以患者为导向的研究,以改善在日常实践中为不同民族文化群体的人提供互联网认知行为疗法
Ram P Sapkota1, Emma Valli1, Andrew Wilhelms1
1Online Therapy Unit, Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK S4S 0A2, Canada.
Healthcare (Basel, Switzerland)
|August 12, 2023
概括
这项研究通过结合患者反,为各种民族文化群体适应了互联网提供的认知行为疗法 (ICBT). 以患者为导向的方法提高了在线治疗材料和临床医生培训中的包容性.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 临床心理学 临床心理学
背景情况:
- 有限的研究存在于适应互联网交付的认知行为疗法 (ICBT) 在常规在线治疗中适应不同的民族文化群体.
- 解决包容性问题对于公平获得数字心理健康服务至关重要.
研究的目的:
- 描述一个以患者为导向的适应过程,以改善ICBT在各种民族文化群体的日常护理中.
- 增强ICBT材料和交付的文化相关性和包容性.
主要方法:
- 组建了一个工作组,由生活经验,社区,临床和研究利益相关者组成.
- 分析了档案患者反 (N=278) 并与患者 (N=16),社区代表 (N=6) 和临床医生 (N=3) 进行了采访.
- 根据反实施了基于反的调整,包括文化相关的内容,多样化的例子,以及改善临床医生培训.
主要成果:
- 大多数患者报告说,他们对ICBT感到满意和受益.
- 关键的改进建议集中在增加治疗材料的包容性,而不是核心治疗技术.
- 适应包括文化敏感的内容,多样化的案例/图像,视听辅助工具和更清晰的语言.
结论:
- 以患者为导向的方法有效地适应ICBT,以更好地服务于多样化的民族文化群体.
- 让患者和社区参与适应过程会导致更具包容性和有效性的在线心理健康干预.
- 这项研究为改善代表性不足的人群的数字心理健康服务提供了一个模型.
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