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Evaluating the effectiveness of an evidence-based online training program for health professionals in eating disorders

机译:评估饮食障碍卫生专业人员基于证据的在线培训计划的有效性

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Early detection and treatment are essential to ensuring the best possible health outcomes for people with eating disorders (EDs). However, low diagnostic accuracy and a lack of specific ED training are common workforce challenges in Australia and internationally. Online learning provides a potential solution in facilitating the access to evidence-based training programs. The InsideOut Institute has developed the first online clinical training program in EDs to assist with educating health professionals in the identification, assessment, and management of EDs. The aim of the study is to evaluate the effectiveness of the online training program, The Essentials, in mitigating barriers to health professionals treating patients with EDs. Pre and post training questionnaires assessed participants' attitudes, knowledge, and skills in relation to treating people with EDs. Demographic and work-related information (gender, discipline, work setting, practice length and remoteness) and participants' ratings of the online learning experience and satisfaction on completion were collected. The Wilcoxon signed rank test was applied to test for changes in learning outcomes before and after completion of the program. A multivariate linear regression model was estimated for each of the learning outcomes with personal and work-related characteristics as covariates. Among 1813 health professionals who registered for The Essentials program between 1 October 2013 and 31 July 2018, 1160 completed at least 80% of the five learning modules. There were significant improvements in confidence, knowledge, skills to treat EDs and a reduction in stigmatised beliefs among the 480 participants who completed both pre and post assessments. Results from the regression models suggest that psychologists, dieticians, and those working in rural areas were more willing to treat EDs after completing the program. Additionally, those working in hospitals and regional or rural areas experienced the largest improvement in confidence for treating patients with EDs. The Essentials program represents a new and effective way of meeting the educational needs of partaking health professionals working with ED patients. Greater investment in the development and testing of evidence-based online training programs for EDs may help to address some of the considerable workforce development challenges in EDs.
机译:早期的检测和治疗对于确保饮食障碍(EDS)的人的最佳健康结果至关重要。然而,低诊断准确性和缺乏特定的ED培训是澳大利亚和国际普遍的劳动力挑战。在线学习提供了促进获取基于证据的培训计划的潜在解决方案。 Insideout Institute开发了EDS中的第一个在线临床培训计划,协助在EDS的识别,评估和管理中提供教育卫生专业人员。该研究的目的是评估在线培训计划,必需品的有效性,使卫生专业人员对治疗EDS患者的卫生专业人员。前后培训问卷评估参与者的态度,知识和技能,以与EDS治疗人员。收集了人口统计学和与工作相关的信息(性别,纪律,工作环境,练习长度和遥控器)和参与者在完成后的在线学习经验的评级和完成。 Wilcoxon签名等级测试被应用于测试完成计划前后学习结果的变化。为每个学习结果估计多变量线性回归模型,其与协变性有关的特征。在2013年10月1日至2018年7月31日期间注册的1813名卫生专业人员中,1160年占五个学习模块的至少80%。在完成预先和审查后的480名参与者中,对治疗EDS的信心,知识,技能以及减少耻辱信念的有利可图,以及减少耻辱的信念。回归模型的结果表明,在完成该计划后,心理学家,营养师和农村工作的人更愿意对治疗EDS进行治疗。此外,在医院和区域或农村地区工作的人还具有最大的改善,可供患有EDS患者的信心。 Essentials计划代表了满足与ED患者合作的缔约国卫生专业人员的教育需求的新有效方法。对EDS的证据的在线培训计划的开发和测试更大的投资可能有助于解决EDS中一些可观的劳动力发展挑战。

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