Clinician Training in Research-supported Interventions: Can it be affordable, accessible and effective?

2011 ◽  
Author(s):  
Kristin M. Hawley
Keyword(s):  
Clinician Training

The Cultural Formulation Interview since DSM-5: Prospects for training, research, and clinical practice

2020 ◽  
Vol 57 (4) ◽  
pp. 496-514 ◽  
Author(s):  
Neil Krishan Aggarwal ◽  
G. Eric Jarvis ◽  
Ana Gómez-Carrillo ◽  
Laurence J. Kirmayer ◽  
Roberto Lewis-Fernández
Keyword(s):  
Clinical Practice ◽  
Social Science Research ◽  
Science Research ◽  
Cultural Dimensions ◽  
Cultural Formulation ◽  
Simplified Approach ◽  
Clinician Training ◽  
Dsm 5 ◽  
Training Research ◽  
Cultural Formulation Interview

While social science research has demonstrated the importance of culture in shaping psychiatric illness, clinical methods for assessing the cultural dimensions of illness have not been adopted as part of routine care. Reasons for limited integration include the impression that attention to culture requires specialized skills, is only relevant to a subset of patients from unfamiliar backgrounds, and takes too much time to be useful. The DSM-5 Cultural Formulation Interview (CFI), published in 2013, was developed to provide a simplified approach to collecting information needed for cultural assessment. It offers a 16-question interview protocol that has been field tested at sites around the world. However, little is known about how CFI implementation has affected training, health services, and clinical outcomes. This article offers a comprehensive narrative review that synthesizes peer-reviewed, published studies on CFI use. A total of 25 studies were identified, with sample sizes ranging from 1 to 460 participants. In all pilot CFI studies 960 unique subjects were enrolled, and in final CFI studies 739 were enrolled. Studies focused on how the CFI affects clinical practice; explored the CFI through research paradigms in medical communication, implementation science, and family psychiatry; and examined clinician training. In most studies, patients and clinicians reported that using the CFI improved clinical rapport. This evidence base offers an opportunity to consider implications for training, research, and clinical practice and to identify crucial areas for further research.

scholarly journals Online Training in Specific Meditation Practices Improves Gratitude, Well-Being, Self-Compassion, and Confidence in Providing Compassionate Care Among Health Professionals

2016 ◽  
Vol 22 (2) ◽  
pp. 237-241 ◽  
Author(s):  
Nisha Rao ◽  
Kathi J. Kemper
Keyword(s):  
Health Professionals ◽  
Online Training ◽  
Well Being ◽  
World Health ◽  
Compassionate Care ◽  
Clinician Training ◽  
Loving Kindness ◽  
Self Compassion ◽  
Compassion Meditation ◽  
Health Organization

Mind-body practices that intentionally generate positive emotion could improve health professionals’ well-being and compassion. However, the feasibility and impact of clinician training in these practices is unknown. Data were analyzed from 3 online modules offered to health professionals: ( a) Gratitude, ( b) Positive Word, and ( c) Loving-kindness/Compassion meditation. Paired t tests were used to assess pre- to posttraining changes in gratitude (Gratitude Questionnaire), well-being (World Health Organization Well-Being Index), self-compassion (Neff’s Self-Compassion Scale), and confidence in providing compassionate care (Confidence in Providing Calm, Compassionate Care Scale). The 177 enrollees included diverse practitioners (nurses, physicians, social workers, and others). Training was associated with statistically significant improvements in gratitude (38.3 ± 4.6 to 39.5 ± 3.3), well-being (16.4 ± 4.0 to 17.9 ± 4.2), self-compassion (39.5 ± 8.1 to 43.1 ± 7.6), and confidence in providing compassionate care (73.3 ± 16.4 to 80.9 ± 13.8; P < .001 for all comparisons). Brief, online training appeals to diverse health professionals and improves their gratitude, well-being, self-compassion, and confidence in providing compassionate care.

scholarly journals A Brief, Multifaceted, Generic Intervention to Improve Blood Pressure Control and Reduce Disparities Had Little Effect

2016 ◽  
Vol 26 (1) ◽  
pp. 27 ◽  
Author(s):  
Nancy R. Kressin ◽  
Judith A. Long ◽  
Mark E. Glickman ◽  
Barbara G. Bokhour ◽  
Michelle B. Orner ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Communication Skills ◽  
Pressure Control ◽  
Control Site ◽  
Clinical Inertia ◽  
Improve Blood Pressure Control ◽  
Clinician Training ◽  
Primary Care Clinics ◽  
Tailored Interventions ◽  
Race Disparities

<p><strong>Background</strong>. Poor blood pressure (BP) control and racial disparities therein may be a function of clinical inertia and ineffective communication about BP care.</p><p><strong>Methods. </strong>We compared two different interventions (electronic medical record  reminder for BP care (Reminder only [RO]), and clinician training on BP care-related communication skills plus the reminder (Reminder + Training, [R+T]) with usual care in three primary care clinics, examining BP outcomes among 8,866 patients, and provider-patient communication and medication adherence among a subsample of 793.</p><p><strong>Results. </strong>Clinician counseling improved most at R+T.  BP improved overall; R+T had a small but significantly greater reduction in diastolic BP (DBP; -1.7 mm Hg). White patients at RO experienced greater overall improvements in BP control. Site and race disparities trends suggested that disparities decreased at R+T, either stayed the same or decreased at Control; and stayed the same or increased at RO. </p><p><strong>Conclusions. </strong>More substantial or racial/ethnically tailored interventions are needed. Ethn Dis. 2016;26(1):27-36; doi: 10.18865/ed.26.1.27</p>

Training clinicians online to be e-therapists: the ‘Anxiety Online’ model

2010 ◽  
pp. 459-468 ◽  
Author(s):  
David Austin ◽  
Britt Klein ◽  
Kerrie Shandley ◽  
Lisa Ciechomski
Keyword(s):  
Training Program ◽  
Clinical Assessment ◽  
Treatment Service ◽  
Clinician Training ◽  
Low Intensity ◽  
Assessment And Treatment ◽  
Virtual Clinic

Chapter 49 considers Anxiety Online - a 'virtual' online clinical assessment and treatment service, and describes an online clinician training program for online low intensity practitioners (‘etherapists’) to work ‘in’ the Anxiety Online virtual clinic, and the challenges and solutions involved.

scholarly journals GLA:D®BACK: feasibility of implementing standardized care for back pain through a 2-DAY clinician training course

2019 ◽  
Vol 27 ◽  
pp. S445
Author(s):  
A. Kongsted ◽  
J. Hartvigsen ◽  
I. Ris ◽  
P. Kjaer ◽  
E. Boyle ◽  
...  
Keyword(s):  
Back Pain ◽  
Clinician Training ◽  
Training Course ◽  
Standardized Care

scholarly journals ADVANCE CARE PLANNING COMMUNICATION: AN INTERACTIVE WORKSHOP WITH ROLE-PLAY FOR STUDENTS AND PRIMARY CLINICIANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S846-S846
Author(s):  
Ben A Blomberg ◽  
Catherine Quintana ◽  
Jingwen Hua ◽  
Leslie Hargis-Fuller ◽  
Jeff Laux ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Advance Care Planning ◽  
Role Play ◽  
Primary Care Providers ◽  
Care Planning ◽  
Care Providers ◽  
Clinician Training ◽  
Primary Care Clinics ◽  
Advance Care

Abstract There is a need for increased clinician training on advance care planning (ACP). Common barriers to ACP include perceived lack of confidence, skills, and knowledge necessary to engage in these discussions. Furthermore, many clinicians feel inadequately trained in prognostication. There is evidence that multimodality curricula are effective in teaching ACP, and may be simultaneously targeted to trainees and practicing clinicians with success. We developed a 3-hour workshop incorporating lecture, patient-oriented decision aids, prognostication tools, small group discussion, and case-based role-play to communicate a values-based approach to ACP. Cases included discussion of care goals a patient with severe COPD and one with mild cognitive impairment. The workshop was delivered to 4th year medical students, then adapted in two primary care clinics. In the clinics, we added an interprofessional case applying ACP to management of dental pain in advanced dementia. We evaluated the workshops using pre-post surveys. 34 medical students and 14 primary care providers participated. Self-reported knowledge and comfort with ACP significantly improved; attitudes toward ACP were strongly positive both before and after. The workshop was well received. On a seven-point Likert scale, (1=Unacceptable, 7=Outstanding), the median overall rating was 6 (“Excellent”). In conclusion, we developed an ACP workshop applicable to both students and primary clinicians. We saw improvements in self-reported knowledge and comfort with ACP, though long-term effects were not studied. Participants found the role-play especially valuable. Most modifications for primary care clinics focused on duration rather than content. Future directions include expanding the interprofessional workshop content.

scholarly journals Suicide Safety Planning: Clinician Training, Comfort, and Safety Plan Utilization

2020 ◽  
Vol 17 (18) ◽  
pp. 6444
Author(s):  
Emma H. Moscardini ◽  
Ryan M. Hill ◽  
Cody G. Dodd ◽  
Calvin Do ◽  
Julie B. Kaplow ◽  
...  
Keyword(s):  
Warning Signs ◽  
Safety Planning ◽  
Personal Factors ◽  
Provider Training ◽  
Plan Implementation ◽  
Web Based ◽  
Clinician Training ◽  
Safety Plan ◽  
Survey Results ◽  
Specific Safety

Extant literature has demonstrated that suicide safety planning is an efficacious intervention for reducing patient risk for suicide-related behaviors. However, little is known about factors that may impact the effectiveness of the intervention, such as provider training and comfort, use of specific safety plan elements, circumstances under which providers choose to use safety planning, and personal factors which influence a provider’s decision to use safety planning. Participants were (N = 119) safety plan providers who responded to an anonymous web-based survey. Results indicated that most providers had received training in safety planning and were comfortable with the intervention. Providers reported that skills such as identifying warning signs and means safety strategies were routinely used. Providers who reported exposure to suicide were more likely to complete safety plans with patients regardless of risk factors. In addition, almost 70% of providers indicated a need for further training. These data provide important considerations for safety plan implementation and training.

Emerging Pharmacotherapy and Health Care Needs of Patients in the Age of Artificial Intelligence and Digitalization

2020 ◽  
Vol 54 (10) ◽  
pp. 1038-1046
Author(s):  
Barbara J. Zarowitz
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Ethnic Diversity ◽  
Health Care Professionals ◽  
Large Data ◽  
The United States ◽  
Wearable Devices ◽  
Data Sets ◽  
Care Needs ◽  
Clinician Training

Advances in the application of artificial intelligence, digitization, technology, iCloud computing, and wearable devices in health care predict an exciting future for health care professionals and our patients. Projections suggest an older, generally healthier, better-informed but financially less secure patient population of wider cultural and ethnic diversity that live throughout the United States. A pragmatic yet structured approach is recommended to prepare health care professionals and patients for emerging pharmacotherapy needs. Clinician training should include genomics, cloud computing, use of large data sets, implementation science, and cultural competence. Patients will need support for wearable devices and reassurance regarding digital medicine.

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