应用项目ECHO模型来支持实施和维持精神病认知行为疗法
Sarah L Kopelovich1, Jennifer Blank, Chris McCain
1Department of Psychiatry and Behavioral Sciences University of Washington, Seattle, WA.
概括
社区医疗保健成果项目扩展 (ECHO) 模型有效地培训行为健康提供者用于精神病的认知行为治疗,提高他们的知识和患者的结果. 这种远程咨询方法可以在服务不足的地区加强专业护理的提供.
科学领域:
- 远程医疗和数字健康干预措施
- 精神病学培训和劳动力发展工作人员.
- 基于证据的心理治疗实施实施.
背景情况:
- 社区医疗保健成果扩展项目 (ECHO) 是一个远程咨询模式,用于在资源不足的环境中维持专业干预.
- 对于精神病的认知行为疗法 (CBTp) 在美国心理健康系统的透程度有限.
- 社区行为健康提供者往往缺乏足够的准备来提供专门的心理治疗.
研究的目的:
- 评估ECHO模型对CBTp纵向培训和咨询的应用.
- 评估ECHO模型对提供者知识,绩效和患者结果的影响.
- 确定远程咨询的可行性和有效性,以传播CBTp.
主要方法:
- 在6个月的ECHO参与周期中对集团内部变化的分析.
- 利用扩展结果框架来评估参与,满意度,知识,表现和患者症状严重程度.
- 包括提供商子集的忠诚度审查.
主要成果:
- 在3年内,ECHO诊所支持来自12个机构的150名医疗服务提供者.
- 参与者报告满意度很高,申报和程序知识显著增加.
- 87.5%的接受审查的提供者达到能力基准;患者的结果显示幻觉,负面症状,抑郁和躁狂减少,但不是妄想.
结论:
- ECHO诊所提供持续的专家指导,同行咨询和基于案例的学习,解决传统劳动力培训的局限性.
- ECHO 模型支持从业人员的持续专业发展,这些从业人员的预先准备不足.
- 该研究观察到学习者结果和选择患者临床结果的改善.
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