Standardized Patients as Drug Abuse Treatment Clients

作为药物滥用治疗客户的标准化患者

基本信息

批准号：
6784102
负责人：
BENTSON H MCFARLAND
金额：
$ 7.55万
依托单位：
OREGON HEALTH & SCIENCE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2003
资助国家：
美国
起止时间：
2003-08-01 至 2006-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6784102
关键词：
clinical research drug abuse drug abuse therapy health care service evaluation health services research tag human subject patient care training

项目摘要

DESCRIPTION (provided by applicant): Key aspects of training and supervision for drug abuse treatment providers include experiential ("hands on") learning as well as feedback about performance. In other areas of health care, standardized patients (SPs) play important roles in these aspects of clinician education and monitoring. Moreover, there is a growing literature on use of SPs for training and evaluating primary care providers with regard to the detection of substance abuse problems among their patients and the provision of brief interventions. On the other hand, little information is available about use of SPs for training and supervision of community drug abuse treatment providers. Standardized patients (also known as simulated patients) are actors trained to portray health care consumers with specific conditions. The National Board of Medical Examiners (NBME) will include SPs as a regular part of medical student testing by the academic year 2002-2003. The Educational Commission for Foreign Medical Graduates (ECFMG) has used SPs for several years to test applicants' clinical skills. Most medical schools (and many other health professional education programs) use SPs to educate trainees and to assess the quality of the trainees' actual performances. To the applicants' knowledge, this approach has been used infrequently (if at all) in community drug abuse treatment settings. Indeed, it remains to be seen if use of SPs with drug abuse treatment providers will be feasible. This pilot project is designed to answer fundamental questions about feasibility of the standardized patient methodology for training and supervision of community drug abuse treatment providers. The project will determine whether or not SPs can believably portray public sector drug abuse treatment clients. In addition, the study will assess the extent to which SPs can provide useful feedback regarding drug abuse treatment provider performance. The study takes advantages of Oregon Health & Science University's longstanding work with SPs. Conveniently, the University operates the Behavioral Health Clinic where providers have received training in American Society of Addiction Medicine (ASAM) Patient Placement Criteria, motivational interviewing, and cognitive behavioral treatment approaches for clients with substance abuse and mental health problems. The proposed study will examine the feasibility and utility of SPs in this environment.

描述（由申请人提供）：药物滥用治疗提供者的培训和监督的关键方面包括体验（“手上”）学习以及有关绩效的反馈。在医疗保健的其他领域，标准化患者（SP）在临床医生教育和监测的这些方面起着重要作用。此外，关于使用SPS在患者中发现药物滥用问题以及提供简短干预措施方面的培训和评估初级保健提供者的文献越来越多。另一方面，很少有关于使用SPS来培训和监督社区药物滥用治疗提供者的信息。标准化患者（也称为模拟患者）是受过培训的参与者，可以描绘具有特定条件的医疗保健消费者。国家体检医师委员会（NBME）将在2002-2003学年将SPS作为医学学生测试的常规部分。外国医学毕业生教育委员会（ECFMG）已使用SPS多年来测试申请人的临床技能。大多数医学院（以及许多其他卫生专业教育计划）使用SPS来教育受训者并评估受训者的实际表现。据申请人所知，这种方法在社区滥用治疗环境中很少使用（如果有的话）。确实，如果使用SPS与药物滥用治疗提供者是可行的，还有待观察。该试点项目旨在回答有关标准化患者方法的可行性培训和监督社区药物滥用治疗提供者的基本问题。该项目将确定SPS是否可以可信地描绘公共部门滥用药物治疗客户。此外，该研究将评估SPS可以提供有关药物滥用治疗提供者绩效的有用反馈的程度。该研究占据了俄勒冈健康与科学大学与SPS的长期合作的优势。方便地，大学运营了行为健康诊所，提供者在美国成瘾医学学会（ASAM）的患者安置标准，动机访谈和认知行为治疗方法为患有药物滥用和心理健康问题的患者接受了认知行为治疗方法。拟议的研究将检查SPS在这种环境中的可行性和效用。