A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in Spain
Abstract BackgroundShared decision-making (SDM) is a crucial aspect of patient-centered care. While several SDM training programs for health care professionals have been developed, evaluation of their effectiveness is scarce, especially in mental health disorders such as gener...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2025-01-01
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| Series: | JMIR Medical Education |
| Online Access: | https://mededu.jmir.org/2025/1/e50060 |
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| author | Vanesa Ramos-García Amado Rivero-Santana Wenceslao Peñate-Castro Yolanda Álvarez-Pérez Andrea Duarte-Díaz Alezandra Torres-Castaño María del Mar Trujillo-Martín Ana Isabel González-González Pedro Serrano-Aguilar Lilisbeth Perestelo-Pérez |
| author_facet | Vanesa Ramos-García Amado Rivero-Santana Wenceslao Peñate-Castro Yolanda Álvarez-Pérez Andrea Duarte-Díaz Alezandra Torres-Castaño María del Mar Trujillo-Martín Ana Isabel González-González Pedro Serrano-Aguilar Lilisbeth Perestelo-Pérez |
| author_sort | Vanesa Ramos-García |
| collection | DOAJ |
| description |
Abstract
BackgroundShared decision-making (SDM) is a crucial aspect of patient-centered care. While several SDM training programs for health care professionals have been developed, evaluation of their effectiveness is scarce, especially in mental health disorders such as generalized anxiety disorder.
ObjectiveThis study aims to assess the feasibility and impact of a brief training program on the attitudes toward SDM among primary care professionals who attend to patients with generalized anxiety disorder.
MethodsA feasibility randomized controlled trial was conducted. Health care professionals recruited in primary care centers were randomized to an intervention group (training program) or a control group (waiting list). The intervention consisted of 2 web-based sessions applied by 2 psychologists (VR and YA), based on the integrated elements of the patient-centered care model and including group dynamics and video viewing. The outcome variable was the Leeds Attitudes Towards Concordance scale, second version (LATCon II), assessed at baseline and after the second session (3 months). After the randomized controlled trial phase, the control group also received the intervention and was assessed again.
ResultsAmong 28 randomized participants, 5 withdrew before the baseline assessment. The intervention significantly increased their scores compared with the control group in the total scale (b; PbPbP
ConclusionsFor a future effectiveness trial, it is necessary to improve the recruitment and retention strategies. The program produced a significant improvement in participants’ attitude toward the SDM model, but due to this study’s limitations, mainly the small sample size, more research is warranted. |
| format | Article |
| id | doaj-art-93794f40becf43079bff73fbb7be9853 |
| institution | Kabale University |
| issn | 2369-3762 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Medical Education |
| spelling | doaj-art-93794f40becf43079bff73fbb7be98532025-01-27T04:27:20ZengJMIR PublicationsJMIR Medical Education2369-37622025-01-0111e50060e5006010.2196/50060A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in SpainVanesa Ramos-Garcíahttp://orcid.org/0000-0002-9106-2420Amado Rivero-Santanahttp://orcid.org/0000-0002-5067-3196Wenceslao Peñate-Castrohttp://orcid.org/0000-0001-9168-9920Yolanda Álvarez-Pérezhttp://orcid.org/0000-0002-6414-2863Andrea Duarte-Díazhttp://orcid.org/0000-0003-1171-9945Alezandra Torres-Castañohttp://orcid.org/0000-0003-4690-1421María del Mar Trujillo-Martínhttp://orcid.org/0000-0003-2273-2192Ana Isabel González-Gonzálezhttp://orcid.org/0000-0001-7167-4211Pedro Serrano-Aguilarhttp://orcid.org/0000-0002-5373-410XLilisbeth Perestelo-Pérezhttp://orcid.org/0000-0002-6113-7313 Abstract BackgroundShared decision-making (SDM) is a crucial aspect of patient-centered care. While several SDM training programs for health care professionals have been developed, evaluation of their effectiveness is scarce, especially in mental health disorders such as generalized anxiety disorder. ObjectiveThis study aims to assess the feasibility and impact of a brief training program on the attitudes toward SDM among primary care professionals who attend to patients with generalized anxiety disorder. MethodsA feasibility randomized controlled trial was conducted. Health care professionals recruited in primary care centers were randomized to an intervention group (training program) or a control group (waiting list). The intervention consisted of 2 web-based sessions applied by 2 psychologists (VR and YA), based on the integrated elements of the patient-centered care model and including group dynamics and video viewing. The outcome variable was the Leeds Attitudes Towards Concordance scale, second version (LATCon II), assessed at baseline and after the second session (3 months). After the randomized controlled trial phase, the control group also received the intervention and was assessed again. ResultsAmong 28 randomized participants, 5 withdrew before the baseline assessment. The intervention significantly increased their scores compared with the control group in the total scale (b; PbPbP ConclusionsFor a future effectiveness trial, it is necessary to improve the recruitment and retention strategies. The program produced a significant improvement in participants’ attitude toward the SDM model, but due to this study’s limitations, mainly the small sample size, more research is warranted.https://mededu.jmir.org/2025/1/e50060 |
| spellingShingle | Vanesa Ramos-García Amado Rivero-Santana Wenceslao Peñate-Castro Yolanda Álvarez-Pérez Andrea Duarte-Díaz Alezandra Torres-Castaño María del Mar Trujillo-Martín Ana Isabel González-González Pedro Serrano-Aguilar Lilisbeth Perestelo-Pérez A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in Spain JMIR Medical Education |
| title | A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in Spain |
| title_full | A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in Spain |
| title_fullStr | A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in Spain |
| title_full_unstemmed | A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in Spain |
| title_short | A Brief Web-Based Person-Centered Care Group Training Program for the Management of Generalized Anxiety Disorder: Feasibility Randomized Controlled Trial in Spain |
| title_sort | brief web based person centered care group training program for the management of generalized anxiety disorder feasibility randomized controlled trial in spain |
| url | https://mededu.jmir.org/2025/1/e50060 |
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