情境学习对心理危机干预技能提升效果的评价

Assessment of effect of situated learning on developing crisis intervention skills

目的·探讨基于危机干预六步法开发的在线情境互动课程对提高危机干预技能的效果。方法·以提高学习者危机干预技能为目的招募118 名学习者接受在线课程培训,设置情境互动(情境组)和非互动(对照组)2 种类型的课程,比较2 组学习者在学习前后危机干预技能的改变情况;并从诊断性评价、形成性评价和终结性评价的维度对情境学习的效果进行综合评价。结果·经过学习,2 组学习者危机干预技能的评分均显著提高(P情境=0.000,P对照=0.002);且相比对照组,情境组学习者危机干预技能的评分提高得更多(P=0.010)。综合评价结果显示,学习者掌握情况最好的危机干预技能为确定问题、提供支持和获得承诺[评分分别为(31.52±4.43)分、(16.85±4.44)分、(14.63±5.27)分],需要强化学习的危机干预技能是确认安全与制订计划[评分分别为(10.26±3.93)分、(5.84±4.10)分]。结论·在线课程对于提高学习者危机干预技能具有显著效果,且情境互动课程效果更优。

Objective · To exploring effect of the online situated courses which were developed based on the six-step model of crisis intervention on improving the crisis intervention skills. Methods · A total of 118 learners were recruited to receive online course training to improve their crisis intervention skills. Two types of courses were prepared, which were situated interactive course and non-interactive course for situated group and control group respectively. The changes in crisis intervention skills were compared between the two groups of learners before and after learning. The effects of situated learning were evaluated comprehensively from diagnostic evaluation, formative evaluation and summative evaluation. Results · After learning, the scores of crisis intervention skills of both groups were significantly improved (Psituated=0.000, Pcontrol=0.002). And the improved score of crisis intervention skills of situated group was higher than that of control group (P=0.010). The results of comprehensive evaluation showed that the wellmastered crisis intervention skills were identifying problem, providing support and getting commitment, the scores of which were 31.52±4.43, 16.85±4.44 and 14.63±5.27, respectively. Conversely both confirming safety and formulating plan skills should be reinforced, the scores of which were 10.26±3.93 and 5.84±4.10, respectively. Conclusion · The online course has a significant effect on improving the crisis intervention skills of learners, and the situated interactive course is more effective than the non-interactive course.