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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Advancing the Agenda in Pediatric Mental Health Education
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Advancing the Agenda in Pediatric Mental Health Education

机译：推进小儿心理健康教育议程

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BACKGROUND AND OBJECTIVES:There is an urgent need to advance mental health (MH) education and/or training in pediatric residency programs, yet no consensus on how to achieve this. We created an operational framework from ideas provided by a diverse group of stakeholders on how to advance MH education.METHODS:Concept-mapping methodology was used, which involves brainstorming ideas by completing a focus prompt, sorting ideas into groups, and rating them for importance and feasibility. Multidimensional scaling and hierarchical cluster analysis grouped ideas into clusters. Average importance and feasibility were calculated for each statement and cluster and compared statistically in each cluster and between subgroups.RESULTS:Ninety-nine ideas were generated. Sorted ideas yielded a 7-cluster concept map: (1) modalities for MH training, (2) prioritization of MH, (3) systems-based practice, (4) self-awareness and/or relationship building, (5) training in clinical assessment of patients, (6) training in treatment, and (7) diagnosis-specific skills. Two hundred and sixteen participants rated ideas for importance and 209 for feasibility. Four clusters had a statistically significant difference between their importance and feasibility ratings (P < .001). Suburban and rural area respondents (versus urban) rated clusters higher in importance and feasibility (P < .004), trainees rated all clusters higher in feasibility than practicing clinicians, and MH professionals rated prioritization of MH higher in feasibility (3.42 vs 2.98; P < .001).CONCLUSIONS:This comprehensive set of ideas, especially those rated highly in both importance and feasibility, should inform curricular and policy initiatives. Differences between importance and feasibility may explain why there has been little progress in this field.
机译：背景和目标：迫切需要推进心理健康（MH）教育和/或培训儿科居住计划，但没有关于如何实现这一目标的共识。我们创建了由多元化的利益相关者提供的想法的操作框架，即如何推进MH教育。使用概念 - 映射方法，这涉及通过完成焦点提示，将想法分类为群体，并评估它们的重点和可行性。多维缩放和分层群集分析将想法分组为集群。为每个陈述和群集计算平均重要性和可行性，并在每个群集中以及子组之间进行统计比较。结果：生成九十九个想法。排序的想法产生了一个7集群概念图：（1）MH培训的方式，（2）MH，（3）基于系统的优先级，（4）（4）自我意识和/或关系建设，（5）培训患者的临床评估，（6）治疗培训，（7）诊断特异性技能。两百十六名参与者评估了重要性和209的可行性。四个集群在其重要性和可行性评级之间存在统计学上的显着差异（P <.001）。郊区和农村地区的受访者（与城市）的评估集群高度高度和可行性（P <.004），学员率先评级的可行性高于练习临床医生，而MH专业人员在可行性中额定MH的优先级（3.42 Vs 2.98; P. <.001）.Conclusions：这一综合思路，特别是在重要性和可行性方面的评级，应通知课程和政策举措。重要性和可行性之间的差异可以解释为什么这一领域几乎没有进展。

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