结合视频疗法和数字自助对于有自杀想法的人:干预设计和在开发过程中的定性研究
Rebekka Büscher1, Lasse B Sander1, Mattis Nuding1
1Medical Psychology and Medical Sociology, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
JMIR formative research
|September 21, 2023
概括
这项研究开发了一种远程混合认知行为疗法 (CBT) 干预自杀想法,将视频会议与网络模块结合起来. 新方法提高了数字心理健康的可访问性和患者参与度.
科学领域:
- 数字心理健康干预数字心理健康干预
- 认知行为治疗 (CBT)
- 治疗自杀念头的治疗方法
背景情况:
- 数字格式可以改善对有自杀想法的人的护理机会.
- 现有的数字自助干预措施存在局限性,包括效果大小小,坚持度低,安全性问题.
研究的目的:
- 开发一种远程混合认知行为疗法 (CBT) 干预自杀想法.
- 将视频治疗与基于Web的自助模块相结合,以提高可访问性和参与度.
- 描述这种新干预的协作开发过程和治疗逻辑.
主要方法:
- 从已建立的自杀想法治疗手册中编译了干预组件.
- 开发了11个基于网络的模块草案,由5名心理治疗师和3名辅导员使用定性方法 (大声思考,采访) 进行审查.
- 进行了定性内容分析,以完善模块内容,可用性和布局,从而实现最终的远程混合CBT程序.
主要成果:
- 治疗师建议对基于网络的治疗进行彻底的准备和定制.
- 参与者强调需要在模块中提供简单的解释,同情,验证和安全计划提醒.
- 开发了一种完全远程混合的CBT干预,包括12个视频会议和多达31个网络模块,重点是针对自杀驾驶员的个性化治疗计划.
结论:
- 开发的远程治疗利用数字可访问性,进行深入的治疗师会议.
- 随后的试点试验将评估与有实践经验和治疗师的人员的可行性.
- 这种混合方法旨在克服针对自杀念头的纯数字干预措施的局限性.
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