此。模拟体验、补充课程材料和先前的门诊临床经验都有助于提高自我效能值。为进一步提高自我效能感,确定了六个有用和/或需要修订的主题。
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引用次数: 0
Assessing Planetary Health Curricular Needs Across Health Professions Programs. 评估各卫生专业的行星健康课程需求。
Pub Date : 2024-01-01
Andrew N Garman, Santosh Basapur, Heide Cygan, Karly Hampshire, Matthew M Anderson

With growing recognition that climate change is a significant threat to human health, allied health professionals are increasingly recognized as critical allies in addressing this threat. This article describes the approach that Rush University's College of Sciences is pursuing to better prepare health sciences students for this reality. Faculty and students enrolled across all programs of the College were surveyed regarding their levels of concern about global warming using items from the Six Americas Survey, as well as perceived importance of planetary health curricular elements adapted from the Planetary Health Report Card. Faculty were additionally asked about perceived opportunities to bring planetary health education into each of the degree programs offered by the university. A total of 37 faculty and 43 students completed the survey, collectively representing all programs in the college. Responses reflected widespread interest in expanding planetary health education, but topic priorities and optimal methods for implementation differed between programs. Although the survey process had limitations, it demonstrated the need for greater attention to planetary health across curricula and offered more efficient approaches implementing this essential content across programs.

随着越来越多的人认识到气候变化对人类健康构成重大威胁,专职医疗人员日益被视为应对这一威胁的重要盟友。本文介绍了拉什大学科学学院为使健康科学专业的学生更好地应对这一现实而采取的方法。该学院所有专业的教师和学生都接受了调查,调查内容包括他们对全球变暖的关注程度,调查项目来自 "六大美洲调查",以及对行星健康课程内容重要性的看法,这些内容改编自 "行星健康成绩单"。此外,学院还被问及将行星健康教育引入大学提供的每个学位课程的机会。共有 37 名教师和 43 名学生完成了调查,他们共同代表了学院的所有课程。调查结果显示,学生们普遍对扩大行星健康教育感兴趣,但各专业的主题优先顺序和最佳实施方法各不相同。虽然调查过程有一定的局限性,但它表明了在所有课程中更加关注行星健康的必要性,并提供了在所有课程中实施这一重要内容的更有效的方法。
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引用次数: 0
Association of Laboratory Science Education and Certification with Laboratory Errors: The Value of Education and Certification Study. 有实验室错误的实验室科学教育和认证协会:教育和认证的价值研究》。
Pub Date : 2024-01-01
Muneeza Esani, Debbie Faubion, Lu Chen, LeeAnn Walker, Yong-Fang Kuo

Objectives: With the exception of states that require licensure, there is no uniform requirement for certification or for education from the National Accrediting Agency for Clinical Laboratory Science (NAACLS) accredited laboratory science program for employment in a laboratory, under the Clinical Laboratory Improvement Amendments (CLIA) of 1988. The objective of the Value of Education and Certification (VEC) study was to determine if lack of NAACLS-accredited education and Medical Laboratory Technician (MLT)/Medical Laboratory Scientist (MLS) certification was associated with laboratory errors.

Methods: This cross-sectional study used personnel and testing/reporting error data from 739 laboratorians, involving five laboratory partners.

Results: MLS-certified individuals were 33% less likely to make errors (p=0.0473) and MLT-certified individuals were 71% less likely to make errors (p=0.0014) compared to those who were not certified. MLS-certified laboratorians were twice as likely to make testing/reporting errors compared to those who were MLT certified, which was significant (p=0.0238). Education level and accredited laboratory education were not associated with testing/reporting errors.

Conclusion: Our data suggest that lack of MLS and MLT certification are independently associated with laboratory testing/reporting errors.

目标:根据 1988 年《临床实验室改进修正案》(CLIA)的规定,除了要求有执照的州外,对在实验室就业的认证或国家临床实验室科学认证机构(NAACLS)认可的实验室科学课程的教育没有统一的要求。教育和认证价值(VEC)研究的目的是确定缺乏 NAACLS 认可的教育和医学实验室技术员(MLT)/医学实验室科学家(MLS)认证是否与实验室差错有关:这项横断面研究使用了 739 名实验室人员的人事和检测/报告错误数据,涉及五个实验室合作伙伴:与未获得认证的人员相比,获得 MLS 认证的人员出错几率降低 33% (p=0.0473),获得 MLT 认证的人员出错几率降低 71% (p=0.0014)。获得 MLS 认证的化验员与获得 MLT 认证的化验员相比,出现检测/报告错误的几率是后者的两倍,差异显著(p=0.0238)。教育水平和实验室认可教育与检测/报告错误无关:我们的数据表明,缺乏 MLS 和 MLT 认证与实验室检测/报告错误有独立关联。
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引用次数: 0
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Journal of Allied Health
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