适应行为治疗初级保健使用基于理论的框架:青少年饮食障碍的案例
Jocelyn Lebow1, Leslie Sim2, Sarah Redmond3
1Department of Psychiatry and Psychology (J Lebow, L Sim, M Clark), Mayo Clinic School of Medicine, Rochester, Minn; Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery (J Lebow, RM Jacobson, F Enders), Rochester, Minn; Department of Pediatric and Adolescent Medicine (J Lebow, M Billings, A Mattke, P Partain, R Breland, D Soma, T Schmit, S Magill, A Leonard, RM Jacobson), Mayo Clinic School of Medicine, Rochester, Minn.
初级保健提供者可以为儿科行为健康状况调整基于证据的治疗方法. 一个八步过程指导了适应,改善了获得护理和患者结果的机会.
科学领域:
- 儿科行为健康 儿科行为健康
- 实施科学 实施科学
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 针对儿科精神健康状况的基于证据的治疗方法存在,但需要专门的提供者.
- 缺乏行为健康专家限制了获得护理的机会,给初级保健提供者带来负担.
- 综合行为健康模型通过适应初级保健治疗来提供解决方案.
研究的目的:
- 概述一个八步过程,以适应基于证据的干预措施,以儿童行为健康在初级保健.
- 通过适应儿童和青少年饮食障碍的治疗来证明这一过程.
- 为开发跨学科解决方案提供一个模型,以解决专业护理的缺口.
主要方法:
- 实施科学框架的范围审查为八步适应过程提供了信息.
- 基于家庭的饮食障碍治疗适用于初级保健提供.
- 文献审查,专家意见和社区利益相关者的参与指导了适应.
主要成果:
- 试点数据表明,适应干预是可行的初级保健实施.
- 初步发现表明,它对青少年的体重增加有显著的积极影响.
- 八步框架有助于治疗适应和实施.
结论:
- 为初级保健提供基于证据的治疗方法的调整可以弥合儿科行为健康服务的差距.
- 描述的8步过程为开发跨学科解决方案提供了一个可复制的模型.
- 这种方法有可能通过扩大获得有效干预措施的机会来改善患者的治疗结果.
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