J Biomed Inform - Avatar-based simulation in the evaluation of diagnosis and management of mental health disorders in primary care.

Tópicos

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Resumo

Major Depressive Disorder (MDD) and Posttraumatic Stress Disorder (PTSD) are highly prevalent illnesses, but the literature suggests they are under-detected and suboptimally managed by primary care practitioners (PCPs). In this paper, we propose and use an evaluation method, using digitally simulated patients (avatars) to evaluate the diagnostic and therapeutic reasoning of PCPs and compared it to the traditional use of paper-based cases. Verbal (think-aloud) protocols were captured in the context of a diagnostic and therapeutic reasoning task. Propositional and semantic representational analysis of simulation data during evaluation, showed specific deficiencies in PCP reasoning, suggesting a promise of this technology in training and evaluation in mental health. Avatars are flexible and easily modifiable and are also a cost-effective and easy-to-disseminate educational tool.

Resumo Limpo

major depress disord mdd posttraumat stress disord ptsd high preval ill literatur suggest underdetect suboptim manag primari care practition pcps paper propos use evalu method use digit simul patient avatar evalu diagnost therapeut reason pcps compar tradit use paperbas case verbal thinkaloud protocol captur context diagnost therapeut reason task proposit semant represent analysi simul data evalu show specif defici pcp reason suggest promis technolog train evalu mental health avatar flexibl easili modifi also costeffect easytodissemin educ tool

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