关键词: child maltreatment family violence health professions education intimate partner violence medical education mixed methods pilot trial qualitative description

来  源:   DOI:10.2196/50864   PDF(Pubmed)

Abstract:
BACKGROUND: The optimal educational approach for preparing health professionals with the knowledge and skills to effectively recognize and respond to family violence, including child maltreatment and intimate partner violence, remains unclear. The Violence, Evidence, Guidance, and Action (VEGA) Family Violence Education Resources is a novel intervention that can be completed via self-directed learning or in a workshop format; both approaches focus on improving health professional preparedness to address family violence.
OBJECTIVE: Our studies aim to determine the acceptability and feasibility of conducting a randomized controlled trial to evaluate the effectiveness of the self-directed (experimental intervention) and workshop (active control) modalities of VEGA, as an adjunct to standard education, to improve learner (Researching the Impact of Service provider Education [RISE] with Residents) and independent practice (RISE with Veterans) health professional preparedness, knowledge, and skills related to recognizing family violence in their health care encounters.
METHODS: The RISE with Residents and RISE with Veterans research studies use embedded experimental mixed methods research designs. The quantitative strand for each study follows the principles of a pilot randomized controlled trial. For RISE with Residents, we aimed to recruit 80 postgraduate medical trainees; for RISE with Veterans, we intended to recruit 80 health professionals who work or have worked with Veterans (or their family members) of the Canadian military or the Royal Canadian Mounted Police in a direct service capacity. Participants complete quantitative assessments at baseline, after intervention, and at 3-month follow-up. A subset of participants from each arm also undergoes a qualitative semistructured interview with the aim of describing participants\' perceptions of the value and impact of each VEGA modality, as well as research burden. Scores on potential outcome measures will be mapped to excerpts of qualitative data via a mixed methods joint display to aid in the interpretation of findings.
RESULTS: We consented 71 individuals to participate in the RISE with Residents study. Data collection was completed on August 31, 2023, and data are currently being cleaned and prepared for analysis. As of January 15, 2024, we consented 34 individuals in the RISE with Veterans study; data collection will be completed in March 2024. For both studies, no data analysis had taken place at the time of manuscript submission. Results will be disseminated through peer-reviewed publications; academic conferences; and posting and sharing of study summaries and infographics on social media, the project website, and via professional network listserves.
CONCLUSIONS: Reducing the impacts of family violence remains a pressing public health challenge. Both research studies will provide a valuable methodological contribution about the feasibility of trial methods in health professions education focused on family violence. They will also contribute to education science about the differences in the effectiveness of self-directed versus facilitator-led learning strategies.
BACKGROUND: ClinicalTrials.gov NCT05490121, https://clinicaltrials.gov/study/NCT05490121; ClinicalTrials.gov NCT05490004, https://clinicaltrials.gov/study/NCT05490004.
UNASSIGNED: DERR1-10.2196/50864.
摘要:
背景:使卫生专业人员具备有效识别和应对家庭暴力的知识和技能的最佳教育方法,包括虐待儿童和亲密伴侣暴力,尚不清楚。暴力,证据,指导,和行动(VEGA)家庭暴力教育资源是一种新颖的干预措施,可以通过自主学习或研讨会形式完成;这两种方法都侧重于改善卫生专业人员应对家庭暴力的准备。
目的:我们的研究旨在确定进行随机对照试验以评估VEGA的自我指导(实验干预)和研讨会(主动控制)方式的有效性的可接受性和可行性。作为标准教育的辅助手段,提高学习者(研究服务提供者教育[RISE]与居民的影响)和独立实践(RISE与退伍军人)健康专业准备,知识,以及与在医疗保健中识别家庭暴力有关的技能。
方法:与居民的RISE和与退伍军人的RISE研究使用嵌入式实验混合方法研究设计。每个研究的定量链遵循先导随机对照试验的原则。对于居民的崛起,我们的目标是招募80名研究生医学学员;与退伍军人一起崛起,我们打算招募80名与加拿大军队或加拿大皇家骑警的退伍军人(或其家庭成员)一起工作或曾经工作过的卫生专业人员。参与者在基线时完成定量评估,干预后,在3个月的随访中。每个机构的一部分参与者也进行了定性的半结构化访谈,目的是描述参与者对每种VEGA模式的价值和影响的看法,以及研究负担。潜在结果指标的分数将通过混合方法联合显示来映射到定性数据的摘录,以帮助解释结果。
结果:我们同意71个人参与RISEwithResidentials研究。数据收集已于2023年8月31日完成,目前正在清理数据并准备进行分析。截至2024年1月15日,我们同意了34名退伍军人参与RISE研究;数据收集将于2024年3月完成。对于这两项研究,投稿时尚未进行数据分析.结果将通过同行评审的出版物传播;学术会议;并在社交媒体上发布和共享研究摘要和信息图表,项目网站,并通过专业网络列表服务。
结论:减少家庭暴力的影响仍然是一个紧迫的公共卫生挑战。两项研究都将为以家庭暴力为重点的卫生专业教育中试验方法的可行性提供有价值的方法学贡献。他们还将为教育科学做出贡献,以了解自我导向学习策略与促进者主导学习策略的有效性差异。
背景:ClinicalTrials.govNCT05490121,https://clinicaltrials.gov/study/NCT05490121;ClinicalTrials.govNCT05490004,https://clinicaltrials.gov/study/NCT05490004。
DERR1-10.2196/50864。
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