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The effect and influencing factors of training model of remote systematic executive skills in medical staffs with attention deficit hyperactivity disorder
Jing Cunting, Wang Lin, Zhang Yimeng, Chen Li, Yang Li, Qian Ying
2023, 43 (12):
951-955.
DOI: 10.3760/cma.j.cn115259-20221115-01430
Objective To analyze the effectiveness and influencing factors of remote systematic execution skill training for attention deficit hyperactivity disorder (ADHD) in medical staffs. Methods questionnaire survey and semi-structured interview methods were used. A total of 73 participants in the ″ADHD systemic execution skills training practical training″ training course jointly organized by Peking University Sixth Hospital and Chongqing Medical University Affiliated Children′s Hospital from November to December 2020 were selected as the research subjects. The course evaluation questionnaire was conducted after the training, and the self-efficacy questionnaire was conducted before and after the training. After one year of training, 8 trainees were randomly selected based on gender, occupation, and place of residence for qualitative interviews, and the influencing factors of training effectiveness were analyzed. Results The satisfaction of trainees with the course design ranges from 97.3% to 100.0%. After training, the trainees′ scores in terms of knowledge, skills, confidence, competence, mastery of ADHD diagnosis and treatment, as well as practical operation of competence, were higher than before training [7.0(2.0) vs.5.0(4.0), 7.0(2.0) vs. 5.0(4.0), 7.0(2.0) vs. 5.0(4.0), 7.0(2.0) vs. 5.0(4.0). 6.0(1.0) vs. 4.0(2.0), 5.0(1.0) vs. 4.0(3.0)] (all P<0.001); The trainees′ self-evaluation score for logical motivation was lower than before the training [10.0(4.0) vs.10.0(4.5)] (P=0.020). The interview results had summarized a total of 7 influencing factors, among which 8 students mentioned their professional experience, course content, and teaching capacities of teachers. in addition, the occupational exhaustion state of the trainees, learning motivation, course setting and parental quality were also included. Conclusions The satisfaction of the trainees with the ADHD remote system execution skills course was good, and their self-efficacy significantly improved after the training. The professional experience of trainees, course content, and teacher influence are important influencing factors for the effectiveness of ADHD remote system execution skill training. It is recommended to ensure the quality of the course and divide teaching according to the existing professional experience of trainees, and further improve the teaching capacities of teachers.
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