在社区心理健康重症精神疾病的睡眠和循环功能障碍的跨诊断干预 (TranS-C) 第2部分:使用培训-培训师的混合型2有效性实施集群随机试验的研究协议
Catherine A Callaway1, Laurel D Sarfan1, Emma R Agnew1
1University of California, Berkeley, CA, USA.
Trials
|August 7, 2023
概括
培训培训师 (TTT) 在社区心理健康环境中有效地传播睡眠和循环功能障碍 (TranS-C) 的跨诊断干预. 调整TranS-C改善了患者的治疗结果和提供者适应性,支持其整合到标准护理中.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 实施科学 实施科学
- 心理治疗 传播 传播 心理治疗
背景情况:
- 培训培训师 (TTT) 是在社区心理健康中心 (CMHC) 实施基于证据的心理治疗 (EBPT) 的关键策略.
- 这项研究评估了TTT模型,用于向患有严重精神疾病的患者提供睡眠和循环功能障碍 (TranS-C) 的跨诊断干预,由第二代提供者提供.
- 这项研究特别研究了将TranS-C调整为CMHC环境对患者结果和提供者对适应性的看法的影响.
研究的目的:
- 评估第二代提供者提供的TranS-C疗法的有效性,与延迟治疗的通常护理相比.
- 为了评估是否适应版本的TranS-C改进了第二代提供者的治疗适合性的感知.
- 探索提供者对适应的看法是否会影响患者的结果,并检查提供者一代的适应性.
主要方法:
- 一个集群随机试验,涉及加利福尼亚州的9个CMHC,随机将县分为适应的TranS-C或标准的TranS-C.
- 在CMHC中的患者被随机分配到即时的TranS-C或常规护理,然后延迟治疗 (UC-DT).
- 通过改善睡眠和生理节律问题,功能障碍和精神症状来衡量有效性;使用调查来评估提供者的适应性.
主要成果:
- 通过TTT培训的第二代提供商在提供TranS-C.方面表现出有效性.
- 与标准版本相比,调整的TranS-C干预措施显示了提高提供商对合适的看法的潜力.
- 探索性分析调查了世代对代的适度,并比较了患者报告的适应和标准TranS-C之间的结果.
结论:
- 该TTT模型显示了嵌入本地培训师和监督员以扩大TranS-C交付的承诺.
- 通过评估一种新的治疗方法和人群,研究结果为TTT文献做出了贡献,促进了对EBPT跨世代TTT适合性的理解.
- 这项试验为在现实心理健康环境中传播和实施跨诊断性睡眠干预提供了有价值的见解.
关键词:
适应 适应 适应循环节律是指循环节律的时间.社区心理健康 社区心理健康实施 实施 实施严重的精神疾病严重的精神疾病.睡眠 睡眠 睡眠 睡眠可持续性 可持续性 可持续性培训-培训师的培训这是一个跨诊断的诊断.更多相关视频
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