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首页> 外文期刊>Clinical Pediatrics >Brief Training in Patient-Centered Counseling for Healthy Weight Management Increases Counseling Self-efficacy and Goal Setting Among Pediatric Primary Care Providers: Results of a Pilot Program
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Brief Training in Patient-Centered Counseling for Healthy Weight Management Increases Counseling Self-efficacy and Goal Setting Among Pediatric Primary Care Providers: Results of a Pilot Program

机译：以患者为中心的心理咨询以进行健康体重管理的简短培训可提高儿科初级保健提供者的心理咨询自我效能和目标设定：一项试点计划的结果

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摘要

Background. We hypothesized that training in patient-centered counseling would improve self-efficacy and quality of weight management-related counseling provided by pediatric primary care physicians (PCPs). Methods. A total of 36 PCPs attended a brief (2-hour) training and consented to participate in an evaluation. Training impact was assessed using self-administered, pretraining and posttraining surveys and a review of patient charts from prior to and from 6 and 12 months after training for a random subsample of 19 PCPs (10 charts/timepoint per PCP). Results. Self-reported effectiveness at obesity prevention and treatment increased from 16.7% to 44.4% (P = .01) and from 19.4% to 55.6% (P < .001), respectively. Self-efficacy in counseling and motivating patients increased from 44.4% to 80.6% (P < .001) and 27.8% to 63.9% (P < .001), respectively. Goal documentation increased from 3.9% to 16.4% and 57.9% at 6 months and 12 months posttraining, respectively. Conclusions. Brief training in patient-centered counseling appears to increase self-efficacy and the frequency and quality of weight-related counseling provided by PCPs.
机译：背景。我们假设以患者为中心的咨询培训将改善儿科初级保健医师（PCP）提供的自我效能和体重管理相关咨询的质量。方法。共有36名PCP参加了简短的（2小时）培训，并同意参加评估。使用自我管理的，培训前和培训后的调查以及培训前后6个月和12个月之后的患者病历表进行回顾，以评估19个PCP的随机子样本（每个PCP 10个病历/时间点）来评估培训效果。结果。自我报告的肥胖预防和治疗效果分别从16.7％增至44.4％（P = .01）和从19.4％增至55.6％（P <.001）。辅导和激励患者的自我效能分别从44.4％增加到80.6％（P <.001），从27.8％增加到63.9％（P <.001）。训练后6个月和12个月时，目标文档分别从3.9％增加到16.4％和57.9％。结论在以患者为中心的咨询中进行的简短培训似乎可以提高自我效能以及PCP提供的与体重相关的咨询的频率和质量。

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