初级保健提供者对痴呆症培训的偏好：一项定性研究。
Primary Care Provider Preferences on Dementia Training: A Qualitative Study.
机构信息
University of Kansas Alzheimer's Disease Research Center, Fairway, KS, USA.
University of Kansas Medical Center, Kansas City, KS, USA.
出版信息
J Alzheimers Dis. 2023;92(3):1067-1075. doi: 10.3233/JAD-221014.
BACKGROUND
Dementia has no cure, but interventions can stabilize the progression of cognitive, functional, and behavioral symptoms. Primary care providers (PCPs) are vital for the early detection, and long-term management of these diseases, given their gatekeeping role in the healthcare system. However, PCPs rarely implement evidence-based dementia care due to time limitations and knowledge about diagnosis and treatment. Training PCPs may help address these barriers.
OBJECTIVE
We explored the preferences of PCPs for dementia care training programs.
METHODS
We conducted qualitative interviews with 23 PCPs recruited nationally via snowball sampling. We conducted remote interviews and organized the transcripts for qualitative review to identify codes and themes, using thematic analysis methods.
RESULTS
PCP preferences varied regarding many aspects of ADRD training. Preferences varied regarding how to best increase PCP participation in training, and what content and materials were needed to help them and the families they serve. We also found differences regarding the duration and timing of training, and the modality of training sessions (remote versus in-person).
CONCLUSION
The recommendations arising from these interviews have the potential to inform the development and refinement of dementia training programs to optimize their implementation and success.
背景
痴呆症无法治愈，但干预措施可以稳定认知、功能和行为症状的进展。鉴于初级保健提供者（PCP）在医疗保健系统中的把关作用，他们对于这些疾病的早期发现和长期管理至关重要。然而，由于时间限制以及对诊断和治疗的了解，PCP 很少实施基于证据的痴呆症护理。培训 PCP 可能有助于解决这些障碍。
目的
我们探讨了 PCP 对痴呆症护理培训计划的偏好。
方法
我们通过滚雪球抽样在全国范围内招募了 23 名 PCP 进行定性访谈。我们进行了远程访谈，并对转录本进行了定性审查，以使用主题分析方法确定代码和主题。
结果
PCP 对 ADRD 培训的许多方面的偏好存在差异。关于如何最好地增加 PCP 参与培训的方式，以及帮助他们和他们所服务的家庭所需的内容和材料，也存在差异。我们还发现培训的持续时间和时间安排以及培训课程的模式（远程与面对面）存在差异。
结论
这些访谈中提出的建议有可能为痴呆症培训计划的制定和完善提供信息，以优化其实施和成功。
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